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At long term follow-up, a male who sustains multiple traumatic injuries compared with a premenopausal female, who sustained similar polytrauma, is most likely to have which of the following?
Higher quality-of-life scores than females
Increased rates of complex regional pain syndrome
Require more psychiatric counseling and pharmacologic management than females
Take more absentee days at work as a result of illness than females
Decreased incidence of lower extremity amputation
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A child in a MVA has a Glasgow Coma Scale score of 14. His injuries have been graded as severe but not life-threatening injury to the chest (3 points), moderate injury to the abdomen (2 points), and severe injuries but with probable survival injury to the the face or neck (4 points) using the criteria for the Modified Injury Severity Score (MISS). There are no injuries to extremities/pelvis . Based on this information, what is the child’s total MISS score?
What is the Injury Severity Score (ISS) for a patient with an open chest wound (Abbreviated Injury Scale, AIS=4), colon transection (AIS=4), femoral fracture (AIS=3), shoulder dislocation (AIS=2), and a thyroid gland contusion (AIS=1)
A patient sustains a severe lower extremity injury. What can be said about his outcome at 2 years if he chooses reconstruction over amputation?
He has a higher risk of rehospitalization
He has a higher chance of returning to work
He will have a higher overall SIP (Sickness Impact Profile) score
His psychosocial SIP score will improve with time
He will have a better SIP score if he did not complete high school
The mangled extremity severity score (MESS) utilizes all of the following variables EXCEPT:
Skeletal and soft tissue injury
Time from admission to surgery
HPI - 17M involved in car accident.
No visible fracture.
No intracranial bleeding.
No neurologic deficit.
How would you treat this patient?