penetrating trauma powerpoint

Multidetector CT for Penetrating Torso Trauma: State of ... Quick and Dirty Guide to Penetrating Trauma - MedicTests This activity reviews the etiology, presentation, evaluation, and management of neck trauma and reviews the role of the interprofessional team in . Abdominal Trauma: Blunt or penetrating • LITFL • CCC Trauma Penetrating chest trauma a. PDF Management of Penetrating Neck Injury The ABCs of Chest X-Rays in Trauma. Step 3 from the trauma triage criteria (ACS criteria) Pediatric fall > 10 feet or 2-3 times the height of the child . PPT - Penetrating Abdominal Trauma PowerPoint presentation | free to view - id: 441ed5-OGM0N. Penetrating trauma can be caused by gunshot wounds, knife attacks, or a multitude of other causes (Caroline, 2014). Everyday around the world almost 16,000 people die from various injuries. Blunt Trauma Penetrating Trauma Blunt Trauma. We excluded patients treated at combined PTC or ATC, transferred . • Dramatic rise in non-op manage of blunt and some penetrating injuries in the past 4 decades • Across all age groups, Orthopedic Surgical procedures account for greatest percent of inpatient procedures . Speed > 55 MPH. Torso Trauma • Both the spleen and the liver are located within the thoracic cage • Lower rib fractures are frequently associated with liver and spleen injuries • The diaphragm changes its position during the respiratory cycle. One-way valve created from either penetrating or blunt trauma Air enters thoracic space but cannot escape, pressure builds and further collapses the lung and forces mediastinum and heart away from effected lung. Includes falls that lead . Penetrating abdominal and/or chest trauma typically involves the violation of the abdominal and/or thoracic cavity by a gunshot wound or stab wound. Rozycki GS: J Trauma. Am Surg. The controversy surrounding zone II injuries. Management of penetrating abdominal trauma Gunshot wounds Much higher mortality than stab wounds Over 90% of pts with peritoneal penetration have injury requiring operative management Most centers proceed to lap if peritoneal entry is suspected Expectant management rarely done Biffl et al. As a result, penetrating trauma causes a track of injury in addition to an entry wound and damage at the point of termination or exit wound. Management of penetrating neck injuries. Penetrating neck trauma Tim Martin SlideShare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Penetrating neck injury describes trauma to the neck that has breached the platysma muscle. PPT - Ballistics in Penetrating Trauma . Cotton, BA et al. Isolated Penetrating Trauma. Penetrating pelvic trauma (PPT) is defined as a wound extending within the bony confines of the pelvis to involve the vascular, intestinal or urinary pelvic organs. Management of penetrating neck injuries. Ann Surg. Diagnosis of blunt injuries may be more . The patient was admitted to the trauma surgery service and was started on intravenous ceftriaxone and metronidazole . Crit . The absence of hard AND soft signs of . Vehicle intrusion > 12 . | PowerPoint PPT presentation | free to view. -apply to isolated head injury and are not recommended for patients with significant multi-trauma injuries. Penetrating Trauma Sections Introduction to Penetrating Trauma Physics of Penetrating Trauma Specific Tissue/Organ Injuries Special Concerns with Penetrating Trauma . Definition A penetrating chest injury (PCI) can be defined as any trauma that violates the chest wall in an area bordered superiorly by the lower neck and inferiorly by the lower costal margin. The PowerPoint PPT presentation: "Penetrating Trauma" is the property of its rightful owner. We've gathered our favorite ideas for Ppt Ballistics In Penetrating Trauma Powerpoint, Explore our list of popular images of Ppt Ballistics In Penetrating Trauma Powerpoint and Download Every beautiful wallpaper is high resolution and free to use. This helps you give your presentation on Penetrating Neck Trauma in a conference, a school lecture, a business proposal, in a webinar and business and professional representations. Management of Penetrating Neck Trauma - Management of Penetrating Neck Trauma Ottawa Civic | PowerPoint PPT presentation | free to view Trauma abdominal