Shigeo Satomura
Shigeo Satomura (1919 - 1960) was a Japanese scientist. Designed and developed the Doppler Cardiograph, blood-rheograph and trasncutaneous flowmeter
Transpulmonary pressure (TPP)
Transpulmonary pressure (TPP) is the net distending pressure applied to the lung by contraction of the inspiratory muscles or by positive-pressure ventilation
Patient-Ventilator Dyssynchrony
OVERVIEWPatient-Ventilator Dyssynchrony occurs when the patient’s demands are not met by the ventilator, resulting from problems with: VENTILATION STRATEGIES Total Ventilator-controlled Mechanical Support: Partial Patient-Controlled Mechanical Support: CAUSES Patient factors Ventilator factors TYPES OF VENTILATOR DYSSYNCHRONY Ineffective triggering Inappropriate triggering…
De-escalation
De-escalation: Determine if safe for medical intervention. Determine cause - usually delirium with an underlying medical cause, substance abuse or withdrawal or psychiatric disorders
Physical Restraint
Reviewed and revised 30 July 2014 OVERVIEW INDICATIONS CONTRA-INDICATIONS ASSESSMENT APPROACH TO PHYSICAL RESTRAINT Exclude other therapeutic options first Ensure safety at all times Prepare physical restraint team Initiate manual restraint During manual restraint Monitoring (according to depth of sedation) may…
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
Liver trauma
Liver trauma may result from blunt or penetrating abdominal injury. The liver is the most commonly injured organ in penetrating abdominal trauma