military issues Flashcards
common infectious diseases to the military
malaria, dengue, Q-fever, TB, parasites.
what is important in forming the Dx for veteran
where they have served
blast injuries, what to consider
proximity, consider other threatening injuries, perform thorough exam, -always be asking yourself what did i miss. LOC, memory disturbances, mood swings.
barotrauma
blast injury trauma to the ear, lung,
lung barotrauma?
many are asymp. PTX, pneumomediastinum, peritoneum, emphysema, pulmonary interstitial emphysema,
traumatic brain injury
glascow coma scale is the initial classification 3-15, best eye, motor and verbal responses.
mild TBI on the GCS?
13-15. initial management is ascertain adequate oxygen and MAP. need a detailed neurological exam
moderate TBI on the GCS
9-12
severe TBI on GCS
3-8
management of the TBI
CT initially then MRI. CT repeated 6 hours after initial scan for stability ICP monitoring for patients with GCS 8 or less.
secondary brain injury
cascade of injury mechanisms, neurotransmitter toxicity from glutamate as well as ROS, electrolyte dysfunction, inflammatory response, apoptosis, vasospasm and ischemic damage.
clinical signs of TBI
HA, NV, dizziness, confusion, memory issues, loss of inhibitory centers, mood changes, tiredness, difficulty walking and talking.
what are veterans with TBI usually misdiagnosed with
psychiatric issues.
what is the most cause of hostility from a veteran
perceived lack of empathy and understanding of what they experienced being real.
results of trauma in our patients
issues with blood loss, neurologic injury, airway problems, abdominal and extremity trauma, PTSD.
