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Trauma Care

Rapid, specialist-led care for fractures, dislocations, soft tissue injuries, spinal trauma, and complex musculoskeletal injuries — from emergency assessment and surgery through to full functional recovery.

About Department

The Trauma Care Unit at PB Health, operating under the Orthopaedics & Musculoskeletal Surgery department, is a dedicated high-acuity unit for the rapid assessment, stabilisation, and treatment of traumatic injuries. The unit is equipped to manage the full range of orthopaedic trauma from isolated fractures and dislocations to complex polytrauma involving multiple skeletal regions and soft tissue systems.

Core Trauma Care Capabilities

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24/7 trauma assessment with dedicated resuscitation and stabilisation bays

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Rapid trauma team activation for high-energy and multi-region injuries

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Advanced monitoring for haemodynamic instability, shock, and neurological status

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Point-of-care testing — blood gas, lactate, coagulation profile, and urgent blood work

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FAST (Focused Assessment with Sonography in Trauma) for rapid internal bleeding detection

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Massive transfusion protocol (MTP) activation for severe haemorrhage

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Emergency orthopaedic surgery — fracture fixation, joint stabilisation, and damage control orthopaedics (DCO)

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Integrated trauma pathways with neurosurgery, general surgery, ICU, vascular surgery, and radiology

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Post-trauma rehabilitation coordination with physiotherapy and occupational therapy

Integrated Trauma Care Model

Trauma management at PB Health follows a structured multidisciplinary model. The orthopaedic trauma team leads assessment and management of skeletal and soft tissue injuries, working in real-time coordination with emergency physicians, anaesthetists, intensivists, radiologists, and nursing teams from the point of arrival.

For injuries requiring input beyond orthopaedics including head injuries, spinal cord involvement, vascular injury, or abdominal trauma specialist teams are activated through defined escalation pathways. Each patient follows a structured care trajectory from arrival and resuscitation through stabilisation, surgery (where indicated), ICU or ward recovery, and rehabilitation.

Clinical Focus Areas

  • Polytrauma — multiple musculoskeletal injuries, managed with damage control orthopaedics principles
  • Long bone fractures — femur, tibia, humerus, radius/ulna — including open fractures requiring emergency fixation
  • Pelvic fractures and acetabular injuries, including haemodynamically unstable pelvic ring disruptions
  • Joint dislocations — hip, knee, shoulder, and ankle
  • Spinal fractures and traumatic spinal injury — cervical, thoracic, and lumbar
  • Chest wall trauma — rib fractures and flail chest (stabilisation; thoracic surgery involvement where indicated)
  • Traumatic brain injury and head injury (initial stabilisation; neurosurgical escalation for operative cases)
  • Crush injuries and compartment syndrome requiring emergency fasciotomy
  • Ligament and tendon injuries requiring operative repair or reconstruction
  • Soft tissue trauma — degloving injuries, wound management, and reconstructive planning
  • Paediatric orthopaedic trauma — growth plate fractures, supracondylar injuries, and paediatric polytrauma
  • Geriatric trauma — neck of femur fractures, fragility fractures, and falls in elderly patients
  • Burns (initial assessment and resuscitation; plastics/burns unit involvement for definitive management)

What To Expect In The Trauma Care Unit

Airway, breathing, circulation, and injury severity is evaluated using structured trauma protocols (ATLS framework).

Trauma Services & Procedures

Emergency Trauma Assessment

Primary and secondary survey using ATLS-based trauma protocols, including full injury documentation and priority-based intervention planning.

Damage Control Resuscitation

Early administration of blood products, tranexamic acid, haemorrhage control measures, and reversal of acute traumatic coagulopathy.

Airway & Breathing Support

Emergency airway management, endotracheal intubation, needle decompression, and chest drain insertion for tension pneumothorax or haemothorax.

Haemorrhage Control

Wound packing, tourniquets, pelvic binders, fracture splinting, vascular compression, and operative haemorrhage control.

Orthopaedic Trauma Surgery

External fixation (damage control), open reduction and internal fixation (ORIF), intramedullary nailing, arthroplasty for periarticular fractures, and fasciotomy for compartment syndrome.

Spinal Trauma Management

Emergency spinal immobilisation, neurological assessment, imaging-guided classification, surgical decompression, and instrumented fixation where indicated.

Soft Tissue & Wound Management

Debridement of contaminated wounds, open fracture management, wound closure or coverage planning, and coordination with plastic surgery for complex reconstruction.

ICU Transition & Rehabilitation Planning

Structured clinical handover to critical care and early rehabilitation referral to physiotherapy for functional recovery planning.

The PB Health Advantage in Trauma Care

Round-the-clock trauma response with ready resuscitation bays, operating rooms, and ICU support.

Need Emergency Trauma Care?

Every minute matters after a serious injury. Our orthopaedic trauma team is available 24/7 for immediate assessment, fracture stabilisation, emergency surgery, and the start of your recovery.

FAQs

Come directly to the trauma unit if you or someone with you has been involved in a high-energy road traffic accident, a fall from height, a workplace or industrial injury, or has sustained a suspected fracture, joint dislocation, severe bleeding, head injury, back or neck injury after trauma, a crush injury, or multiple injuries to different parts of the body.