Objetivo - Title: Trauma abdomianal Author: EDIRIOMAR PEIXOTO Last modified by: med Created Date: 8/25/1998 5:41:37 PM Document presentation format: Apresenta o na tela | PowerPoint PPT presentation | free to view Children with penetrating trauma to the torso require careful evaluation of the chest, abdomen, pelvis, and genital structures for system-specific injuries that may contribute to rapid decompensation and influence the order of emergent resuscitation. Inputs needed to achieve essential trauma services 13 4.1 Overview 13 4.2 Resource matrix: introduction 13 4.3 Resource matrix: necessary elements of trauma care 13 4.4 Resource matrix: range of health facilities 14 4.5 Resource matrix: designation of priorities 16 5. High velocity handguns, shotguns, shrapnel. In penetrating trauma, zone designations have anatomic, diagnostic, and management implications. Gunshot wounds are associated with a high incidence of intra . Isolated Penetrating Trauma. K=1/2mv^2 . knife stab). Bell B, Osborn T, R Dierks EJ, et . Penetrating Abdominal Trauma Emergency Management. Key management principals include the varying use of the direct primary closure, faecal diversion, pre-sacral drainage and/or distal rectal washout (rarely used). Secure airway 3. 6 The most common mechanism of injury worldwide is a stab wound from violent assault, followed by gunshot wounds, self harm, road traffic accidents and other high velocity objects. Since the zone system is helpful in guiding management decisions, it is preferable to employ the zone system when describing traumatic injuries. Methods: Patients with PPT aged 16 years or younger were included. Obtain an estimate of the patient's weight by asking the . A familiarity with protocol considerations, organ-specific diagnostic performance, utility of . 1999 Pericardial scans performed in 261 patients Sensitivity 100%, specificity 96.9% PPV: 81% NPV:100% Time interval BUS to OR: 12.1 +/- 5.9 min Apffelstaedt JP, Müller R. Results of mandatory exploration for penetrating neck trauma. Penetrating trauma is classified according to the velocity of the projectile: high-velocity projectiles (e.g. Management guidelines for penetrating abdominal trauma. Usually due to shrapnel . 12% of the global burden of disease Road traffic injuries are a major cause of mortality 22.8% in the overall burden of death related to injuries Injury is the third most important cause of mortality and the main cause of death among 1 to 40-year-olds. The exchange of energy, in both blunt and (high/low velocity) penetrating trauma can be explained using the kinetic energy equation: Kinetic Energy= 1/2 Mass (Weight) x Velocity (Speed)2 The complicated kinetic energy formula simply states, the greater the mass (or weight) of an object, the greater the resultant energy that is exchanged. Blast Injuries. Management of penetrating trauma to the neck. Penetrating Trauma in Children. Blunt Trauma. • Discuss basic ballistics. 210-225. Penetrating trauma is an injury caused by a foreign object piercing the skin, which damages the underlying tissues and results in an open wound. Evidence is scarce regarding outcomes of pediatric patients with penetrating trauma treated at PTCs versus ATCs. - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3de38c-ODJjN Carolina Trauma Registry "operative repair offers the best chances for recovery in all categories of patients" Penetrating Carotid injuries Teehan et al "comatose patients with GCS <8 has adverse outcomes regardless of management" Penetrating Carotid injuries The hypothesis is that in pt. • Review expected wounds, operative. They form a temporary expansive cavitation that immediately collapses and creates shear forces . • Penetrating chest injuries below the 5th intercostal space may traverse the diaphragm Ejection from automobile. Computed tomography (CT) continues to play an increasing role in diagnostic algorithms for hemodynamically stable, nonperitonitic patients with penetrating torso trauma and is used to triage patients for surgery or expectant management ( 4 ). Title: Microsoft PowerPoint - Penetrating_Trauma_in_Pediatric_Patients(1) [Read-Only] Author : espezio Created Date: 6/6/2017 3:41:19 PM . Pediatric High Risk Patients. Forces involved are shear (changing speed) and compression (squeezing). Curr Opin Crit Care 2005; 11:333-338Bailey J, Shapiro M. Abdominal compartment syndrome. J Trauma Acute Care Surg 77:2 pp. Mandibular injuries extend from the oral commissure superiorly and to the lower border of the mandible inferiorly. If so, share your PPT presentation slides online with PowerShow.com. Abdominal Trauma. Usually associated with an urban setting b. Download powerpoint; Figure 2. Asensio, JA Valenziano CP, Falcone RE, Grosh JD. The uploader spent his/her valuable time to create this Head and Neck Trauma powerpoint presentation slides, . Abdominal Trauma - wickUP. 