Factors Influencing Outcome Following Limb-Threatening Lower Limb Trauma: Lessons Learned From the Lower Extremity Assessment Project (LEAP)

2006 ◽  
Vol 14 (Supplement) ◽  
pp. S205-S210 ◽  
Author(s):  
Ellen J. MacKenzie ◽  
Michael J. Bosse
Keyword(s):  
Lower Extremity ◽  
Lower Limb ◽  
Lessons Learned ◽  
Factors Influencing ◽  
Limb Trauma ◽  
Lower Limb Trauma

Association of clinical characteristics with decision making in patients with severe lower extremity trauma

2020 ◽  
Keyword(s):  
Emergency Department ◽  
Lower Extremity ◽  
Limb Salvage ◽  
Lower Limb ◽  
Patient Management ◽  
Treatment Time ◽  
Emergency Department Admission ◽  
Stump Closure ◽  
Limb Trauma ◽  
Lower Limb Trauma

Severe lower limb trauma represents a challenge for both the emergency department physicians and the surgeons. These injuries are associated with significant incidence of limb loss and it is not uncommon for the treating physician to make the hard decision between limb salvage, amputation or stump closure for a patient in critical condition. Our aim was to evaluate the epidemiology of traumatic lower extremity amputations and to analyze the factors which may have effect on patient resuscitation, limb salvage and efficient patient management. Patients who were admitted to our institution’s emergency department for traumatic lower extremity amputation over an 8 years’ period (2012 to 2020) were retrospectively analyzed. Patient files with the possibility of severe lower limb trauma and mangled extremity were retrieved and analyzed using ICD codes recorded/registered during the emergency department admission. Mean time from emergency admission to transfer to operating theater was 184,5 minutes. Replantation of the amputate was performed in 4 patients (19%). 25% of the amputations at the ankle level (1 out of 4) and 37.5% of the transtibial amputates (3 out of 8) were replanted. A multidisciplinary approach is necessary in every aspect of patient management; however, this does not justify a delay in treatment. Time spent during conclusion of necessary consultations does not have negative effects on patient outcome as long as patient is closely monitored and resuscitated in the emergency department.

Lower Limb Trauma

2022 ◽  
pp. 271-284
Author(s):  
Mario Cherubino ◽  
Tommaso Baroni ◽  
Luigi Valdatta
Keyword(s):  
Lower Limb ◽  
Limb Trauma ◽  
Lower Limb Trauma

scholarly journals Clinical risk assessment model to predict venous thromboembolism risk after immobilization for lower-limb trauma

2020 ◽  
Vol 20 ◽  
pp. 100270 ◽  
Author(s):  
Banne Nemeth ◽  
Delphine Douillet ◽  
Saskia le Cessie ◽  
Andrea Penaloza ◽  
Thomas Moumneh ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Venous Thromboembolism ◽  
Lower Limb ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Clinical Risk ◽  
Limb Trauma ◽  
Clinical Risk Assessment ◽  
Lower Limb Trauma

Microsurgery in Lower Limb Trauma

1995 ◽  
pp. 298-336
Author(s):  
M. J. Yaremchuk ◽  
A. J. Weiland
Keyword(s):  
Lower Limb ◽  
Limb Trauma ◽  
Lower Limb Trauma

Lower limb trauma oral topics

2017 ◽  
pp. 629-659
Author(s):  
Jonathan R. A. Phillips ◽  
Gunasekaran Kumar
Keyword(s):  
Lower Limb ◽  
Limb Trauma ◽  
Lower Limb Trauma

Prehospital External Aortic Compression for Temporizing Exsanguinating Sub-Diaphragmatic Hemorrhage – A Promising Technique, but with Challenges: Four Illustrative Cases, Including Two Survivors

2020 ◽  
Vol 35 (1) ◽  
pp. 115-118
Author(s):  
Bruce Richard Paix ◽  
David John Tingey ◽  
Grant Copley ◽  
Matthew Casson ◽  
Damien Shoolbread ◽  
...  
Keyword(s):  
Lower Limb ◽  
Post Partum ◽  
Promising Technique ◽  
Safety And Efficacy ◽  
Stab Wounds ◽  
Compression Device ◽  
Life Saving ◽  
Limb Trauma ◽  
Life Threatening ◽  
Lower Limb Trauma

AbstractExternal aortic compression (EAC) has long been used to control exsanguinating post-partum hemorrhage, but it has only recently been described in the prehospital trauma setting. This paper reports four cases where manual EAC was used during transport to manage life-threatening bleeding, twice from stab wounds, once from ruptured ectopic pregnancy, and once from severe lower-limb trauma. It showed that EAC has life-saving potential in the prehospital setting, but that safety and efficacy during transport requires the use of a hands-free compression device, such as an aortic tourniquet.

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