slide1
Download
Skip this Video
Download Presentation
Trauma

Loading in 2 Seconds...

play fullscreen
1 / 46

Trauma - PowerPoint PPT Presentation


  • 149 Views
  • Uploaded on

Trauma. Leading cause of death & disability. Till forty. Hassan Ravari MD Associated Professor of Vascular Surgery Mashhad-Imam Reza Hospital Department of vascular surgery. /. No vital signs. No signs of life. A Airway ( cervical spine protection) B Breathing

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Trauma' - nuwa


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Trauma

Leading cause of death & disability

Till forty

Hassan Ravari MD

Associated Professor of Vascular Surgery

Mashhad-Imam Reza Hospital

Department of vascular surgery

slide2

/

No vital signs

No signs of life

slide3

A Airway ( cervical spine protection)

  • B Breathing
  • C Circulation (control of external - bleeding)
slide4

Airway obstruction

The leading cause of death

at the accident site

slide6

Mouth-to-Mouth

Ventilation

slide7

Endotracheal Intubation

GCS < 8

RR > 35/min

P O2 < 60 mmHg

P CO2 > 50 mmHg

slide8

Elective Intubation

Extensive neck emphysema

Burn of the airway

Airway bleeding

Expanding neck hematoma

slide9

Surgical

Cricothyroidotomy

slide10

Needle

Cricothyroidotomy

slide11

Multiple trauma

requiring oxygen

twice normal

slide12

Carotid P. = 60 mmHg

Femoral P. = 70 mmHg

Radial P. = 80 mmHg

slide13

Etiology of shock after trauma:

Tension pneumothorax

Cardiac tamponade

Massive hemothorax

Heart contusion

slide14

Etiology of shock after trauma:

Cont.

Air embolism

Great vessel inj.

Ruptured diaphragm

Pulmonary contusion

slide15

Cardiac

Massage

slide16

Shock

Position

slide17

Tension pneumothorax

a clinical diagnosis

slide18

Chest pain

Dilated neck veins

Absent breath sound

slide20

Ant. A.L

Mid. A.L

Chest tube

slide22

Open pneumothorax

Taped on three sides

slide28

Suspicious to internal bleeding

(Hypotensive Resuscitation)

(Controlled Hypotension)

slide29

Blood

Ringer 1 lit. bolus

( 20 cc/kg child )

Repeated if needed

slide30

Estimated blood loss

(Fx)

Humerus 0.5-1.5 lit.

Tibia 0.5-1.5 lit.

Femur 1-2.5 lit.

Pelvis 1-4 lit.

slide34

Every patient has a Back

as well as a Front

NG tube

Foley catheter

slide35

No NG tube:

Maxillofascial Fx

Base of skull Fx

Penet. inj. of the neck

Cervical spine Fx

slide36

No Urinary catheter:

Blood on meatus

Scrotal hematoma

Perineal hematoma

Floating prostate

High riding prostate

slide37

High-velosity gunshot inj.

Almost-always require operation

Almost-always require operation

slide38

Penetrating injury

Neck

Back

Flank

slide39

Concomitant

Thoracoabdominal

injury

slide40

Antibiotic

Keflin 1g Q6h IV

slide41

Analgesic:

Limb Fx

Rib Fx

slide42

No analgesic:

CNS observation

slide43

The radiology department is a dangerous place

Is the investigation essential ?

Is the patient stable ?

slide44

X-ray in all major trauma:

1-Cervical spine (lat.)

2-Chest (PA)

3-Pelvis (PA)

slide45

Preventing hypothermia :

Warm fluids

Heating pads

Warm environment

slide46

Restlessness & confusion

is due to Hypoxemia

Until proven otherwise

ad