1%-8% of pt with multiple blunt trauma sustain a liver injury. Cheryl Pirozzi, MD Fellows Conference 5/4/11 Abdominal Trauma Penetrating Abdominal Trauma Stabbing 3x more common than firearm wounds GSW cause 90% of the deaths Most commonly injured organs: small intestine > colon > liver Blunt Abdominal Trauma Greater mortality than PAT (more difficult to diagnose, commonly associated with trauma to multiple organs/systems) Most commonly . CME March 2015 David Moore. The ABCs of Chest X-Rays in Trauma - The ABCs of Chest X-Rays in Trauma. 2000;232:324-330.Lucas CE. Download for free from a curated selection of Ppt Ballistics In Penetrating Trauma Powerpoint for your mobile and desktop screens. Stab wounds (SW) are more common than gunshot wounds (GSW) SW have a lower mortality due to the lower energy transmitted. Penetrating abdominal injury: Any penetrating injury that could have entered the peritoneal cavity or retroperitoneum inflicting damage on the abdominal contents. Tracheobronchial Injuries. Blast injuries. Abdominal trauma. Initial . Surg Clin North Am 1991; 71:267 6. METHODS We retrospectively reviewed the trauma databases between 2000 and 2009 of the three major trauma centers in Alameda and San Francisco . This can be the result of a stab with a knife, a gunshot wound, or . L/O/G/O Treatment of Penetrating cardiac injury Original reference Degiannis E, Bowley DM, Westaby S. Penetrating cardiac injury. Jain, MD, FRCSC General Surgeon, North York General Hospital Toronto, Canada March 2007 Objectives: Trauma Resuscitation Review approach Review knowledge and technical skills Discuss appropriate investigations Discuss transfer of care Goals of trauma resuscitation Maintain: Systemic oxygenation Systemic perfusion Neurologic . Guidelines for essential trauma care 19 5.1 Airway management 19 . Abdominal Trauma. stab wounds) Abdominal gunshot wounds are more likely to penetrate the peritoneum (80%), and those that do are more likely to cause . • ICD without CXR confirmed Chest trauma 1. Curr Opin Crit Care 2010;16:609-617 Waibel BH, Rotondo MF. The most common causes of such trauma are gunshots and stab wounds. Surg Clin North Am 1991; 71:267 6. 3 times the height of the patient. Speed > 55 MPH. Shotgun wounds . Ballistics in Penetrating Trauma - Surgery - University of Kentucky Objectives. - apply for blunt head trauma and are not recommended for penetrating head trauma. The controversy surrounding zone II injuries. BACKGROUND Pediatric penetrating injuries plague inner cities. Develops when penetration injury to the chest allows the pleural space to be exposed to atmospheric pressure - "Sucking Chest Wound". 2 Other causes of penetrating injury include being impaled by objects as a result of industrial traumatic mechanisms, falls, collisions, blast injuries, and fragmenting military devices. Adv Surg 1994; 27:97. Blunt trauma can be caused by motor vehicle collisions, motorcycle accidents, pedestrian injuries, or falls (PHTLS, 2016). 5. Rib Fractures • Control Pain - Analgesics • Opiates • NSAIDS - Local rib blocks - Thoracic Epidural • Admit it patient elderly, > 3 rib fractures, X-ray (A) and CT of the pelvis revealed a 2.3×1.4×4.5 cm foreign body abutting the urinary bladder (B) with adjacent cortical margin irregularity of the acetabulum and left superior pubic ramus (C) concerning for osteomyelitis. During last 3 decades, liver injury increased. We used a retrospective observational study of pediatric patients presenting after violent penetrating trauma to our urban level 1 trauma center, from 2011-2017, to evaluate the implementation of our CVRT program and its uptake over time. The gravity of PPT is related to initial hemorrhage and the high risk of late infection. 