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Transcript
ISPO 2006 - Fremantle
Solving Clinical Issues in Patient
Management
Scientific Program



The Therapeutic Goods
Act – Symposium
Mr Robert Love –
multiple limb
attachment under the
media spotlight
Free Papers


Clinical Professor Fiona
Wood – scar outcomes
in major injuries
Dr Julie Dockerty – the
course & complications
of meningococcal
disease
The Therapeutic Goods Act



1.5 hour symposium on the changes to the
TGA and it’s implications for prosthetists &
orthotists
Explanation of the essential principles
Realities of implementing the changes and
effects on clinical practice
Mr Robert Love – a case study of
multiple limb reattachment under the
media spotlight



Mr Love – consultant plastic surgeon from
Princess Margaret Hospital, Perth
Terry Vo, aged 10, amputated both hands
and a foot in a backyard accident at Easter
2005
Mr Love led the 8 surgeon team who
reattached all 3 limbs


Terry’s immediate management, progress and the
media response to the incident
Outcome: fantastic example of co-ordinated team
effort and associated costs
successful attachment of both hands with
some functional activity available
loss of reattached foot
cynicism for media reporting abilities!
Clinical Professor Fiona Wood – scar
outcomes in major injuries





Australian of the Year – 2005
Led the team that treated the burns victims of the
2002 Bali bombing
Quality of scar outcome can be influenced at every
stage of therapy & all interventions affect the
resulting scar
Discussed ‘spray on skin’ technology
Ultimate aim is to ensure the quality of the outcome
is worth the pain of survival
Dr Julie Dockerty – the course &
complications of meningococcal
disease




Occurs worldwide as isolated cases, communitybased outbreaks & epidemics
Leading global cause of rapidly fatal sepsis in
previously healthy individuals
Transmission is by respiratory droplets and may lead
to septicaemia or meningitis
Treatment is with appropriate antibiotics and
supportive measures such as fluid resuscitation,
inotropes and ventilatory support


Complications include mental retardation,
deafness, hemiparesis and amputation
A combination vaccine is available offering
protection against a number of serotypes but
not for serotype B which is the commonest
form in Australia.
Free Papers




Removable rigid dressings: a retrospective case
note audit to determine the validity of post
amputation application
Australian amputees’ expectations of the
prosthetists’ behavioural role: preliminary findings
Fewer, older, sicker? A retrospective audit of
amputation at the Royal Melbourne Hospital
Embodied pain: the interaction between prosthesis
use and phantom pain