Trauma lecture 3 Flashcards
immediate management
full assessment - ruling out head injury and other body injuries
what to look for extra orally
abrasions
lacerations
palpate and look for signs of skeletal fractures
imferior border of mandible
zygomatic arch
battle signs
bilateral periorbital bruising
what to look for intra orally
bruising
haematoma
floor of mouth
lacerations
degloving injuries
displacement of soft tisstue
steps in occlusion
madibular deviation on opening
if concerned about mandibular fracture which radiograph would be useful
DPT
typical sites of accidental injury
head
nose
chin
palm of hand
elbows
kness
skins
typical sites of non accidental injury
ears
black eyes
cheeks
chest
concerns are raised for what
injuries to both sides of body
injuries to soft tissue
injuries with particular patter
injury that doesnt fit explanation
delay in presentation
untreated injury
what to do if a patient presents with a tooth/ tooth fragment
place in saline
what radiographs are recommended
anterior occlusal plus peri-apcial
what is involved in a trauma table
direct colour
transillumination
alveolar tenderness
sinus
TTP
mobility
percussion note
EPT
thermal test
what do do with minor laceration
ensure clean
advise on possible scar
what to do with laceration with loose tiisue
requiring closure - a and e
ideal properties of a plint
flexible
passive
user friendly
what type of fracture could require a splint for up to 4 months
cervical 1/3 root fractures
primary tooth trauma incidence
up to 25% of children damaging primary incisors