4. Clinical features differ depending on the injured parts of the body and the shape and size of the penetrating object. Mechanism of Injury Penetrating trauma May result in a seemingly benign facial insult and must always be considered when evaluating soft-tissue injuries Low-velocity ( 2,000 ft/sec) gunshot wounds to the face can have a minimal superficial presentation but extensive internal tissue . A familiarity with protocol considerations, organ-specific diagnostic performance, utility of . Materials and Methods: We performed a retrospective study using the National Trauma Data Bank to identify pediatric patients aged ?18 y with penetrating injuries from 2007 to 2012, treated at stand-alone PTCs or ATCs. Clinical features Imaging is needed - as physical exam will miss injuries. Bell B, Osborn T, R Dierks EJ, et . Penetrating trauma occurs when force is applied over a small area where the object can penetrate the skin and underlying tissue (Caroline, 2014). ABDOMINAL TRAUMA Universal precautions against communicable diseases Principles of initial assessment & resuscitation apply May be on 2⁰ survey of your . Posted on April 05, 2016. Diagnosis is established based on history and imaging studies X . There remains significant international discrepancy regarding the management of penetrating trauma to the rectum. Abdominal Trauma classification 1) Blunt Abdominal Trauma-Supreme challenge to the emergency personnels clinical acumen.-Historical data may be incomplete, absent, or presumptive.-The symptoms and signs can be unreliable and obfuscated by head injury, alcohol, or other toxins. Unstable Trauma Patient N.K. It is the 2 ndcommonest organ injured in blunt abdominal trauma and the commonest injured in penetrating trauma. Do you have PowerPoint slides to share? PENETRATING TRAUMA. 2000;66:337-341. 5, 7 The neck is a complex anatomical region containing important vascular, aerodigestive and neurological structures that . World J Surg1994; 18:917. | PowerPoint PPT presentation | free to view Penetrating trauma is further categorized into low . 100224.pdf. 5. 2010 Sep;38(9 Suppl):S421-30.Marx: Rosen's Emergency Medicine, 7th ed. Death in the same passenger compartment . All these wounds will require . Cheryl Pirozzi, MD Fellows Conference 5/4/11 Abdominal Trauma Penetrating Abdominal Trauma Stabbing 3x more common than firearm wounds GSW cause 90% of the deaths Most commonly injured organs: small intestine > colon > liver Blunt Abdominal Trauma Greater mortality than PAT (more difficult to diagnose, commonly associated with trauma to multiple organs/systems) Most commonly . Crit Care Med. Mechanism of injury is important in so far as blunt and penetrating injuries have different pathophysiologies and clinical courses. Blunt Trauma. While small . Shashidhar S. Reddy, . Joe Lex, MD, FACEP, MAAEM. Injury patterns of penetrating facial trauma can be predicted based on projectile type, entry location, and path. Trauma Surgeons? Clinical features differ depending on the injured parts of the body and the shape and size of the penetrating object. Checkout this page to get all sort of ppt page links associated with blunt and penetrating abdominal trauma ppt. High-velocity weapons inflict greater damage because the bullets transmit large amounts of energy to the tissues. Ejection from automobile. Low velocity knives, ice picks, glass. Penetrating trauma' "E-FAST" Portable, Fast, Serial exams Can detect small amounts of hemoperitoneum with good specificity Non-invasive, safe Can find thoracic injuries Accuracy Variation Doesn't image solid parenchymal damage, retroperitoneal, diaphragm injuries Limited in the obese, agitated, bowel/gas patient Less sensitive than DPL and more operator dependent 30% false negative . Of chest injury or Penetrating injury with PE meet penetrating trauma powerpoint chest movement Decrease breath sound.. Diagnostic modalities USA, 90 % of deaths related to Penetrating Abdominal penetrating trauma powerpoint stop. Familiarity with protocol considerations, organ-specific diagnostic performance, utility of, but still misses Hard... 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