TCD Lecture: basic anatomy of chest and abdominal trauma

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Slideset from a talk I give to 2nd med students in Trinity College Dublin. Screencast lives here. http://vimeo.com/63183645

Slideset from a talk I give to 2nd med students in Trinity College Dublin. Screencast lives here. http://vimeo.com/63183645

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  • 1. EmergencyMedicineIreland.com the basic anatomy of chest and abdominal trauma
  • 2. Who am I?
  • 3. EmergencyMedicineIreland.com Credit: trauma.orgCredit: trauma.org
  • 4. EmergencyMedicineIreland.com Credit: hh1edits onYouTube https://www.youtube.com/watch?v=tmYrWXhFf4c
  • 5. EmergencyMedicineIreland.com Objectives What’s at risk? How do I find out? What can I do about it?
  • 6. EmergencyMedicineIreland.com Outside The Chest Chest Wall Respiratory Compromise Bleeding Transmission of force What’s at risk?
  • 7. EmergencyMedicineIreland.com Where will the chest wall break? CostoTransverse Joint CostoVertebral Joint Outside The Chest
  • 8. EmergencyMedicineIreland.com Outside The Chest
  • 9. EmergencyMedicineIreland.com Intercostals Innermost Internal External Outside The Chest
  • 10. EmergencyMedicineIreland.com Credit: 1rmutube onYouTube https://www.youtube.com/watch?v=snqrcB30ZXQ What happens if the handles are broken? Outside The Chest
  • 11. EmergencyMedicineIreland.com -ve Outside The Chest What can I do about it? +ve
  • 12. EmergencyMedicineIreland.com Inside The Chest Lungs What’s at risk? Heart Great Vessels
  • 13. EmergencyMedicineIreland.com How do I find out? Inside The Chest Haemothorax
  • 14. EmergencyMedicineIreland.com Pleura Inside The Chest: Pleura Parietal Visceral
  • 15. EmergencyMedicineIreland.com What do we do about it?
  • 16. EmergencyMedicineIreland.com Credit: trauma.org What’s at risk? Inside The Chest
  • 17. EmergencyMedicineIreland.com Inside The Chest: Heart
  • 18. EmergencyMedicineIreland.com How do I find out? Credit: Mattia Quarta [@squartadoc] Credit: Laleh Gharahbaghian [@sonospot] Inside The Chest: Heart
  • 19. EmergencyMedicineIreland.com Inside The Chest: Heart
  • 20. EmergencyMedicineIreland.com Credit: Laleh Gharahbaghian [@sonospot] Credit: Mike Mallin sonocloud.org Inside The Chest: Heart
  • 21. EmergencyMedicineIreland.com What can I do about it? Inside The Chest: Heart Credit: umemergencymed onYouTube https://www.youtube.com/watch?v=A57ZB_J4FuY
  • 22. EmergencyMedicineIreland.com Inside The Chest: Great Vessels
  • 23. EmergencyMedicineIreland.com Inside The Chest: Great Vessels Credit: Hani Alsalam on radiopaedia.org How do I find out? Credit: CardiologyReview onYouTube https://www.youtube.com/watch?v=L91vprk-K28
  • 24. EmergencyMedicineIreland.com What can I do about it? Blood Pressure Credit: .SilentMode on Flickr Cold Steel Inside The Chest: Great Vessels
  • 25. EmergencyMedicineIreland.com
  • 26. EmergencyMedicineIreland.com Inside The Belly Young male High speed RTA Restrained, BSP Chief complaint abdo and back pain Credit: Jonathan_W on Flickr
  • 27. EmergencyMedicineIreland.com What’s at risk? Credit: Kane Guthrie https://gmep.org/media/10991 Inside The Belly Seat Belt Sign
  • 28. EmergencyMedicineIreland.com Credit: acurachin onYouTube Credit: acurachin onYouTube What’s at risk? What’s at risk? Bowel Pelvis Spine Solid organs Stupid question... the dummy’s dead... Inside The Belly
  • 29. EmergencyMedicineIreland.com Inside The Belly: Bowel Bucket Handle Tear Credit: Michael McGonigal http://regionstraumapro.com/post/13921884326
  • 30. EmergencyMedicineIreland.com Inside The Belly: Pelvis The Pelvis Bleeding Urethral injuries
  • 31. EmergencyMedicineIreland.com Inside The Belly: Spine Credit: Ian Erskine on GMEP.org Credit: Gagandeep Singhon radiopaedia.org Chance Fracture
  • 32. EmergencyMedicineIreland.com Inside The Belly: Solid organs What’s at risk?
  • 33. EmergencyMedicineIreland.com Inside The Belly: Solid organs How do I find out?
  • 34. EmergencyMedicineIreland.com Inside The Belly: Solid organs
  • 35. EmergencyMedicineIreland.com Inside The Belly: Solid organs
  • 36. EmergencyMedicineIreland.com Inside The Belly: Solid organs What can I do about it?
  • 37. EmergencyMedicineIreland.com What’s at risk? How do I find out? What can I do about it? Objectives
  • 38. EmergencyMedicineIreland.com
  • 39. EmergencyMedicineIreland.com