Abdominal Trauma: Blunt or penetrating
Assessment of abdominal trauma requires the identification of immediately life-threatening injuries on primary survey, and delayed life threats on secondary survey.
Abdominal CT versus DPL
Abdominal CT versus DPL: DPL has be replaced by FAST scan in nearly all situationspenetrating abdominal injuries -> require laparotomy
Ziro Kaneko
Ziro Kaneko (1915 – 1997) Japanese neuropsychiatrist. Pioneer in the field of Geriatric Psychiatry in Japan. Doppler Flowmeter (1960)
Central line infections
OVERVIEW A central line-associated bloodstream infection (CLABSI) is a laboratory-confirmed bloodstream infection (BSI) in a patient who had a central line within the 48 hour period before the development of the BSI, and that is not related to an infection…
External Ventricular Drain
External Ventricular Drain (EVD): ICP monitor than allows CSF drainage; measurement and treatment of raised ICP
Traumatic Brain Injury (TBI) Overview
Traumatic brain injury (TBI) is an insult to the brain from an external mechanical force, potentially leading to an altered level of consciousness and permanent or temporary impairment of cognitive, physical, and psychosocial functions.
Abdominal aortic aneurysm (AAA)
Abdominal Aortic Aneurysm (AAA) is a permanent localised or diffuse dilatation of the abdominal aorta to 1.5 times its normal diameter that involving all three layers of the vessel wall
Hypertension Post AAA Repair
OVERVIEW CAUSES MANAGEMENT Resuscitation A – assess for patency and positionB – give FiO2 1.0, check ABGC – check pulses and BP manually, check accuracy of arterial line measurementD – ensure patient adequately sedation and analgesia -> use propofol and…
Myocardial ischemia post AAA repair
Detecting Myocardial Ischaemia Post AAA Repair
Renal failure Post AAA Repair
OVERVIEW Numerous possible causes of Renal failure Post Abdominal aortic aneurysm repair CAUSES Pre-renal Hypovolaemia causing pre-renal failure Abdominal compartment syndrome Renal artery trauma Low output state (1) myocardial dysfunction from cross clamping, (2) perioperative ischaemia Post-operative bleeding Ischaemic rhabdomyolysis…
Vascath misplacement
Intra-arterial misplacement of a vascath; unfortunate complication with possible serious sequelae for the patient; well recognized but uncommon