CCC Critical Care compendium 340
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

CCC Critical Care compendium 340
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…

CCC Critical Care compendium 340
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

CCC Critical Care compendium 340
Kidney trauma

Most genitourinary injuries are not immediately life-threatening. Renal pedicle injury can lead to life-threatening hemorrhage and renal ischemia

CCC Critical Care compendium 340
Spleen trauma

Splenic trauma may result from blunt or penetrating abdominal injury. The spleen is the most commonly injured organ in blunt abdominal trauma

CCC Critical Care compendium 340
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

CCC Critical Care compendium 340
Liver trauma

Liver trauma may result from blunt or penetrating abdominal injury. The liver is the most commonly injured organ in penetrating abdominal trauma

CCC Critical Care compendium 340
Pelvic Trauma

Pelvic fractures are important in critical care because they are associated with: High energy mechanisms; Major haemorrhage; Other major injuries; and High morbidity and mortality