...Esta publicación es propiedad de la Autoridad de Supervisión de la Seguridad Social de Corto...

NORMAS DE DIAGNÓSTICO Y TRATAMIENTODE TRAUMATOLOGÍA

Estado Plurinacinal de Bolivia

Documentos Técnicos Normativos

DIRECCIÓN TÉCNICA DE FISCALIZACIÓN Y CONTROL DE SERVICIOS DE SALUD

Esta publicación es propiedad de la Autoridad de Supervisión de la Seguridad Social de Corto Plazo – ASUSS Se autoriza su reproducción total o parcial a condición de citar la fuente y propiedad.Dirección Técnica de Fiscalización y Control de Servicios de Salud

Depósito Legal N°: xxxxx

DOCUMENTOS TÉCNICO NORMATIVOS / DIRECCIÓN TÉCNICA DE FISCALIZACIÓN Y CONTROL DE SERVICIOS DE SALUD / UNIDAD DE FISCALIZACIÓN Y AUDITORÍA MÉDICA / DOCUMENTO N° 8

NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA

AUTORES

Dr. Fernando Alcides Claros Pizarro Caja Nacional de Salud Dr. Julio Alberto Huaycho Quispe Caja de Salud de la Banca PrivadaDr. Antonio Alfonso Méndez Morales Caja Bancaria Estatal de Salud Caja de Salud de la Banca PrivadaDr. Luis Fernando Murillo Zarate Caja Petrolera de Salud Dr. Marco Antonio Paredes Núñez Caja de Salud CORDES Dr. Álvaro Párraga Montes Caja Nacional de Salud Dr. Luis Felipe Requena Oroza Caja Nacional de Salud Dr. Oscar Rolando Suarez Guzmán Seguro social Universitario Dr. Carlos Mario Urioste Viera Caja de Salud de Caminos Caja Petrolera de Salud Dr. Raúl Viscarra Suarez Corporació n del Seguro Social MilitarDra. Silvia Marisol Paz Zambrana ASUSS Dra. Mabel Morales Graz ASUSS

Agradecimientos especiales a todos/as los/as profesionales, Instituciones y Entes Gestores de la Seguridad Social de Corto Plazo, que hicieron posible la elaboración y actualización de la presente normativa. COORDINACIÓN GENERALDra. María Julia Carrasco Gil

EDICIÓNUNIDAD DE FISCALIZACIÓN Y AUDITORÍA MÉDICADra. María Julia Carrasco GilDra. Amanda Teresa Mendoza Choque Dr. Carlos Andrés Meave Tarifa Dr. Marco Antonio Paredes Núñez Dra. Ana María Young Viscarra

ENTES GESTORES DE LA SEGURIDAD SOCIAL DE CORTO PLAZOCaja Nacional de Salud – CNSCaja Bancaria Estatal de Salud – CBESSeguro Social Universitario - SSUCaja de Salud CORDESCaja de Salud de Caminos y RA. – CSCCaja de Salud de la Banca Privada – CSBPCorporación del Seguro Social Militar – COSSMILCaja Petrolera de Salud – CPS

Impreso por la Autoridad de Supervisión de la Seguridad Social de Corto Plazo - ASUSSDiseño e impresión:Imprenta: Rotembol - 2911119 1°Edición, año 2019La Paz - Bolivia

AUTORIDADES NACIONALES

AUTORIDAD DE SUPERVISIÓN DE LA SEGURIDAD SOCIAL DE CORTO PLAZO - ASUSS

Dra. Silvia Marisol Paz ZambranaDIRECTORA GENERAL EJECUTIVA a.i.

Dra. Rosa María Gonzales PérezDIRECTORA TÉCNICA DE FISCALIZACIÓN Y

CONTROL DE SERVICIOS DE SALUD a.i.

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CONTENIDO

Capítulo I

1. Caracterización del Servicio de Traumatología

Capitulo II

Procedimientos

1. Inmovilizaciones

2. Vendajes

3. Curaciones

4. Infiltraciones

5. Artrocentesis

6. Reducciones

6.1. Reducción Luxación de hombro

6.2. Reducción Luxación de codo

6.3. Reducción de cadera

6.4. Reducción de tobillo

7. Manejo inicial del paciente politraumatizado

Capitulo III

Protocolos

1. Lumbalgia

2. Osteomielitis aguda y crónica

3. Infecciones osteoarticulares

3.1. Artritis séptica

3.2. Tuberculosis osteoarticular

4. Luxaciones Traumáticas.

5. Esguinces

6. Lesiones musculares y tendinosas

7. Artrosis

8. Tumores óseos

9. Ortopedia Infantil

9.1. Displasia de cadera en desarrollo

9.2. Pie Varo Equino

9.3. Pie plano

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9.4. Deformidades angulares y rotacionales. Escoliosis

10. Fracturas en la infancia

11. Fracturas a nivel de cartílago de crecimiento

12. Fracturas

13. Fracturas expuestas

Protocolos de tratamiento de las fracturas

Anexos

Bibliografía


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4

DIRECCIÓN DELESTABLECIMIENTO

DE SALUD

JEFE DEL SERVICIODE CIRUGIA

GENERAL

CONSULTAEXTERNA

EMERGENCIAS HOSPITALIZACIÓN

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5


SERVICIO DE CIRUGÍA

ORTOPEDIA Y TRAUMATOLOGÍA -

ADULTOS

ORTOPEDIA Y TRAUMATOLOGÍA

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JEFATURA SERVICIO ORTOPEDIA Y

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10

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11


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12

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13


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14

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16

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77

FIG. N° 1. CLASIFICACIÓN DE TRIAGE

9. Valoración secundaria, con el paciente estable en hospital.

START

OBEDECE ÓRDENES

SENCILLAS

¿CAMINA? DEMORABLE PRIORIDAD 3

FRECUENCIA RESPIRATORIA >

30 R/MIN

SI

ABRIR VIA AEREA ¿RESPIRA?

URGENTE PRIORIDAD 2

RELLENO CAPILAR > 2 SEG. O PULSO RADIAL AUSENTE

INMEDIATO PRIORIDAD 1

FALLECIDO PRIORIDAD 4

SI

NO NO

SI

SI

SI

CONTROL DE HEMORRAGIAS NO

NO

NO

64

65


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...Esta publicación es propiedad de la Autoridad de Supervisión de la Seguridad Social de Corto...

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