Key to management:IV Antibiotics (penicillin or cephalosporin), AGGS(Optional), Aggressive debridement & removal of dead space or Amputation, Hyperbaric oxygen therapy (Optional)Fat Embolism Syndrome:a subacute onset potentially life threateningcondition of obscure origin mainly involving the CNS and the lungs thatoccurs after long bone fractures.Key to management:Early diagnosis with high index of suspicion, adequateoxygenation, ICU care, aggressive symptomatic management & immediate #stabilization.
Acute cervical Spine Injury:
high cervical cord injury can cause instantrespiratory paralysis due to involvement of root values of both the phrenicnerves. Temporary Immobilization for transportation is essential,Key to management:Resuscitation with oxygen, IV Fluids, may need aTracheostomy + Ventilatory support, Foley’s catheterization, Ryle’s tube toavoid aspiration, Radiological investigations, Skeletal Traction . High doseIV Methyl prednisolone (within 1
8 Hrs of injury)Symptomatic management, avoidance of bed sores through good nursingcare, Input- output chart. Clinical diagnosis of type of neural deficits:complete Vs incomplete cord lesion depending on return of bulbocavernosusreflex after resolution of spinal shock, identification of type of cordsyndrome, if incomplete Decompression & definitive # fixation.