Blunt Force TraumaInjured from trauma to: Eighth through twelfth ribs on right side of bodyUpper central part of abdomen Tear at falciform or direct injuryBlood and bile will leak intoabdominal cavity Shock Peritoneal irritation
Blunt Force Traumaoccurs when body part subjectedto high degree of force orpressure
Blunt Force Trauma Bleeding Bruising Fracture Laceration Compartment Syndrome
Blunt Force TraumaNot an acuteoccurrenceSymptoms: Pain out of proportion/passive motion Parasthesias/ Paralysis Pallor Pulselessness Poiklothermia
Blunt Force TraumaCompartment PressuresNormal about zero; usually less than 10 mm HgCapillary blood flow compromised at >20 mm HgMuscles/nerves at risk for ischemic necrosis>30 to 40 mm Hg.Nerve is most sensitive, followed by muscletissue.
Blunt Force TraumaTraumatic Asphyxia Syndrome Constrictive force to chest wall Can occur within two minutes Mechanism of injury - profound venous hypertension Cerebral hypoperfusion
Blunt Force Trauma Vital signs Tachycardia Tachypnea Signs of shock Hypotension Diaphoresis Slow cap refill Mental Status Neurodeficits Young will handle better than old