Fichas
Trauma Assessment and Management
Fichas del conjunto (24)
- 1Trauma definition- injury/trauma is a structural or physiologic alteration caused by an outside source of energy applied to the body
- 2Energy exists in 5 physical formsmechanical, chemical, thermal, radiation, electrical
- 3Mechanism of injuryby which energy is transferred from the environment to the person
- 4Mechanical injury: damage dependent on:tissue type and consistency
- external force, area, duration, direction
predictor for potention of injury and patterns of injury - 5Forcemass of object, velocity
mass doubled = energy doubled
velocity doubled = energy quadrupled - 6Energy transferBlunt - tissue not penetrated
penetrating - tissue penetrated - 7Injury IdentificationPositive findings are useful
negative finding can be falsely reassuring
Blunt vs penetrating
Airway burns
Head and c spin
Chest and pelvis - abdomen - 8Assessment and management- systematic approach
- ABCDE approach to treating life threatening injuries
- Oxygenation and perfusion at all times
- well organised trauma team - 9Prehospital assessment- ABCDEs
- Early transport
- Trauma bypass
-MIST
mechanism of injury, injury sustained, signs (vitals), treatment (what, when, timing, transport) - 10Priorities- ABCDE approach
- oxygenation and perfusion
- identify and treat life threatening injuries
- prevent secondary injury - 11Response to interventionwhat are you assessing for?
assess, intervene, re-assess, intervene - 12predicting severe injuryco -morbid factors
- extremes of age
- underlying disease, pregnancy, poor health, environmental extremes, time - 13Patterns of injury determined by folowingage, mechanism of injury, anatomy, pre-existing factors
- 14Types of impact on motor vehicle accidentsfrontal impact
lateral/side impact
rotational impact
rear impact
rollover - 15Blast/explosionpressure wave, structural collapse, wind, burns, projectiles
- 16Blast injury phasesprimary - heat of explosion, fuel and oxidant
secondary - trauma caused by projectiles
tertiary - personnel displacement and structural collapse - 17Penetration injuries assessment and management- systematic approach
- ABCDE approach
- oxygenation and perfusion at all times - 18Primary survey- ABCDE rapid - 60 secs
- A - c spine stabilisation
Identify and treat life threatening injuries - 19Secondary - FGHIJF - temp recording
- G - set of vital signs
- H - history
- I head to toe exam
- J document
return to ABCDEs - 20Phases of trauma managementPhase 1- field stabilisation and resus
phase 2 - in hosp resus and operative
phase 3 - critical care
phase 4 - intermediate and acute care
phase 5 - rehab - 21Trimodal death in trauma1st peak - within mins of injury
2nd peak - Primary survery, abdo injury
3rd peak - occurs after days/weeks, sepsis - 22Phase 2 - hospital resus and operative phase- goal = survival
- primary survey
- airway maintenance and c - spine protection
- 'golden hour of shock'
- damage control procedures
- control of bleeding
- surgical control - 23End points of resus for poly trauma- stable haemodynamics
without inotrope support
- no hypoxaemia or hypercpania
- serum lactate
- normothermia - 24Phase 3 - crit carephysical and monitoring assessments
prevention of complications
assessment of oxygen delivery versus oxygen demand
- triad of trauma management and prevention of
- persistent metabolic acidosis
- hypothermia
- coagulopathy
Información
- Descripción
- El usuario ha eliminado su información de asignaturas Fichas sobre Trauma Assessment and Management, creado por Usuario eliminado el 28/08/2018.
- Creado por
- Usuario eliminado · ago 2018
- Actualizado
- 28 ago 2018
- Visitas
- 29
- Historial
-
- Creado por Elizabeth Then · 28 ago 2018
- Copiado por Elizabeth Then · 28 ago 2018
- Valoración