Department of Traumatology and Hand Surgery Traumatology I (General Traumatology) AOTRA01A7 2013/2014 Credit:2 (4th years students, 1st semester) Hours/semester: 15 Lecture: 15 Seminarium: Practice: 10 Program: WEEKS 1-5 1 st week: Lectures: 10 September, 16.00-18.00 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 conservative and operative bone fracture treatment. Lecturer: Béla Turchányi M. D. 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. 12 September, 16.00-17.00 Ligament, bone and joint replacement. Metals and plastics in the trauma surgery. Biological osteosynthesises. Lecturer: Béla Turchányi M. D. 2 nd week: Lectures: 17 September, 16.00-18.00 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. Closed and open abdominal injuries. Diagnostics and operative treatment of abdominal organ injuries. Diaphragmatic muscle rupture. Retroperitoneal organ injuries. Lecturer: Dezső Tóth M. D. 19 September, 16.00-17.00 Open fractures and septic complications Lecturer: Ferenc Urbán M.D.
3 rd week: Lectures: 24 September, 16.00-18.00 The role of arthroscopy in the diagnostics and operative treatment of joints. Knee injuries. Lecturer: Danie Czako M. D. Indications, techniques and evaluation of replantations. Revascularisation syndrome. Skin defects, covering of skin defects. Lecturer: István Frendl M.D. 26 September, 16.00-17.00 Trauma in childhood. Injuries and treatment of the growing bone. Lecturer: István Szarukán M. D. 4 th week: Lectures: 01 October, 16.00-18.00 Craniocerebral injuries. Calvarial fractures. Brain oedema. Diagnostics treatment of intracranial bleedings. Lecturer: Álmos Klekner M.D. 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. 03 October, 16.00-17.00 Diagnostics and treatment of posttraumatic complications. Compartment syndrome. Sudeck dystrophy. Delayed bone union, nonunion. Posttraumatic arthrosis. Lecturer: Turchányi Béla M. D. 5 th week: Lectures: 08 October, 16.00-18.00 Mass injuries. Trauma severity scales. Poly and multiple trauma. Lecturer: Turchányi Béla M. D. Classification of pelvic fractures, conservative and operative treatment. Fractures of the acetabulum. Traumatic hip dislocations. Lecturer: Dr. Ferenc Urbán M.D. 10 October, 16.00-17.00 Treatment algorithm of severely injured patients. ATLS. Intensive care. Traumatic haemorrhagic shock. Liquid and electrolyte treatment. Lecturer: Zoltán Szentkereszty M. D.
PRACTICE 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 István Frendl M. D. Béla Barta M. D. Danie Czako M.D. András Nagy M. D. 2. Practice: 9.00-11.00 9, 3, 6, 7, 8 Group, 11.00-13.00 10, 1, 2, 4, 5 Group The basic principle of wound treatment Sutures, knot tying, suture removal Bandage Tetanus and Lyssa profilaxis 3 st week István Szarukán M. D. Reza Arabpour M. D. József Papp M. D. Gergely Huszanyik M. D. Márton Fésüs M.D. 3. Practice: 9.00-11.00 8, 9, 3, 6, 7 Group, 11.00-13.00 5, 10, 1, 2, 4 Group Types of conservative fracture treatment Roles of application of plasters. Soft bandages, braces, orthesises Traction treatment
4 st week József Balázs M. D. Árpád Barkaszi M. D. Körei Csaba M. D. Ádám Lőrincz M. D. 4. Practice: 9.00-11.00 7, 8, 9, 3, 6 Group, 11.00-13.00 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 5 st week Instructors in the practice: Ferenc Urbán M. D. Péter Horkay M. D. Mahmoud Deeb Subuh M. D. Zoltán Pap M. D. 5. Practice: 9.00-11.00 6, 7, 8, 9, 3 Group, 11.00-13.00 2, 4, 5, 10, 1 Group Treatment of seriosly injured patients ATLS (Advanved Trauma Life Support) Resuscitation Zoltán Szentkereszty M. D. Ildikó Gödény M. D. Gábor Csató M.D. Program: WEEKS 6-10 6 st week 7 st week 8 st week 9 st week 10 st week
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. Requirements The lectures will take place in the Auguszta big lecture hall. We strongly advise to participate on the lectures, because the offical textbook include not all the diagnostic and therapeutic knowledge. The practices will take place two hours a week at the Department of Trauma and Hand Surgery (4031 Debrecen, Bartók B. u. 2-26). Participation on the partices is obligatory. In one semester one absent is acceptable, but the student has to come to the trauma duty to compensate it (confirmed and signed by the chief of the trauma duty). In case of not justified absent the lecture book will not signed, and the student can not go to the exam. Sign of the lecture book will take place the week before the exam period, at the secretariat of the Department of Trauma and Hand Surgery. Type of the exam: emphasised mode oral exam (Kollokvium). Registration to the exam should be done the day before the exam till 12.00 hour on the internet Neptun3 program. If one of the answer for a question marked fail, the exam should be repeat. At the repeated exam the student should present the certification of the Education Department. The Bulletin and Schedule can be found at the website of Department Trauma and Hand Surgery (www.traumatologia.deoec. hu) Debrecen, August 6, 2013 Béla Turchányi M.D Head of Department