Dr Hani Al Sheikh Radhi Triage is the process of determining the priority of patients treatments based on the severity of their condition Trauma Severity Score Injury Severity Score Glasgow Coma Scale ID: 1042626
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1. Management of Trauma PatientDr. Hani Al Sheikh Radhi
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3. Triageis the process of determining the priority of patients' treatments based on the severity of their condition.Trauma Severity ScoreInjury Severity ScoreGlasgow Coma ScaleTriage Should be carried by the paramedic team
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5. The Golden Hour of Trauma
6. The Primary Survey
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8. 1- Airways & Cervical Spine (C-Spine)Trauma to the cervical spine
9. 1- Airways & Cervical Spine (C-Spine)Bleeding from facial structuresForeign materialsSome types of fractures.Regurgitation of stomach contentsAirways structures trauma (e.g. tracheal fracture)way structure trauma
10. Airways & Cervical Spine (C-Spine)unconscious patient.
11. 1- Airways & Cervical Spine (C-Spine)Head tilt/chin lift
12. Airways & Cervical Spine (C-Spine)The jaw-thrust procedure
13. Fingers sweeping motion1- Airways & Cervical Spine (C-Spine)Tonsillar suction TipExcessive movement of the cervical spine can turn a fracture without neurologic damage into a fracture that causes paralysis.
14. 2- BreathingEvaluation of the pulmonary statusCheck spontaneous breathingBreathing Doesn’t guarantee ventilationAir movement through nostrils, chest movementTraumatic Injuries could limit lungs functionFace mask O2 supplement
15. 2- BreathingCertain injuries the chest is moving however; the ventilation is poor. Pneumothorax, Hemothorax, Flail chest
16. 2- BreathingPneumothoraxThree types of pneumothorax: open pneumothorax, closed, and tension pneumothorax.The term pneumothorax refer to abnormal collection of air in the pleural space.
17. 2- Breathingopen pneumothoraxLaceration to the pleural membrane, injury to the lungs, wound to the chest with relation to the atmosphere Closed pneumothoraxBlunt trauma to the chest, laceration of the pleural membrane +/- fractured ribTension pneumothoraxInjury to the chest wall. The inspired air will escape the lung into the pleural space but it can’t leave the lung with expiration tube thoracostomyEmergency treatment for pneumothorax.Tube placed in the 5th intercostal space. to withdraw fluids and air.
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20. 2- BreathingHemothoraxCollection of blood within the pleural cavity. It can be due to tearing injury or due to blunt trauma. Suspected with penetrating injuries to the chest. Diagnosed with chest – x-ray in up-right position supine chest x-ray less accurate. Treatment with restore circulatory volume with fluid and blood transfusion, control of the airway and support of the ventilation as required, steady suction tube inserted into the chest in the 5th intercostal space to withdraw the accumulated blood.
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22. 2- BreathingFlail chestmultiple rib fractures, usually at several sites along the rib. chest wall moves paradoxically during respirations—inward with inspiration and outward with expiration.The fractured segment can penetrate the lung and lead to pneumothorax or hemothorax, induce pain with respiration which can compromise the patient’s ability to breath and ventilation.The injured lung may be symptomless at the beginning but the contusion from the injury will develop by time and can compromise the ventilation process and affect the gas exchange mechanismTreatment should start with pain control, good ventilation, intercostal nerve block to the injured portion (allowing the patient to breath deeply and cough, assisted ventilation with endotracheal intubation is sometimes indicated.
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