polytrauma lecture prepare by three medical student in Kerbala university / college of medicine department of surgery to presented as seminar
for download as ppt
https://drive.google.com/open?id=1bc3HMEeJyhrOwag-AvTFMmPVKi12O1PU
Polytrauma and multiple traumata are medical terms describing the condition of a person who has been subjected to multiple traumatic injuries. This will be more prevalent in our country
This is a presentation which contains basics of polytrauma management,ATLS, triage, critical decision making skills, application of Glasgow coma scale and complications of different management strategies, if not applied properly.
Polytrauma and multiple traumata are medical terms describing the condition of a person who has been subjected to multiple traumatic injuries. This will be more prevalent in our country
This is a presentation which contains basics of polytrauma management,ATLS, triage, critical decision making skills, application of Glasgow coma scale and complications of different management strategies, if not applied properly.
Successful management of Polytrauma must achieve the following goals, 1- Keep someone alive that would be dead without you 2- Prioritize treatment to prevent killing someone 3- Treat extremity injuries to return the patient to a functional life. The Priorities are 1- Life threatening, 2- Limb threatening, 3- Function threatening. The question about the best strategy in the management Polytrauma and the choice between an Early Total Care (ETC) vs. Damage Control Orthopedics (DCO) will be answered in this presentation.
INITIAL ASSESSMENT OF TRAUMA PATIENTS....(INSPIRED FROM CTLS AND ATLS GUIDELI...Prerna Biswal
THIS PRESENTATION WAS MADE AT IMA HOUSE IN BHUBANESWAR,ODISHA, BY DR.NIBEDITA PANI,HOD ,DEPT. OF ANAESTHESIOLOGY AND DR.PRERNA BISWAL,PG,ANAESTHESIOLOGY,SCBMCH,CUTTACK,
Successful management of Polytrauma must achieve the following goals, 1- Keep someone alive that would be dead without you 2- Prioritize treatment to prevent killing someone 3- Treat extremity injuries to return the patient to a functional life. The Priorities are 1- Life threatening, 2- Limb threatening, 3- Function threatening. The question about the best strategy in the management Polytrauma and the choice between an Early Total Care (ETC) vs. Damage Control Orthopedics (DCO) will be answered in this presentation.
INITIAL ASSESSMENT OF TRAUMA PATIENTS....(INSPIRED FROM CTLS AND ATLS GUIDELI...Prerna Biswal
THIS PRESENTATION WAS MADE AT IMA HOUSE IN BHUBANESWAR,ODISHA, BY DR.NIBEDITA PANI,HOD ,DEPT. OF ANAESTHESIOLOGY AND DR.PRERNA BISWAL,PG,ANAESTHESIOLOGY,SCBMCH,CUTTACK,
Chest injury is one of the common condition in road traffic accident and other injuries including falling from height, blunt trauma and others, which can include fracture of ribs, or penetrating of objects to the lung the open pneumothorax, so this slide will enable you to know how to deal with this injury because mostly this patient are emergency need remediate help
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Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
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The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
1. BY:-
HASANAIN G. KHUDHAIR ( hasanain.ghaleb@gmail.com)
MAYS SALIM MAHDI
ZAHRAA SALMAN YAAS
KERBALA UNIVERSITY / COLLEGE OF MEDICINE
DEPARTMENT OF SURGERY
10-9-2017
polytrauma
4. definition
Polytrauma is a significant injury in at least two of the
following six body regions:
Head , neck and cervical spine
Face
Chest and thoracic spine
Abdomen and lumbar spine
Limbs and bony pelvis
External (skin)
Significant injury in AIS>=3
6. The defenition of polytrauma expanded to include
concurrent injury to two or more body parts or
systems that result in cognitive ,physical
,psychological or other psychosocial impairment.
Ex : TBI in combination with other disabiling
condition like amputation,auditory or visual
impairment, PTSD and other mental condition
7. Criteria of polytrauma include any one
of the following combination injury
•Two major system injury + one major limb
injury
•One major system injury +two major limb
injury
•One major system injury + one open grade
3 skeletal injury
•Unstable pelvis # with associated visceral
injury
8. Etiology of polytrauma
RTA
Fall from height (blunt or penetrating
injury)
Assault-اعتداء
Airplane crashes ,train derailment
Blast
Thermal ,chemical injury
9. Polytrauma is the third most common cause of death in all
age group.
1-first peak-major neurological or vascular injury
2-second peak-intracranial hematoma , major thoracic or abdominal
injury
3-third peak-sepsis and multiple organ fail
12. Type of shock in polytraumatized
patient
1.Hemorrhagic shock
duo to loss blood voulme ,diagnosis based on vital sign
and examination characterized by hypotention
tachycardia and cold skin
2.neurogenic shock
duo to spinal cord injury that causes distribution of
sympathetic outflow to heart and blood vessles
characterized by hpotention .bradycardia .warm skin
3.hypoxic shock
4.septic shock
13. Phases of trauma care
1.prehospital care
2.emergency department
3.Rehabilitation
Prehospital care:
TRIAGE
Sorting and allocation of treatment to patient
according the urgency of their need for care Should be
performed rapidly
15. ATLS
Primary survey
Identify what is killing the patient.
Resuscitation
Treat what is killing the patient.
Secondary survey
Proceed to identify other injuries.
Definitive care
Develop a definitive management plan.
16. ATLS- PRIMARY SURVEY
A – Airway maintenance & control of C.Spine.
B –Breathing & ventilation.
C– Circulation & haemorrhage control
D – Disability limitation
E –Exposure & environment.
F – Fracture stabilization, folly catheter.
17. ATLS- PRIMARY SURVEY
A – Airway maintenance & Control of
C.Spine
If conscious- Ask the pt’s name
If unconscious-Look for added
sounds (stridor,cyanosis etc)
If the pt does not respond to any
questions- resuscitate.
Always assume a cervical spine injury is
present
19. Primary Survey
B- Breathing & ventilation
• Exposure
• Inspection
• Auscultation
• Palpation
• Pulse oximetry
The aim is to hunt out & treat the life
threatening thoracic condns which include:
22. Primary Survey
B- Breathing & ventilation
Open pneumothorax:
Sealing of the wound
Tube thoracostomy
Flail segment:
Endotrachial
intubation
Mechanical ventilation
23. Primary Survey
B- Breathing & ventilation
Cardiac tamponade
(almost always seen with a penetrating wound)
Beck’s triad:
Treatment: needle pericardiocentes
Thoracotomy
24. ATLS- Primary Survey
C- Circulation and hemorrhage control
Assessment of blood loss
External or obvious
Internal or covert
chest
abdomen
pelvis
limbs
Resuscitation
Arrest bleeding
Obtain vascular access
25. ATLS- Primary Survey
C- Circulation and hemorrhage control
Adults- 2 lit of Ringer lact soln as initial fluid
challenge
Children- 20mg/kg of body wt
Response to initial fluid challenge:
• Immediate & sustained return of vital
signs.
• Transient response with later
deterioration
• No improvement.
26. ATLS- Primary Survey
C- Circulation and hemorrhage control
Immediate responders-<20% blood loss
Bleeding ceases
spontaneously
Transient responders-
bleeding within body
cavities
Surgical intervention reqd.
Non responders- <40%of blood vol lost require
immediate surgery
Continued IV fluids detrimental
