Recommended
More Related Content
What's hot
What's hot (20)
Similar to Trauma epidemiology person, place, time graph
Similar to Trauma epidemiology person, place, time graph (20)
More from ABHISHEK
More from ABHISHEK (20)
Recently uploaded
Recently uploaded (20)
Trauma epidemiology person, place, time graph
- 1. Trauma
- 2. Terminology: • Injury = The result of harmful event that arises from the release of specific forms of energy. • "Trauma" = Injury of one or more systems, that results in excessive bleeding and may affect the normal body functioning.
- 3. EPIDEMIOLOGY • 3242 persons die each day around the world. • 50 million people are disabled or injured each year. • India : 1%of motor vehicles in the world but bears the burden of 6% of global vehicular accidents. • Unfortunately, a majority of trauma survivors are either confined to bed or wheel chair for the rest of their lives. • The tragedy of India : 78% of the victims - men, 20 to 44 years, causing significant impact on productivity. • A vehicular accident reported every 3 min and a death every 6 min on Indian roads
- 5. Trauma deaths FIRST PEAK • Within minutes of injury Due to major neurological or vascular injury Medical treatment can rarely improve outcome SECOND PEAK Occurs during the 'golden hour' Due to intracranial hematoma, major thoracic or abdominal injury Primary focus of intervention for the Advanced Trauma Life Support (ATLS) methodology THIRD PEAK Occurs after days or weeks Due to sepsis and multiple organ failure
- 6. Halving The number of deaths due to road injuries in 2020 is one of the UN Sustainable Development Goals (SDGs) Place
- 8. "Trauma • Preparation and triage • Primary Survey • Adjuncts to primary survey • Secondary Survey • Adjuncts to secondary survey • Definitive treatment • Records, Consent, Forensic evidence
- 11. The process of categorizing victims or mass casualties based on their need for treatment and the resources available. ITS MAIN GOALS ARE: • Prevent avoidable deaths. • Ensure proper initial treatment with a minimal time frame. • Avoid misusing asserts on hopeless cases.
- 12. Adjuncts to the Primary Survey • Exams during or after primary survey to aid in identifying life-threatening injuries ECG Pulse oximetry Chest x-ray Pelvis x-ray ABGS Catheters Focused abdominal sonogram for trauma (FAST) Diagnostic peritoneal lavage (DPL) • Resuscitation may be required in some cases. Secondary survey Secondary survey does not begin until the primary survey is completed, resuscitative efforts are established and patient iS demonstrating normalization of vital functions. It includes: • Head to toe evaluation AMPLE history - Allergy - Medications currently taking - Past illness - Last meal - Event/environment related to injury. • Physical examination Reassessment of all vital organs
- 13. Definitive Treatment Treatment plans, especially for multiple injuries, based on clinical status and specific injuries. • AFTER identifying the patients injury. • Managing life threatening problems • Obtaining special studies. • If the patients injuries exceed the capabilities of the institution.
- 14. THANK YOU