Abdo Trauma Flashcards
What’s are the 3 abdominal region injuries?
Intrathoracic-life threatening hemorrhage: liver & spleen
True abdomen- infection, peritonitis, shock:intestines.
Retroperitoneal abdomen- severe hemorrhage os hidden; major blood vessels
What are the two main types of abdominal trauma
Blunt- most common
Penetrating- includes gunshots and stabbings
What is the concern for abdominal trauma?
Intrabadominal bleeds with hemorrhagic shock
Sepsis and or peritonitis
Mechanism of blunt Abdominal survey?
Direct compression of abdomen
Deceleration forces
What consists of the intraperitoneal abdomen?
Liver
Aorta
Stomach
Spleen
What consists of the retroperitoneal abdomen?
Right kidney
Spine
Left kidney
Mechanism of penetrating abdominal injury?
Direct trauma to organs and vasculature
-projectile and fragments
-energy transmitted function of mass and velocity of the bullet
What should you take precaution of when treating penetrating abdominal injures?
Victorious fluid resuscitation can do more harm than good
What is the ITLS primary surgery for The abdomen
DCAPED
D- deformities
C-contusions
A-abrasions
P- punctures
E- evisceration
D- distension
Signs of a splenic injury?
Referred left posterior shoulder pain
Signs of liver injury?
Referred right posterior shoulder pain
Signs of severe abdominal hemorrhage?
Abdominal distension
Abdominal tenderness
guarding of abdomen
Pelvic tenderness
Bony crepitation
How to manage eviscerations?
Do not push organs back into the abdomen
Gently over with moistened sterile gauze
If transport time is extended- apply. A non adherent material
How to manage an implied object?
do not remove the object
Gently stabilize the object
Avoid moving the object
How to manage a pelvic fracture?
Use a pelvic binder
Stabilize the pelvis
This decrease pelvic volume
