Politraumatismo Flashcards

1
Q

POLITRAUMATISMO ES?

A

PACIENTE CON MULTIPLES LESIONES ORGANICAS PRODUCIDAS EN UN MISMO EVENTO, QUE LE OCASIONAN REPPERCUSIONES CIRCULATORIAS Y O VENTILATORIAS QUE PONEN EN RIESGO SU VIDA

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2
Q

Evaluacion segun mecanismo de lesion:

A

-Lanzado de un vehiculo
-muerte del otro pasajero en el mismo compartimiento
-tiempo de extraccion >20min
-vuelco en accidente de transito

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3
Q

factores agravantes

A

<5, >65 años
-embarazo
-inmunosuprimidos
-obesidad

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4
Q

el objetivo:

A

disminuir la morbilidad y mortalidad

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5
Q

GUIA PARA DECLARAR MUERTE AL ARRIBO

A

*trauma penetrante
15 min de rcp sin signos de vida
Asistolia sin una herida que pudo causar taponada cardiaca
*trauma cerrado
Rcp prehospitalario 5 min sin signos de vida
Asistolia

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6
Q

abcde de trauma

A

airway
breathing
circulation
disability
exposure

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7
Q

airway

A

oxigenacion adecuada, collarin, prevenir broncoespasmo, suplemento de 02,

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8
Q

Maniobras basicas

A

CHIN LIFT (No indicada) , jaw thrust, canulas mayo

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9
Q

Maniobras avanzadas NO QUIRURGICAS

A

mascara y bolsa ambu, intubacion orotraqueal

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10
Q

Maniobras avanzadas QUIRURGICAS

A

CRICOTIROIDOTOMIA, TRAQUEOSTOMIA, Puncion+ chorro de 02

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11
Q

BREATHING

A

Evaluar movimientos y tipo de respiracion

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12
Q

BREATHING tratar inmediato

A

hemotorax, neumotorax a tension, torax batiente

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13
Q

circulation

A

pulso, color y temperatura de piel, llenado capilar, perfusion organica

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