blunt abdominal trauma ppt

The "panscan" (computed tomographic [CT] examination of the head, neck, chest, abdomen, and pelvis) has become an essential element in the early evaluation and decision-making algorithm for hemodynamically stable patients who sustained abdominal trauma . Trauma is a physical injury caused by transfer of energy to and within the person involved. History of blunt trauma. 2009, 40S4: S62-S68. Abdominal trauma remains a leading cause of mortality in all age groups. Abdominal trauma may involve penetrating or blunt injuries. Blunt abdominal trauma is in the top three categories of preventable injuries. PDF Laparotomy and abdominal trauma - World Health Organization 90% of Abdominal Injuries from Trauma are Blunt Abdominal Injuries. Trauma is the #1 cause of death and disability in children >1 year old. Occult Trauma (Intentional Trauma) 27 PDF The Use of a Pediatric Abdominal Trauma Protocol Improves ... J Trauma 1992;32(4):452-8. V Blunt Abdominal Trauma in Sports : Current Sports Medicine ... blunt abdomen injury ppt - mobilistico.de Closed Injuries (2 of 4) . GSW cause 90% of the deaths. Chest and Abdominal Trauma Case Studies Page 6 NWC EMSS CE November 2015 Thoracic Trauma as written for the NWC EMSS Paramedic Education Program Connie J. Mattera, M.S., R.N., EMT-P I. Splenic Injury Splenic injury usually results from blunt abdominal trauma. Evaluation and Management of Blunt Abdominal Trauma | UW ... PPTX Pediatric Abdominal Trauma Most sport-related abdominal injuries result from high- or low-energy blunt trauma, due to collision or impact from a projectile. Incidence 1. 25. difficult to recognize clear symptoms early. A. Adwok MBChB, MMED(Surg.) Abdominal Trauma Penetrating Abdominal Trauma Stabbing 3x more common than firearm wounds GSW cause 90% of the deaths Most commonly injured organs: small intestine > colon > liver Blunt Abdominal Trauma Greater mortality than PAT (more difficult to diagnose, commonly associated with trauma to multiple organs/systems) Most commonly injured organs: spleen > liver, intestine is the most likely . Google Scholar 2. Most of these injuries are due to motor vehicle collisions (74%), and the incorrect placement of safety belts has been implicated as an additional risk factor. Elevated liver enzymes as a predictor of liver injury in stable blunt abdominal trauma patients: case report and systematic review of the literature. Elevated liver enzymes as a predictor of liver injury in stable blunt abdominal trauma patients: case report and systematic review of the literature. blunt abdominal trauma. Splenic Trauma: •Most common indication for laparotomy after blunt trauma •Most commonly injured abdominal organ in blunt trauma •Mechanism: - MVC, MCC, falls, PVA, bicycle crashes, sports - Injuries : rapid deceleration-> avulsion along ligaments Efficient energy transfer form chest wall Direct punctures from rib fracture • Abdominal trauma is divided into: Penetrating abdominal trauma (PAT), usually diagnosed based on clinical signs. High speed MVC, fall >10 ft, suspected NAT) Unreliable or equivocal abdominal examination (ex. The evaluation of children with blunt abdominal trauma will be reviewed here. Blunt Trauma Patterns •Waddell's triad (Ped vs. BLUNT ABDOMINAL TRAUMA BY: ANNE E. ODARO (MCM/2017/69852) FACILITATOR: DR. NYAGA. Both vascular injuries were diagnosed on a follow up CT scan, highlighting the need for follow up imaging in patients with blunt abdominal trauma. Twenty three had GI injuries, 19 were due to blunt trauma while four were due to penetrating trauma. Abdominal injuries are divided into tw o broad categories based on the mechanism of injury, blunt and penetrating. Labels: Abdominal Blunt Trauma, Patient Management, Trauma Abdominal PPT, Trauma and Recovery . Blunt abdominal trauma is more likely to be delayed or altogether missed because . Endologix- Chest trauma. abdominal trauma is trauma to the abdomen causing visceral damage and hemorrhage. Stabbing 3x more common than firearm wounds. Most commonly injured organs: small intestine > colon > liver. . In the setting of blunt abdominal trauma, the zones have been attributed to dissection of blood along the portal tracts. 15. Level C Recommendations. noted that a severe direct force is usually required to produce colon injuries. Hoffmann R, Nerlich M, Muggia-Sullam M, et al. Further observation, close follow-up, and/or imaging may be warranted in select patients based on clinical judgment. Swelling beneath the skin. Approximately 90% of abdominal trauma is blunt and 10% is penetrating. Stabbing 3x more common than firearm wounds. An Approach to Blunt abdo trauma. J. Penetrating Abdominal Trauma. Blunt Abdominal Trauma—Hypovolemic Shock . Regardless of restraint usage, associated injuries are 2 Case report Two patients with delayed presentation of splenic artery pseudoaneurysm following blunt abdominal trauma. noted that a severe direct force is usually required to produce colon injuries. Am J Surg 2015;210:345-50. Enhancing Healthcare Team Outcomes . 