Dr Manish Dhawan

Complex Trauma Management

Managing complex trauma involves treating severe injuries that affect multiple bodily systems and result in significant damage to bones, joints, and soft tissues. The approach begins with an initial assessment using the ABCDE method—Airway, Breathing, Circulation, Disability, and Exposure—to identify and prioritize life-threatening conditions. Stabilization is the next step, which includes controlling bleeding, immobilizing fractures, and managing pain.

Treatment Methods Include:

  • Surgical Interventions: Techniques such as open reduction and internal fixation (ORIF), external fixation, and reconstructive surgery are used to address severe injuries.

  • Non-Surgical Methods: Casting, splinting, and physiotherapy are employed to manage and support recovery.

Post-Traumatic Care: This involves comprehensive rehabilitation, psychological support, and long-term follow-up to facilitate functional recovery and overall well-being.

Potential Complications: These may include infection, non-union or malunion of fractures, and compartment syndrome.

Prognosis: The outcome depends on the severity of the injuries and the promptness of treatment. A multidisciplinary approach can significantly improve recovery and overall results.