Department of Traumatology and Hand Surgery Traumatology I (General Traumatology) AOTRA01A7 2011/2012 Credit:2 (4th years students, 1st semester) Hours/semester: 15 Lecture: 15 Seminarium: Practice: 10 Program: WEEKS 1-5 1st week: Lecture: 6 September, 8.00-9.00 The role of trauma surgery in the medicine. The bone healing process (biology, biomechanics). The diagnostics and treatment of fractures. Classifications of closed and open fractures. The basic principle of the fractures treatment. The types of consevative and operative bone fracture treatment. Lecturer:Dr. Béla Turchányi M. D. 1. Practice: 9.00-11.00 11.00-13.00 3, 6, 7, 8, 9 Group, 1, 2, 4, 5, 10 Group 1.Practice: Physical examination of the trauma patient. Anamnesis General physical examination Functional examination of the extremites (neutral 0 method) Examination of circulation and inervation Imageing in the trauma treatment Basic principle of x-ray examinations Special investigations (CT, MRI,DSA, Color-Doppler, ultrasound) How to ask for imageing Evaluation of X-rays Instructors of the practice: István Frendl M. D. Béla Barta M. D. Danie Czako M.D. András Nagy M. D. 2. Lectures szeptember 13. Open fractures and septic complications Lecturer Dr. Urbán Ferenc 2. Practice: 2011-07-13 9.00-11.00 11.00-13.00 9, 3, 6, 7, 8 Group, 10, 1, 2, 4, 5 Group The basic principle of wound treatment Sutures, knot tying, suture removal Bandage Tetanus and Lyssa profilaxis Instructors of the practice: István Szarukán M. D. Reza Arabpour M. D. József Papp M. D. Gergely Huszanyik M. D. 3stweek Lecture: 20 September 8.00-9.00 Treatment algorithm of severely injured patients. ATLS. Intensive care. Traumatic haemorrhagic shock. Liquid and electrolyte treatment. Lecturer: Zoltán Szentkereszty M. D. 3. Practice: 9.00-11.00 11.00-13.00 8, 9, 3, 6, 7 Group, 5, 10, 1, 2, 4 Group Types of conservative fracture treatment Roles of application of plasters. Soft bandages, braces, orthesises Traction treatment Instructors of the practice: József Balázs M. D. Árpád Barkaszi M. D. Ardeshir Motazedian M. D. Ádám Lőrincz M. D. 4stweek Lecture: 27 September 8.00-9.00 Ligament, bone and joint replacement. Metals and plastics in the trauma surgery. Biological osteosynthesises. Lecturer: Béla Turchányi M. D. 4. Practice: 9.00-11.00 11.00-13.00 7, 8, 9, 3, 6 Group, 4, 5, 10, 1, 2 Group Operative fracture treatment Implantations Metallosis, corrosion, metal allergy Types of osteosynthesises Diagnostic and operative arthroscopy Basic principles of osteosynthesises Instructors in the practice: Ferenc Urbán M. D. Péter Horkay M. D. 2011-07-13 Mahmoud Deeb Subuh M. D. Zoltán Pap M. D. 5stweek Lecture: 4 October 8.00-9.00 Trauma in childhood. Injuries and treatment of the growing bone. Lecturer: István Szarukán M. D. 5. Practice: 9.00-11.00 11.00-13.00 6, 7, 8, 9, 3 Group, 2, 4, 5, 10, 1 Group Treatment of seriosly injured patients ATLS (Advanved Trauma Life Support) Resuscitation Instructors of the practice: Zoltán Szentkereszty M. D. Ildikó Gödény M. D. Gábor Csató M.D. Program: WEEKS 6-10 6stweek Lecture: 11 October 8.00-9.00 The wound healing process. Closed and open soft tissue injuries, wound treatment. Types of bleeding. Diagnostics and treatment of closed and open vessel injuries. Lecturer: István Frendl M.D. 9.00-10.00 Indications, techniques and evaluation of replantations. Revascularisation syndrome. Skin defects, covering of skin defects. Lecturer: István Frendl M.D. 7stweek Lecture: 18 October 8.00-9.00 Craniocerebral injuries. Calvarial fractures. Brain oedema. Diagnostics treatment of intracranial bleedings. Lecturer: Álmos Klekner M.D. 9.00-10.00 Diagnostics and treatment of vertebral fractures with or without nervous system injuries. Physiology of nerve regenation. Diagnostics and treatment of periferal nerve injuries. Lecturer: Sándor Szabó M. D. 8stweek Lecture: 25 October 2011-07-13 8.00-9.00 Injuries of the thorax. Rib fractures. Pulmonal contusion. Pneumothorax, haemothorax. Heart and pericardial injuries. Indications of drainage of the thorax and thoracotomy. Lecturer: Zsolt Szentkereszty M. D. 9.00-10.00 Closed and open abdominal injuries. Diagnostics and operative treatment of abdominal organ injuries. Diaphragmatic muscle rupture. Retroperitoneal organ injuries. Lecturer: Dezső Tóth M. D. 9stweek November 01. munkaszüneti nap 10stweek Lecture: 8 November 8.00-9.00 Diagnostics and treatment of posttraumatic complications. Compartment syndrome. Sudeck dystrophy. Delayed bone union, nonunion. Posttraumatic arthrosis. Lecturer: Dr. Turchányi Béla M. D. 9.00-10.00 Mass injuries. Trauma severity scales. Poly and multiple trauma. Lecturer: Dr. Turchányi Béla M. D. Location of lectures and practices: Kenézy Hospital, Dept. of Traumatology and Hand Surgery First five weeks lectures: 800-900 big council room From the 6th week lectures: 800-1000 big council room 2011-07-13 Obligatury literature: Compulsory reading: Recommended book: David J. Dandy – Dennis J. Edwards: Essential ortopaedics and trauma Churchill Livingstone, Oxford, 2003. Mark R. Brinker: Review of Orthopaedic Trauma W. B. Saunders, Philadelphia, 2001. Type of the examination: Elevated level collocvium, three level practical score. Registration procedure for the Traumaology exam (tramua I. and trauma II.) is the same, on Neptun 3 program, and have to do the day before the exam up to 12 AM. The exam will be held before the examination committee. The oral exam has three parts (Ageneral traumatology, B-injuries of the upper extremity, C-injuries of the lower extremity). If one score is failed, the exam has to repeat. For the repeated exam the student has to bring an exam ticket from the education office. The expectations: Every student group will get the oral test questions. Subject admission: pathology II., surgical propedeutica. Debrecen, 13 July 2011 2011-07-13