Damage Control Orthopedics-Damage Control Orthopedics

Video Transcription

Video Summary

In this webinar, Dr. Paul Choi, an orthopedic surgeon at Children's Orthopedic Center in Los Angeles, presents on the topic of damage control orthopedics. The session begins with an introduction to the concept of damage control orthopedics, contrasting it with early definitive fracture treatment. Dr. Choi shares a case study of a 10-year-old boy who experienced severe trauma, discussing the surgical approaches taken for his treatment. The talk covers the historical context of damage control orthopedics, highlighting the shift from the early total care era to a more nuanced, patient-specific treatment strategy. Dr. Choi emphasizes the two-hit hypothesis, which explains how the body's inflammatory response to trauma can influence treatment decisions.<br /><br />The webinar introduces the early appropriate care model, which categorizes trauma patients as stable, borderline, unstable, or in extremis to guide treatment decisions. Dr. Choi also touches on trauma's broader impact, noting its significant economic burden and contribution to years of life lost in the U.S. The session concludes with a Q&A, addressing various topics such as the criteria for assessing patient stability, DVT prophylaxis in pediatric trauma cases, and efforts to reduce pin infections in external fixation systems. Participants are encouraged to complete an evaluation form to improve future webinars.

Keywords

damage control orthopedics

early appropriate care

pediatric trauma

two-hit hypothesis

patient stability

economic burden

external fixation