2. Blunt trauma - mimics septic shock more than hypovolemic (↓SVR) Blood Loss Classes. ** Meyer D M, Thal E R, Weigelt J A, et al: The role of abdominal CT in the evaluation of stab wounds to the back. HTP/EHT/CPR 6.2 ABDOMINAL TRAUMA Paediatric cases •Many blunt abdominal injuries can be managed without operation •Non-operative management is indicated if the child is haemodynamicallystable and can be monitored closely •Place a nasogastric tube if the abdomen is distended, as children swallow large amount of air. Blunt Thoracic and Abdominal Aortic Injury - CHU- .Blunt Thoracic and Abdominal Aortic Injury . management blunt trauma Many injuries may not manifest during the initial assessment and treatment period. • A similar paper from India reported that blunt abdominal trauma is more frequent in males aged 21-30 years; the majority of patients were injured in automobile accidents f AT GMC JAMMU th th 24 Oct to 24 Nov 2013 Admissions Total Female Male Trauma 464 103 245 Non-Trauma 348 110 219 Total . • Unrecognized abdominal trauma is the leading cause of unexplained deaths due to a delay in surgical intervention. Hyperthermia . 3,6 The spleen and liver are the most frequently injured organs, followed by the kidney, small bowel, and pancreas. ¾. Penetrating trauma - pure blood loss. In Pre Hospital Trauma Life Support (pp. Care Injured 2008 Steffen R, J Trauma.2004;57:278 -286. J Trauma 29:242, 1999. Abdominal Trauma. November 2017. Get free Power Point Presentation Trauma Surgery and Patient Management, which also includes Abdominal Blunt Trauma and Trauma and Recovery. Bansal S, Karrer FM, Hansen K, et al. Because of the observation of isolated periportal tracking (PPT) in children after blunt trauma, the authors retrospectively reviewed CT scans of the abdomen obtained in 114 children to determine the frequency of PPT, liver . 2011 Mar;70(3):652-63. 6. Penetrating Abdominal Trauma. Blunt abdominal trauma is the third most common cause of pediatric deaths from trauma, but it is the most common unrecognized fatal injury. Can J Rural Med. Blunt- MVA/blunt assault/fall from heights 3. Introduction. 7. Several adverse outcomes can occur in pregnancy, including placental abruption, preterm labor and preterm delivery, uterine rupture, and pelvic fracture. 11(4):283-7. An open wound in the abdominal cavity may expose internal organs. pseudoaneurysms following blunt abdominal trauma (Nance and Nance 1995). 2010, 251 (3): 512-520. CT of the abdomen and pelvis in blunt trauma does not require the use of oral contrast. Hypothermia—Near Drowning . Blunt Abdominal Trauma. Colon injury occurs in 2% to 15% of patients having blunt abdominal trauma. Contrast blush in pediatric blunt splenic trauma does not warrant the routine use of angiography and embolization. Blunt trauma is the most common injury pattern with motor vehicle crashes being the most common mechanism accounting for approximately 75%. Abdominal Trauma William Schecter, MD. BLUNT ABDOMINAL INJURY. Clinical Significance of isolated intraperitoneal fluid on computed tomography in pediatric blunt abdominal trauma. Cardiogenic Shock Due to Congenital Heart Disease . Blunt Abdominal Trauma - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. GSW cause 90% of the deaths. • Two types of abdominal trauma. 11(4):283-7. 317-331). Discoloration. 5th ed.Philadelphia, PA: Saunders An Imprint of Elsevier, 2010. Holcomb GW III, Murphy JP. 7. Associated injuries often cause tenderness and spasms in the abdominal wall and make diagnosis difficult. Dept. Nausea and vomiting, Abdominal pain, Diarrhea. Ashcrafts Pediatric Surgery. Trauma II: Peds and Pregnant Trauma Objectives: Identify best practices in diagnosis and management of the following conditions in critically-ill patients: Pediatric Blunt Trauma; Interosseous Line Placement; Pediatric C-spine Injury; Blunt Trauma in Pregnancy; Peri-Mortem C-Section. while the actual injury is . PowerPoint Presentation Last modified by: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. | PowerPoint PPT presentation | free to view. Abdominal trauma is responsible for about 10% of all deaths related to trama. As there is a broad spectrum of abdominal injuries, abdominal trauma patients are often difficult to assess. evaluation and follow-up of blunt abdominal injury. Because of the observation of isolated periportal tracking (PPT) in children after blunt trauma, the authors retrospectively reviewed CT scans of the abdomen obtained in 114 children to determine the frequency of PPT, liver . Mechanism of Injury. List 5 ways to determine if peritoneum has been violated 7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma 8) Describe the management of unstable blunt abdominal trauma a. Pelvic fracture b. Regardless of restraint usage, associated injuries are Ashcrafts Pediatric Surgery. 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