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Managm

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by

mohammad Babgi

on 17 April 2016

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Transcript of Managm

D
A
Pre-hospital care (Golden hour)
Intra-hospital (ATLS)
The management of traumatic patients are of two phases:
Penetrating


Blunt Trauma


Trauma

Epidemiology
Classification:
Multiple Vs Localized
Mechanism Of Trauma
Leading cause of mortality Globally
MVC = 1.3 million deaths annually
going to be 3rd leading cause of disability Worldwide by 2030
Common preventable causes of mortality from Trauma:
Hemorrhage
multiple organ dysfunction syndrome
Cardiopulmonary arrest


Common preventable causes of morbidity in Trauma:
Unintended extubation
Technical surgical failures
Missed injuries
Intravascular catheter-related complications
Trauma
Epidemiology
Summary
Quistions?
Trauma Management
Done by:
Wael Hafiz
AbdullrahmanAlzahrani
Ali Alzahrani
Mohannad Alsulami
Mohammad Babgi
ATLS
Adjunct to primary survey
Adjunct to secondary Survey
Intra-hospital care
Primary survey
Resuscitation
Secondary survey
Definitive care
irway
reathing
B
irculation
C
isability
xposure
E
X-ray
DPL or FAST
Urinary and gastric catheters
Monitoring:
ABG analysis and ventilatory rate
ECG, Pulse oximetry and blood pressure
Physical examination (head to toe)
History (AMPLE)
Hemodynamic status
CT scan
Contrast X-ray studies
Extremitry X-ray
Endoscopy and Ultrasonoghraphy
Managing life threatening conditions
Obtaining special studies
Transfer ( OR, ICU, or Ward)
??
Summary:
Importance of trauma
Primary survey ( ABCDE),6 life threatening conditions
Secondary survey
Adjunct tools
Definitive care
Qustions ?
22 YO man in ER after RTA C/O back pain, oriented, breathing normally, SPO2 normal, heamodynamically stable. There are echymosis in the left chest, chest X-ray showed 1st and 2nd rib fractures, aortic knob not clearly visible, mediastinum 10 cm, further investigation include:
A- contrast enhanced chest CT
B- Repeat chest X-ray
c- Diagnostic thoracoscopy
D- pericardial window

79 YO female. She slipped then fell down the stairs. She is talking to you, comfortable, HR 60, BP 110/70, O2 sat 95. the rest of primary survey is within normal. She told you that she has HTN. What part of AMPLE is very important in this particular patient:
A- Allergy
B- Medication
C- Past Surgical history
D-Pregnancy
END...
Full transcript