symposium: the multiply injured patient Flashcards
What are the stages involved in good trauma care
1- Prevention e.g. Safe Drive Stay Alive (SFSA)
2- Pre-hospital care: paramedic / ambulance – platinum 10 rule: achieve to treat patient at the scene rapidly within 10 mins
3- Acute trauma care – specialty courses e.g. Advanced Trauma Life support/ European trauma corses
4- Specialist definitive care
5- rehabilitation
What centres are involved in trauma care
- Trauma network : all providers
- Major Trauma Centres: centres of excellence- optimized for trauma care
What is involved in pre-alert
- assign roles
- set-up equipment
- drugs set up
who is involved in the trauma team?
- ED
- Anaestetists
- radiology
- surgical specialties
What information should you get from the paramedic?
- Type pf injury
- Mechanism of injury
- Suspected serious injuries
- Vital signs
- Interventions carried out
Different trauma programmes?
ATLS
BATLS: Battlefield advanced trauma life support
ETC : European trauma course
What is involved: Airways and breathing
Look out for: 1- Noises o Speech o Gurgling o Stridor
2- Visual
o Swelling/deformity
o Vomit/blood/debris
Management – Manoeuvres – Suction – Adjuncts – Advanced procedures (intubation checklists
when to assume a C-Spine
– Dangerous mechanism
– Reduced conscious level
– Injury above clavicles
– Neurological signs
what is involved: breathing and oxygen
oxygen, analgesia, drain
Look: •Visible injuries •RR •Effort/Expansion- use of accessory muscles •Sats/ cyanosis
Feel
- palpate
- percuss
Listen
What is involved in circulation management?
CLINICAL BLOOD TESTS IMAGING HEMORRAGE CONTROL VOLUME REPLACEMENT MONITORING VOLUME LOST
What are the 5 major site to look for blood loss?
– Floor – Chest – Abdomen – Pelvis – Long bones
What is the Lethal triad in circulation loss and how is it managed?
–Coagulopathy : give products like platelets and FFP
–Acidosis : Correct hypoxia and hypothermia
–Hypothermia ( coagulopathy will not work well if patients are hypothermic)
What is involved in disability management
Neuro exam – AVPU – GCS – Pupils – Tone and reflexes – Log roll
what is involved in exposure and environment
- Expose to allow full examination
- Cover and keep warm
what is involved in DEFG
do not forget GLUCOSE!
