Diabetes Mellitus 6.10.07

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Diabetes Mellitus 6.10.07

  1. 1. TRIMODAL DISTRIBUTION OF DEATH IN TRAUMA
  2. 2. <ul><li>Immediate death </li></ul><ul><li>Early death </li></ul><ul><li>Late death </li></ul>
  3. 3. Immediate deaths <ul><li>50% of total deaths </li></ul><ul><li>Immediately after the trauma </li></ul><ul><li>Within a few minutes </li></ul>
  4. 4. Cause of death <ul><li>Brain stem </li></ul><ul><li>Upper spinal cord </li></ul><ul><li>Heart </li></ul><ul><li>Major vessels </li></ul><ul><li>Multiple injuries </li></ul>
  5. 5. <ul><li>First peak is due to generally lethal injuries </li></ul><ul><li>Very little can be done in the management </li></ul><ul><li>Outcome unaffected by intervention </li></ul>
  6. 6. Prevention <ul><li>Legislation </li></ul><ul><li>Wearing helmets in two wheelers </li></ul><ul><li>Wearing of seat belts </li></ul><ul><li>Road safety legislations </li></ul><ul><li>Education of pedestrians </li></ul>
  7. 7. Late deaths <ul><li>20% of deaths </li></ul><ul><li>Days or weeks after the injury </li></ul><ul><li>Sepsis/multiple organ failure </li></ul>
  8. 8. Early death <ul><li>30% of death </li></ul><ul><li>Occur within 24 hours </li></ul><ul><li>Deemed preventable </li></ul>
  9. 9. Cause of death <ul><li>Facial injuries with developing airway obstruction </li></ul><ul><li>Lethal disruption of breathing mechanisms </li></ul>
  10. 10. Chest injuries <ul><li>Pneumothorax </li></ul><ul><li>Hemothorax </li></ul><ul><li>hemopneumothorax </li></ul>
  11. 11. Collapse of circulation <ul><li>Abdominal injuries </li></ul><ul><li>Long bone fractures </li></ul><ul><li>Pelvic fractures </li></ul>
  12. 12. CNS <ul><li>EDH </li></ul><ul><li>SDH </li></ul>
  13. 13. THANK YOU

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