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Trauma Management

Penetrating Trauma Injury caused by an object breaking the skin and entering the body
Blunt Trauma Injury caused by the collision of an object with the body in which the object does not enter the body.
Injury prevention agenda for the future. Authorized by Federal Trauma Care Systems Planning & Development Act of 1990. Injury Prevention Prehospital Care Emergency Department Care Interfacility Transport Definitive Care Trauma Critical Care Rehabilitation Data Collection, Trauma Registry
Index of Suspicion Anticipation of injury to a body region, organ, or structure based on MOI Shock and head injury Frequent reassessment and trending
Newtons first law of motion A body at rest or in motion will stay in that state until acted on by an outside force
Conservation of energy Energy cannot be created or destroyed Can only change form
Kinetic energy 1/2 mass x x velocity (squared) Velocity has more influence than mass
5 P's of compartment syndrome Pain that is out of proportion to the injury Pulselessness Pallor from circulation Paraesthesia Paralysis
Evaluation of a fall Determine the point of impact The fall height Impact surface Transmission pathway forces across the skeleton
Vasopressors Dopamine- Dobutamine- Epinephrine- Norepinephrine-
Norepinephrine- typically make a 4 Ug/cc mix (1 mg into 250cc),dose/titrate per protocol (~2- Ug/min)
Dopamine -typically make a 1600 Ug/cc mix (400mg into 250cc) -> titrate to effect 2-20 Ug/kg/min
Epinephrine - 1 mg in 250 mL D5W or NS (4 mcg/mL), dose/titrate per protocol (~1-4 Ug/min)
Created by: raydef44