Finger Thoracostomy: Any pneumothorax in a patient undergoing positive pressure ventilation; Actual or near traumatic cardiac arrest; Shocked state with no apparent cause; Pleural drainage is not indicated in drowning or hangings unless pneumothorax is diagnosed. Remember pleural decompression will reduce the efficiency of the ACD and impedance valve
The most important extremity injuries are those that are either life-threatening or limb-threatening in nature such as Pelvic disruption with massive hemorrhage; Severe arterial hemorrhage; and Crush syndrome
Pelvic stabilization is an important simple intervention in the management of severe pelvic trauma, and has 4 main objectives: Prevent re-injury from pathological pelvic motion (most important clinically); Decrease pelvic volume; Tamponade bleeding pelvic bones and vessels; Decrease pain
Post-splenectomy patients are at increased risk of infection from encapsulated organisms which can (very rarely) lead to overwhelming post-splenectomy sepsis (OPSS); have distinctive findings on full blood count (FBC) and the blood film
Reviewed and revised 26 October 2016 OVERVIEW Obesity has significant implications for the assessment, management, and outcomes of trauma The relationship between obesity and negative outcome from injury has been controversial INJURY PATTERNS Obese patients tend to have lower overall…
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