Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
Chapter 12Trauma, Burns, and SepsisBruce E. Jarrell, ĩhomas Scalea, Molly BuzdotiKey Thoughts1Primary survey: airway, breathing, and circulation (ABCs Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2s)2Simple pneumothorax usually presents with dyspnea and is not emergent, whereas a tension pneumothorax presents with hypotension and hypoxia and requires emergent decompression.3Hypovolemia is the most common cause of hypotension in trauma and is treated with fluid resuscitation. However, tension Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2pneumothorax and cardiac tamponade cause hypotension, are not associated with hypovolemia, and are not treated with lluid resuscitation. I hey shouldEbook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
be considered early during resuscitation.-1. I lemodynamically unstable patients should not go to the computed tomography (CT) scanner.5.Closed head iChapter 12Trauma, Burns, and SepsisBruce E. Jarrell, ĩhomas Scalea, Molly BuzdotiKey Thoughts1Primary survey: airway, breathing, and circulation (ABCs Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2bdominal hemorrhage often requires a laparotomy for control, whereas pelvic fracture with hemorrhage is evaluated angiographically and often treated with embolization and fracture stabilization.7Hypothermia is associated with coagulopathy and resultant bleeding after trauma.8Early sepsis causes thir Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2d-space fluid losses and is treated by fluid resuscitation, antibiotics, and infectious source control.9Total parenteral nutrition (TPN) should be resEbook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
erved for surgical patients who have inability to tolerate oral feedings and who have preoperative malnutrition, severe catabolic states, or prolongedChapter 12Trauma, Burns, and SepsisBruce E. Jarrell, ĩhomas Scalea, Molly BuzdotiKey Thoughts1Primary survey: airway, breathing, and circulation (ABCs Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2le, enteral feedings are preferred.Case 12.1Primary and Secondary Assessment of InjuriesA 24-year-old man who was in an automobile crash is brought to the emergency department.♦How should the evaluation proceed?♦Tic American College of Surgeons recommends that clinicians follow an established sequen Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2ce for evaluation of most trauma patients. Tiis order of priorities is based on the relative risk of death; individuals with the most serious life-thrEbook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
eatening problems should receive treatment before those with less severe problems (Table 12-1). Tiese initial priorities make up the primary survey foChapter 12Trauma, Burns, and SepsisBruce E. Jarrell, ĩhomas Scalea, Molly BuzdotiKey Thoughts1Primary survey: airway, breathing, and circulation (ABCs Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2nd Sepsis 361Table 12-1: Priorities in Trauma EvaluationThe advanced trauma life support (ATLS) course administered by the American College of Surgeons recommends that a physician or emergency medical technician perform an initial evaluation using the “ABCDE” mnemonic.AirwayBreathing (ventilation)Ci Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2rculationDisability (neurologic deficit)Environment: expose patient (i.e., remove all clothing)Initial assessment, including an “AMPLE” historyAllergiEbook NMS national medical series for independent study surgery casebook (2nd edition): Part 2
esMedicationsPrevious illnessesLast mealEvents surrounding injuryPhysicians should romembor to protect themselves with a gown, gloves, eye protection,Chapter 12Trauma, Burns, and SepsisBruce E. Jarrell, ĩhomas Scalea, Molly BuzdotiKey Thoughts1Primary survey: airway, breathing, and circulation (ABCs Ebook NMS national medical series for independent study surgery casebook (2nd edition): Part 2s statusDiagnosis of other significant injuries, including examination of back, axillae, perineum, and rectumChapter 12Trauma, Burns, and SepsisBruce E. Jarrell, ĩhomas Scalea, Molly BuzdotiKey Thoughts1Primary survey: airway, breathing, and circulation (ABCsGọi ngay
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