The Multiply Injured Patient (Trauma) Flashcards
1
Q
Leading cause of death in the first four decades of life
A
Trauma (tends to be RTA’s)
2
Q
things that help improve trauma care
A
Standard operating procedures Check-lists Simulation Study days Debrief Documentation Audit (STAG)
3
Q
Pre-hospital care of the multiply injured patient
A
- Time of injury
- Mechanism of injury – knowing mechanism makes treatment of complications easier. For example swollen face – be proactive and intubate to prevent surgical airway
- Speed and the forces involves
- Ejection/pedestrian – risk of injuries are high
- Fatality in the car increases likelihood of serious injuries
- Likely serious injuries
- Vital signs
- Interventions carried out
- Appropriate Tasking
- Going to most appropriate centre
- Standby call to centre
4
Q
Primary survery
A
ABC, detects and treats immediate threats to life
- Airway with C-spine control
- Breathing with O2
- Circulation with haemorrhage control
- Disability
- Expose and environment
- Catastrophic haemorrhage control
5
Q
Secondary survey
A
identification of all the injuries and planned management (usually top to toe)
6
Q
Damage control
A
Minimise blood loss, maximise tissue oxygenation
7
Q
Catastrophic Haemorrhage Control
A
- Special gauze
- Special powders help cauterise
- Press on Brachial Artery and elevate the limb
- Tourniquet
