injury

1. S.Sindhiya rajakumari Msc (N) II YR

2.  Abdominal trauma means any injury
occurring to abdominal cavity.

3.  In 1990,approx 5 million people died
worldwide as a result of injury.
 Globally, injury accounts for 10% of all
deaths.
 Estimates indicates that by 2020,8.4 million
people will die yearly from injury.

4.  External anatomy:
• anterior abdomen
• flank
• back

6.  Intra thoracic abdomen
 Pelvic abdomen
 Retroperitoneal abdomen
 True abdomen

9.  Blows to abdomen
 falls
Hollow and solid organs injury
Seat belt injury

10.  Compression
 Deceleration forces
 Rapid deceleration
 Crushing effects

11.  Rapid heart rate
 Pain and tenderness
 Rapid breathing
 Sweating
 Cold clammy pale skin
BLUNT TRAUMA:
Bruising
Cullens signs
Grey turner sign
shock

12.  FAST
 Xray
 Usg
 CT scan
 Paracentesis
 Peritoneal lavage
 Laproscopy
 CBC
 MRI

13.  Initial assessment and resuscitation
-primary survey
-secondary survey

15.  Diaphragm
 Esophagus
 Gastric injury
 Liver injury
 Spleen
 Pancreas
 Small and large bowel

16.  Nursing assessment
h/o
assess symptoms
provide care