abcs evaluation of trauma patient
DESCRIPTION
ABCs Evaluation of Trauma Patient. By Dr. Mahmoud Shehadah Al hariri Emergency Medicine Orthopedic surgery. Primary Survey. A irway & C -spine B reathing C irculation E xposure D isability . Secondary Survey . Mechanism of the injury Systemic evaluation Definitive treatment. - PowerPoint PPT PresentationTRANSCRIPT
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By
Dr. Mahmoud Shehadah Al hariri
Emergency MedicineOrthopedic surgery
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Primary Survey
Airway & C-spineBreathingCirculationExposureDisability
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Secondary Survey
Mechanism of the injury
Systemic evaluation
Definitive treatment
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AAirway and irway and CC-spine control-spine controlAssessment
Ascertain patency
Immobilization of C-spine ; hard collar sand bags tape
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A & CManagement Chin lift Vs jaw thrust
Clear the airway of foreign bodies
Oropharyngeal or nasopharyngeal airways
Definitive airway ( intubation, LMV, Cricothyroidotomy…..)
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Collar application
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A & C ;patency
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A & C ;FB
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A & C ;airways
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A & CNASO ORO
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A & C ; ; Laryngeal mask
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A & C;Tracheal Intubation
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A & C; Surgical Cricothyroidotomy
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A & C; Needle Cricothyroidotomy
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BBreathingreathingAssessment
Expose the neck and chest
Rate and depth of respiration
Inspect and palpate the neck and chest
Percuss the chest
Osculate the chest bilaterally
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BManagement Administer high concentrations oxygen
Ventilate with a bag-valve-mask or face-mask
Attach an end-tidal CO2 and pulse oximetery
Attention to;
Alleviate tension pneumothorax Seal open pneumothorax Flail chest
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B
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End-tidal CO2
Qualitative Quantitative
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HaemothoraxManagement
Chest tube
Indication of surgery 1500 ml once 200 ml/h
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Flail chest
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Flail chestManagementStabilization
Observation
Mechanical ventilation
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Pneumothorax
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PneumothoraxManagement
Simple ; observe
Tension ; needle insertion chest tube 3-side patch (for 0pen,sucking)
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CCirculationirculationAssessment
Pulse: presence, quality, rate, regularity, paradox
Identify source of external hemorrhage
Skin color ( extremities )
Blood pressure ( shock )
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C ; compession
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CManagement Direct pressure to external bleeding site
Insert two large-caliber intravenous catheters
Obtain blood for Labs; Hct , cross-match and ABGs
Start rapid IV fluid ( RL , NS )
Pneumatic splints or PASG to control hemorrhage
ECG monitor
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Classes of Shock
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Traumatic Types of ShockHypovolemic ( low CVP )
Cardiogenic ( high CVP )
Neurogenic ( low HR )
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DDisabilityisabilityAssessment
Determine the level of consciousness using AVPU
Assess the pupils for size, equality and reaction
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EExposurexposure Completely undress the patient
Prevent hypothermia
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Revised trauma scoreRevised trauma score
NumberGlasgowSystolic pressure
Respiratory rate
413- 15 >8910 - 29
39 - 1276 - 89 >29
26 - 850 - 756 - 9
14 - 51 - 491 - 5
0300
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تعليمات الوقاية من الكزاز >10
سنة 5-10 سنة
سنة 5> من
اخر لقاح
التمنيع غير معروف
جرعات 3>
نمط الجر
حذوفان الكزاز
نظيف ذيفان الكزاز ال شيئال شيئ صغير
ذوفان الكزاز
ذوفان الكزاز
غلوبولين ال شيئ مناعي +
ذوفان الكزاز
باقيالجرو
ح
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