Trauma management Flashcards
Initial assessment for trauma
C-ABCDE
c- compression
what is the lethal triad of trauma
coagulopathy
acidosis
hypothermia
6 sites of major bleeding
chest abdomen pelvis long bones junctional injuries traumatic amputations
steps of initial management
blood products normothermia scans- CT trauma 2y survey 3y survey
when is damage control surgery indicated
for imminently life threatening conditions that aren’t responding to resus
aim of damage control surgery
rapid control of catastrophic injuries to buy patient time
do you always get closure after damage control surgery?
No- swelling and oedema of abdomen can lead to compartment syndrome so in some cases the abdo is left open and packed with dressing or VAC
6 sites for abdominal bleeding
liver spleen small bowel mesentery omentum retroperitoneal area pelvis
3 main options for managing liver bleeding
packing
closing the liver
Pringle maneuver
2 methods to manage splenic bleeding
packing
splenectomy
2 methods to manage bowel bleeding
packing and ligation
stapling of injuries
main method to manage pelvic bleeding
packing
6 aspects of post op care
transfer to HDU/ITU restoration of blood volume improve peripheral perfusion reverse acidosis and hypothermia enteral feeding CT scan and secondary survey
