A 29 year old brought into ED by ambulance after motor bike accident complaining from abdominal pain looked pale How would you manage Findings Airway intact Breathing RR 22min O2 Sats 90 on air ID: 930397
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Slide1
Blunt trauma
Slide2Trauma Call
A 29 year old brought into ED by ambulance after motor bike accident, complaining from abdominal pain, looked pale
How would you manage?
Slide3Findings
Airway: intact
Breathing RR 22/min, O2 Sats 90 on air
PR 92, weak, BP: 105/50
Cold periphery
Distended abdomen
Tender right upper abdomen
What is your next step?
Slide4Progress
After 1.5 L of saline, patients vital signs improves, PR 83 and BP 115/60
CXR #
left
lower ribs
Neck and pelvis Xray normal
FAST scan free
fluid in the peritoneal cavity
What is your provisional diagnosis and what is your next step?
Slide5Describe this Image
Slide6Question
How would you grade Splenic
injuries
What are the most important points in the management of splenic injury?
Slide7How do you prepare the patient for Open Splenectomy?
Describe the operation
Slide8Trauma
Describe how you close the midline laparotomy wound in trauma cases
Slide9Trauma
What are the risk factors for wound dehiscence and incisional hernia?