Ver el código de «Extremity trauma»

==Background==
In traumatic limb injuries can result in soft tissue, neurovascular, muscular, and ligamentous damage. There are a few principles that apply to these injuries that differ from management of more common conditions. 

==Clinical Features==
Limb salvage is based of several features (See calculator below):
*Age
*Severity of skeletal and soft tissue injury
*Severity of limb ischemia
*Duration of limb ischemia
*Severity of shock

==Workup==
*ATLS
*X-rays
*Trauma labs with close attention to K, Creat, and CK
*Consider CTA or conventional angiography if evidence for vascular compromise

==Management==
ATLS protocols if unstable 
Tourniquet
*Can be an excellent adjunct to control bleeding
Tetanus
Antibiotics
*Cefazolin 2g IV
*Consider adding Gentamycin
Additional treatments depending on specific findings

==Links==
http://www.mdcalc.com/mangled-extremity-severity-score-mess-score/

==See Also==
*[[Compartment Syndrome]]
*[[Compartment Pressure Measurement]]
*[[Rhabdomyolysis]]
*[[Fractures (Main)]]
*[[Open Fracture]]

==Sources==
Uptodate

[[Category:Trauma]]
[[Category:Ortho]]