Download Free Medical Management of the Trauma Patient PowerPoint Presentation

Management of the Trauma Patient PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical titled "Management of the Trauma Patient" by Hieu Ton-That, MD, FACS.

This medical talks about Management of the trauma patient which requires a systematic approach and involves the assessment and treatment of life-threatening injuries.

The management of the trauma patient requires a coordinated effort between healthcare providers, including emergency medical services, emergency department personnel, surgeons, and other specialists. A systematic approach, starting with the primary survey and continuing through definitive care and ongoing care, is critical for the best possible outcomes.

Tags : Management of the Trauma Patient, emergency medical services, emergency department personnel, Emergency Medicine, Emergency Medicine

Published on : Apr 14, 2023 | Views : 1196 | Downloads : 0

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Management of the Trauma Patient Hieu Ton-That, MD, FACS Loyola University Medical Center Division of Burns, Trauma and Surgical Critical Care
Slide 2-

Trauma in the United States 2.7 million hospital admissions per year Leading cause of death for ages 1-44 years 100,000 deaths per year from traumatic injuries Half die before they reach medical care Hemorrhage is second-leading cause of death in trauma
Slide 3-

Figure 6A: Number of Incidents by Age
Slide 4-

Figure 7A: Number of Incidents by Age and Gender
Slide 5-

Figure 8A: Case Fatality Rate by Age
Slide 6-

Figure 10A: Number of Incidents by Mechanism of Injury
Slide 7-

Primary Survey Advanced Trauma Life Support Assess and address life threatening injuries in order “ABCDE of trauma” Airway Breathing Circulation Neurologic “deficit” Exposure of patient
Slide 8-

Airway Identify airway obstruction Maintain cervical spine immobilization May require definitive airway Orotracheal intubation Blind nasotracheal intubation Cricothyroidotomy Tracheotomy
Slide 9-

Breathing Identify life threatening deficits in breathing mechanism Simple pneumothorax Tension pneumothorax Massive hemothorax Open pneumothorax (“sucking chest wound”) Flail chest
Slide 10-

ppt slide no 10 content not found
Slide 11-

Circulation Or, identification of shock Definition of shock – inadequate organ perfusion Causes of shock Hemorrhage/hypovolemia Compressive Cardiogenic Neurogenic Sepsis
Slide 12-

ppt slide no 12 content not found
Slide 13-

Circulation Treatment of shock Direct pressure on external bleeding Initial 2 liter bolus of crystalloid fluid Responders Non-responders Transient responders Definitive management for ongoing hemorrhage
Slide 14-

Neurologic “deficit” Rapid assessment of neurologic status to identify life-threatening injury Pupil size and response Mental status (Glascow coma scale) Motor and sensory exam
Slide 15-

Glascow Coma Scale 3 – 15 point scale to assess mental status only Best observed response Modified scale for children GCS ≤ 8 is a “coma” and requires intubation for airway protesction
Slide 16-

Eye opening None = 1 To painful stimuli only = 2 To voice only = 3 Spontaneously open = 4 Verbal response None = 1 Incomprehensible sounds = 2 Incomprehensible words = 3 Confused = 4 Oriented = 5 Motor response None = 1 Decerebrate (extension) posturing = 2 Decorticate (flexion) posturing = 3 Withdraws to pain = 4 Localizes pain = 5 Follows commands = 6
Slide 17-

Exposure Head to toe examination of the patient for injury Pitfalls Maintenance of spine precautions Prevention of heat loss Under cervical collar Back and flanks
Slide 18-

Adjuncts to the Primary Survey Exams during or after primary survey to aid in identifying life-threatening injuries Chest x-ray Pelvis x-ray Focused abdominal sonogram for trauma (FAST) Diagnostic peritoneal lavage (DPL)
Slide 19-

ppt slide no 19 content not found
Slide 20-

Secondary Surveyand Definitive Treatment The secondary survey is a complete head to toe evaluation of the patient Adjuncts to the secondary survey include CT’s, plain radiographs, blood tests Treatment plans, especially for multiple injuries, based on clinical status and specific injuries
Slide 21-

Resuscitation Restoring organ perfusion How much is enough? What are the endpoints of resuscitation? Heart rate, blood pressure, urine output May lead to “compensated shock” Organ-specific indicators of perfusion ie gastric tonometry Global indicators of perfusion Lactic acid, base deficit Cardiac output, oxygen delivery, oxygen consumption Mixed venous O2 saturation (SvO2)
Slide 22-

Lactic acid and base deficit Initial BD and serum LA are reliable indicators of the need for ongoing resuscitation Time to normalization of LA and BD are predictive of MSOF and mortality
Slide 23-

Damage-control laparotomy A shift from definitive management of abdominal injuries to stabilizing the patient for resuscitation Goals Stop bleeding Control contamination Temporary abdominal closure
Slide 24-

ppt slide no 24 content not found
Slide 25-

ppt slide no 25 content not found
Slide 26-

Critical care and rehabilitation
Slide 27-

Questions?