PPT-Initial Assessment and Management of the Multiply Injured Patient

John C Weinlein MD Assistant Professor University of TennesseeCampbell Clinic Updated 2016 Disclosures SaundersMosbyElsevier 7 Royalties financial or material support from publishers . It is not meant to be a substitute for good clinical judgment appropriate consultation and close clinical followup POINTS OF EMPHASIS The spleen is one of the most commonly injured intraperitoneal injuries especially in the major trauma population a Process Improvement at a Large Military Medical Center. Nicole Polinsky. CDR, NC, USN. Clinical Nurse Specialist. Julie Hillery. CDR, NC, USN. Clinical Nurse Specialist. Discuss issues that led to need for process improvement in an OB Triage area.. Session content:. What is an initial assessment. Starting strong. Following the patients lead. Initial assessment structure. FAQ from past students / therapists new to physical health. What is an initial assessment. Airway Management:. Airway management is the most important skill for the Pre-hospital/Hospital Clinician.. ABC’S. Timely, effective, and decisive management of the airway can literally make the difference between life and death or between ability and disability.. Paulette . Tucciarone. , MD, MPH, USN. COL Brett J. Schneider, MD, FAPA, USA. DISCLOSURE. I have no financial relationships to disclose.. The CPG Working Group. VHA. DoD. Nat’l Organizations. Nazanin. DearPatientappointment Failure to do so will unfortunately result in the rescheduling of your appointment The first page is general information for registration purposes The pages that follow provide and. Establishing Goals of Care. 2020 ATA. ®. Guidelines . for Management of Patients with Anaplastic Thyroid Cancer. Initial Preoperative Evaluation. Labs/Imaging. A . comprehensive laboratory evaluation . Dónal Murphy. General surgical registrar. The Acute Abdomen: Aims. What is it?. How it presents: General vs Local causes. What I am expected to do as an Intern: Initial management and escalation of care. Begin to understand pain, pathophysiology and clinical implications. Provide a framework for assessment, diagnosis and treatment planning for pain management. Engage with members of the health care team to evaluate opportunities and outcomes of pain interventions. Presented By: Danyel Dorn RN, MSN, CPN, Clinical Nurse Educator-Pediatric Service Line. Purpose. Demonstrate skills to perform the initial assessment of the pediatric patient in the postanesthesia care unit. This initial assessment allows for the integration of preoperative and intraoperative data from the anesthesia provider and perianesthesia team. The handoff of care should include a systematic physiologic assessment, identification of any abnormal or deteriorating conditions and pertinent psychosocial information that includes patient/family centered care. Furthermore, the initial assessment focuses on the prioritization of treatment, implementation, and stabilization of the patient in the postanesthesia phase of care.. Dr Khloud Adam (SHO) and Karl Fuchs (FY1). Abstract. 34-year-old female with no past medical history presented to ED with complaint of 3 weeks history of indigestion of solid foods associated with epigastric pain and vomiting and a positive history of 6kg weight loss over 3 weeks. On further enquiry of the social history the patient reported working as a health care assistant and has recently migrated to the UK from Namibia. Initial systemic examination was unremarkable. Bloods tests showed elevated ALP (table 1) and multiple nodular opacities throughout the lungs on X-ray (Figure 1). On further consultation HIV test was done which came back positive – a differential not thought of by the initial clerking doctor. Patient stated a HIV test done 3 years prior to this presentation was negative. OGD described severe oesophageal candidiasis and CT body reported multiple chest nodules, thickened gall bladder, dilated intrahepatic duct, hepatomegaly and prominent lymph nodes.. Medicine. Reviewed 12/22. Pain Management Policy. All patients must have effective pain management. Appropriate screening and pain assessment. Documentation. Care and treatment. Pain education. Patient self report of pain must be source of assessment whenever possible. (IHA) Provider Training. Quality Management Department . November 2022. 2. Learning Objectives. What is the Initial Health Assessment (IHA): Slides 3-4. Provider: IHA timeframe for appointment. : Slide 5. Aims to improve Patient Management by encouraging good practice . Resuscitation. Management of the dying child. Awareness of limitations. MDT working. Evidence based medicine. Introduction.  . Learning outcome.