Paediatric Trauma
Paediatric Trauma
Category Trauma
Obesity and Trauma
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…
Initial Trauma Assessment
Initial Trauma Assessment: ATLS approach
Fat Embolism Syndrome
A syndrome caused by systemic embolisation of fat globules released into the circulation following trauma or surgical procedures
Facial Trauma
Those with facial injuries have a high chance of having other serious injuries: TBI; airway obstruction; pulmonary contusion; aspiration
Burns Literature Summaries
Burns Literature Summaries
Digital Rectal Exam (DRE) in Trauma
Traditional ATLS teaching was that a digital rectal exam (DRE) is mandatory in trauma patients: “a finger or tube in every orifice”. This is no longer the case.
Major Haemorrhage in Trauma
Major Haemorrhage in Trauma
Damage Control Resuscitation
Damage control resuscitation (DCR) is a systematic approach to the management of the trauma patient with severe injuries that starts in the emergency room and continues through the operating room and the intensive care unit (ICU). DCR involves haemostatic resuscitation, permissive hypotension (where appropriate) and damage control surgery
Kidney trauma
Most genitourinary injuries are not immediately life-threatening. Renal pedicle injury can lead to life-threatening hemorrhage and renal ischemia
Spleen trauma
Splenic trauma may result from blunt or penetrating abdominal injury. The spleen is the most commonly injured organ in blunt abdominal trauma
Diaphragm injury
Diaphragmatic injury can be a challenging diagnosis and is missed on imaging about 50% of the time. Comprises 0.8 to 8% of all closed blunt trauma and penetrating trauma case combined