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Thumb metacarpophalangeal ulnar collateral ligament Injury to the thumb metacarpal ulnar collateral ligament is a unique injury often termed ‘gamekeeper’s thumb’ or ‘skier’s thumb’. Owing to the unique anatomical arrangement of adductor pollicis, if the liga...

Tibial plateau fractures Intra-articular fractures of the tibial plateau are common. Injuries may involve the lateral or medial side or both. The joint articular surface may be split, depressed or a combination of both. A CT scan should be performed to see th...

Tibial shaft fractures Tibial fractures in children are often very amenable to non-operative treatment, starting with an above-knee cast, followed by conversion to a Sarmiento patellar tendon somewhat limited; as such, less angular deformity (only 10–15°) ca...

0 0 I I II II III III Figure 33.7 Triage tags ( (a) courtesy of TACDA & METTAG products, The American Civil Defense Association; Management Systems). 0 0 I I II II III III Figure 33.7 Triage tags ( (a) courtesy of TACDA & METTAG products, The American Civil De...

0 I II III First aid Care for patients with minor injuries involves cleaning and dressing wounds, suturing lacerations and splinting simple - fractures. Most of these ‘walking wounded’ can be sent away with antibiotics and simple pain relief. Damage control s...

COMMON FEATURES OF MAJOR DISASTERS Any event that results in the loss of human life is disastrous, but most accidents, such as aeroplane and train crashes, are limited in the number of people involved. Conversely , natural disasters, such as earthquakes and ...

Coordination with relief agencies A laudable aspect of globalisation is the outpouring of help from governments and non-governmental organisations in response to a disaster. Some, such as Rescue And Prepared - ness In Disasters (RAPID), deal with search and ...

Crush injury and syndrome A crush injury occurs when a body part is subjected to a high degree of force or pressure, usually after being squeezed between two heavy or immobile objects. Damage related to a crush injury includes lacerations, fractures, bleeding...

DEFINITIVE MANAGEMENT The hospitals designated to undertake de�nitive management should be selected on the basis of the facilities available and the number of injured that they can handle. The resources required for trauma patients are more than the typica...