There is usually a high incidence of injuries to the musculoskeletal system in the severely injured patient. These injuries to the musculoskeletal system should be protected temporarily by adequate pressure dressings, splinting, or traction until more definitive treatment can be instituted. The presence of a compound fracture represents a true surgical emergency. However, in the presence of serious injuries to other parts of the body, even the compound fracture may have to await treatment of the other injuries before definitive therapy can be instituted. The severely injured patient should receive the team concept of management with the one most appropriate physician serving as team commander.
McCarroll HR. ORTHOPEDIC MANAGEMENT OF THE SEVERELY INJURED PATIENT. JAMA. 1957;165(15):1913–1916. doi:10.1001/jama.1957.02980330015004
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