#23 - Orthopaedic Triage: life over limb

#23 - Orthopaedic Triage: life over limb

Author: 1PM November 9, 2023 Duration: 29:50

In one of 1PM's most requested episodes, tune in to hear returning presenter Nic Ellison go through Orthopaedic Triage. Join Navi, Jay and Jason, as they work out what to fix first in the world of broken bones.

=== Other Links ===

Check out our new website ⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast episodes.

Check out our Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/firstprinciplesofmedicine/⁠⁠⁠⁠⁠⁠⁠⁠⁠

Recorded 5 November 2023 Co-hosts: Nic Ellison, Jason D'Silva, Navi Cheyurr & Jay Cheyurr. Produced by Adian Izwan.

If you have any ideas or feedback, comment on this Notion document, or shoot us an email at ⁠⁠⁠⁠⁠⁠⁠⁠hello@1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠

***

We’re really excited to be collaborating with Becky from Becky’s notes, a UK based resource, to produce infographics for our visual learners out there. Becky’s notes brings together all the key topics medical students need to know in a readily available place, reviewed by specialists in the field. These visually striking notes are a refreshing change from all the boring textbooks.

You can check her out on Instagram at @beckysnotes01 and get her books at ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Beckysnotes⁠⁠⁠⁠⁠⁠⁠⁠⁠

=== Timestamps === (00:54) Triage stations (01:45) What is Triage? (02:47) Preliminary assessment (03:38) Tip 1: the angry patient (04:51) Classic Ortho conditions (05:38) Stratifying fractures (06:33) MVA - high energy trauma (07:11) Compartment syndrome (08:28) Septic arthritis (09:49) Less serious fractures (11:15) Infected prostheses (11:54) Scaphoid fractures (12:49) Tip 2: look at the vitals (14:31) Investigations – X-Rays (17:51) How to use the reading time (19:50) Management (25:48) Septic arthritis and septic shock (27:17) Nic's management spiel (29:05) Neurovascular assessment recap


There's a particular kind of pressure in medicine, where complex problems demand clear thinking under duress. First Principles of Medicine is built for those moments. Instead of offering memorized lists or surface-level reviews, this podcast from 1PM digs down to the foundational concepts that govern how the human body works and how we approach its care. Each episode takes a seemingly intricate topic in health, fitness, or clinical medicine and deconstructs it into its most basic, undeniable components. What you'll hear are conversations and analyses that rebuild understanding from the ground up. The aim is to equip you with a flexible framework, a way of thinking that holds up when straightforward answers aren't available. By consistently returning to these core tenets, the podcast fosters a deeper, more intuitive grasp of medical science. Whether you're a student, a practitioner, or simply someone fascinated by how we heal and function, tuning in provides a mental toolkit. It's about cultivating the confidence to reason through uncertainty, using first principles as a reliable guide. This isn't just another medical show; it's an ongoing exercise in intellectual clarity for practical application.
Author: Language: English Episodes: 50

First Principles of Medicine
Podcast Episodes
#31A - Acute Otitis Media: Hear we go again! [not-audio_url] [/not-audio_url]

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The First Principles of Acute Otitis Media: Join us as we uncover the principles that underly what is such a common GP presentation that affects children worldwide! We cover everything from the anatomical basis to the sp…
#30B - Shock...in 5 minutes! [not-audio_url] [/not-audio_url]

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The First Principles of Shock (Summary): a 5 minute summary covering the causes, symptoms, types, and management of shock.⁠1PM Notion: Shock⁠=== Other Links ===Check out our new website⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠…
#30A - Shock! When oxygen delivery begins to stop [not-audio_url] [/not-audio_url]

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The First Principles of Shock: Join us as we break down the essentials, covering everything from the causes and symptoms, to the latest management strategies. We go through all of the shocking details as well as a case e…
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#28B - PPH: OSCE-style summary [not-audio_url] [/not-audio_url]

Duration: 5:42
The First Principles of PPH: Join us as we dive into the 4 T's – Tone, Trauma, Tissue, and Thrombin – the key culprits behind excessive bleeding. From uterine atony to clotting issues, we’ll walk you through each cause a…
#28A - PPH: Push! Push! Harder! [not-audio_url] [/not-audio_url]

Duration: 34:10
The First Principles of PPH: Join us as we dive into the 4 T's – Tone, Trauma, Tissue, and Thrombin – the key culprits behind excessive bleeding. From uterine atony to clotting issues, we’ll walk you through each cause a…
#27B - Vertigo: OSCE-style summary [not-audio_url] [/not-audio_url]

Duration: 3:12
The First Principles of Vertigo: Feeling dizzy? Or did you just get hit in the ear? Join us for a spin on the world of vertigo: whether it's crystals in your ears or something more sinister, we've got you covered with ti…
#27A - Vertigo: Did you get hit in the ear? [not-audio_url] [/not-audio_url]

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The First Principles of Vertigo: Feeling dizzy? Or did you just get hit in the ear? Join us for a spin on the world of vertigo: whether it's crystals in your ears or something more sinister, we've got you covered with ti…
#26B - Anemia...in 5 minutes! [not-audio_url] [/not-audio_url]

Duration: 4:13
The First Principles of Anemia from the beginning: erythropoiesis, the components of a full blood count, and the general approach to the MCV. Dive into the world of hypersegmented neutrophils and hyperdynamic states – it…