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NORMAS DE DIAGNÓSTICO Y TRATAMIENTODE TRAUMATOLOGÍA
Estado Plurinacinal de Bolivia
Documentos Técnicos Normativos
DIRECCIÓN TÉCNICA DE FISCALIZACIÓN Y CONTROL DE SERVICIOS DE SALUD
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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
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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
2
33
34
39
41
43
50
52
5254
57
59
61
65
66
70
77
77
81
84
87
90
94
98
103
103
107
110
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113
118
122
126
131
136
179
196
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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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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3
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4
DIRECCIÓN DELESTABLECIMIENTO
DE SALUD
JEFE DEL SERVICIODE CIRUGIA
GENERAL
CONSULTAEXTERNA
EMERGENCIAS HOSPITALIZACIÓN
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5
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
SERVICIO DE CIRUGÍA
ORTOPEDIA Y TRAUMATOLOGÍA -
ADULTOS
ORTOPEDIA Y TRAUMATOLOGÍA
PEDIATRICAOTROS...
JEFATURA SERVICIO ORTOPEDIA Y
TRAUMATOLOGÍA
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6
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7
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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8
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9
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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10
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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13
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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14
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15
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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18
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19
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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25
NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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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
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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NORMAS DE DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATOLOGÍA
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