Injury is a disease which has characteristic patterns, and provokes responses both at the site of injury, and in the body as a whole. This is particularly the case after severe multiple injuries. Patterns of injury, along with their origins will be studied, together with the biological response to trauma, in the context of life threatening injuries. Immediately life-threatening problems will be studied in detail, along with their management and common complications. Emergency surgical intervention aims to control haemorrhage, enable tissue reperfusion and restoration of oxygen delivery. By doing so the physiological consequences of major injury are modified, and the benefits of haemostatic resuscitation both upon coagulopathy and immune dysfunction may become apparent. The development of trauma care hinges upon research driving changes in clinical treatment.
In this module the students will learn to apply the principles of damage control resuscitation, understanding its limitations, and the role of early total care where applicable. When damage control surgery is undertaken in an extended resuscitation phase, the goal is to minimise the complications seen following major trauma, whilst also having an indirect beneficial effect upon the patient¿s immune system. The students will learn the details of key surgical skills including:- 1: diamond configuration spanning external fixation of the femur, knee and tibia 2: lower limb fasciotomy 3: haemorrhage control both above and below the diaphragm
The very first steps the body takes when injured not only limits the consequences of injury but also lays the foundations of healing. This module enables the students to understand healing from the level the injured tissues, to restoration of function, and ultimately the return to normal life. The students will be introduced to the surgical principles of wound management, and advanced surgical reconstruction. Key Surgical Skills: ¿ Compression fixation with absolute stability ¿ Bridging fixation with relative stability ¿ Local flaps & Z-plasty
Injuries to the brain and trunk are the commonest life-threatening injuries encountered. This module will enable the students to assess such injuries rapidly and accurately, recognise and manage the immediate life-threatening nature of the problems encountered and then investigate as appropriate before planning on-going surgical/intensive care management.
This module will enable the students draw together the principals and skills acquired in the preceding modules in order to plan and execute more complex forms of surgical reconstruction. In this, the final clinical module of the taught component of the MSc, the emphasis will be placed upon consolidating knowledge acquired to assure a sound grasp of the clinical application of this knowledge. Multiple case scenarios will provide the framework, allowing the planning and execution of surgical management from the resuscitation to the definitive care phases. The impact of biotechnology, both in its current rudimentary form and in future developments will also be explored.