Abdominal trauma

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asa khoy on Feb 18, 2013 Says :

thats nice.thanks for sharing.

jado on Jan 10, 2011 Says :

thnks for you

jane on Jul 27, 2009 Says :

Abdominal trauma was one of my classroom lecture subjects. ur presentation has helped a lot in grasping things. thanks for sharing

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Slide 1 :

Trauma JOAN M. PINO-TABLOT FALL 2005

Slide 2 :

Trauma Prevention of Trauma CAGE Mechanisms of Injury Blunt Trauma Penetrating Trauma

Slide 3 :

Phases of Trauma Care Pre-Hospital Resuscitation Emergency Department Resuscitation Primary Survey (A, B, C, D, E) Airway Breathing Circulation Disability Exposure

Slide 4 :

Phases of Trauma Care Resuscitation Phase Hypovolemic shock Hemorrhage 2 large bore peripheral IVs Secondary Survey A, M, P, L, E

Slide 5 :

Phases of Trauma Care Definitive Care / Operative Phase Critical Care Phase ATLS guidelines Trauma complications ARDS Sepsis Shock states MODS

Slide 6 :

Specific Trauma Injuries Traumatic Brain Injuries (TBI) Mechanism of Injury Pathophysiology Primary injury Secondary injury Consequences of increased ICP Risks of cerebral hypoperfusion Cerebral edema

Slide 7 :

Specific Trauma Injuries Traumatic Brain Injuries (TBI) Skull Fracture Concussion Contusion Hematomas Epidural hematoma Subdural hematoma Intracerebral hematoma

Slide 8 :

Specific Trauma Injuries Traumatic Brain Injuries (TBI) Missile Injuries Diffuse Axonal Injury (DAI) Neurologic Assessment

Slide 9 :

Traumatic Brain Injuries (TBI) Degree of Injury Mild injury Moderate injury Severe injury Nursing Assessment Neurologic: Pupils & Glasgow Coma Scale Diagnostic Procedures CT scan

Slide 10 :

Specific Trauma Injuries Spinal Cord Injuries Mechanism of Injury Hyperflexion Hyperextension Rotation Axial loading Penetrating injuries

Slide 11 :

Traumatic Brain Injuries (TBI) Nursing Management Stabilization of vital signs Prevention of secondary injury Reduction of elevated ICP Hemodynamic management Fluid management CPP > 70 mm Hg Aggressive pulmonary care Reduce environmental stimuli

Slide 12 :

Spinal Cord Injuries Functional injury of spinal cord Complete injury Quadriplegia Paraplegia Incomplete injury Brown-Séquard Syndrome Central Cord Syndrome Anterior Cord Syndrome Posterior Cord Syndrome

Slide 13 :

Specific Trauma Injuries Spinal Cord Injuries Spinal Shock Autonomic Dysreflexia Assessment Airway Breathing Circulation Neurologic Diagnostic Procedures

Slide 14 :

Spinal Cord Injuries Medical ManagementPharmacologic management MethylprednisoloneSurgical management Laminectomy Spinal fusion RoddingNon-Surgical management Cervical injury Thoracolumbar injury

Slide 15 :

Spinal Cord Injuries Nursing Management Cardiovascular Pulmonary Musculoskeletal Integumentary Elimination Maximizing psychosocial adaptation

Slide 16 :

Maxillofacial Injuries Mechanism of injury Maxillofacial skeletal injuries Le Fort I Le Fort II Le Fort III

Slide 17 :

Maxillofacial Injuries Assessment Diagnostic Procedures Medical Management Nursing Management

Slide 18 :

Specific Thoracic Traumatic Injuries Pulmonary Injuries Pulmonary contusion Tension pneumothorax Open pneumothorax Hemothorax

Slide 19 :

Specific Thoracic Traumatic Injuries Cardiac Injuries Penetrating cardiac injuries Cardiac tamponade Beck’s triad Blunt cardiac injuries (BCI) EAST guidelines

Slide 20 :

Abdominal Injuries Mechanism of injury Blunt trauma Penetrating trauma

Slide 21 :

Abdominal Injuries Physical Assessment Distended abdomen Rebound tenderness Cullen’s sign Grey-Turner sign Kehr’s sign

Slide 22 :

Genitourinary Injuries Mechanism of injury Blunt trauma Penetrating trauma

Slide 23 :

Genitourinary Injuries Assessment Urine / hematuria Flank pain or colic pain

Slide 24 :

Specific Genitourinary Injuries Renal Trauma Bladder Trauma

Slide 25 :

Pelvic Fractures Mechanism of Injury Blunt trauma Physical Assessment Perianal ecchymosis Rocking of iliac crests Diagnostic Assessment Pelvic x-ray

Slide 26 :

Classification of Pelvic Fractures Anterior-Posterior (AP) Compression Lateral Compression (LC) Vertical Shear Open Fractures

Slide 27 :

Hypermetabolism Infection Sepsis Pulmonary Respiratory failure Fat embolism syndrome Pain

Slide 28 :

Renal Complications Renal Failure Myoglobinuria Vascular Complications Compartment Syndrome Deep Venous Thrombosis (DVT) Missed Injury MODS

Slide 29 :

Meeting needs of family members and significant others Crisis situation for family and friends Trauma in the elderly Risk of falls Limited physiological reserve Age related organ changes

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