pediagenosis: Emergency
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Showing posts with label Emergency. Show all posts
Showing posts with label Emergency. Show all posts

Sunday, June 2, 2019

Trauma: Secondary Survey

Trauma: Secondary Survey


Trauma: Secondary Survey
The secondary survey is a head-to-toe front and back, comprehen- sive review of the trauma patient to discover all injuries. This allows inpatient units to plan treatment. If an injury is missed at this stage it may not be picked up until it is too late to treat effectively, so thoroughness is essential. This chapter will not cover limb injuries (Chapters 1418), or head and neck injuries (Chapter 10).
Trauma: Primary Survey

Trauma: Primary Survey


Trauma: Primary Survey
Trauma care has been much improved with systematic protocols that enable effective prioritisation of treatment. The first time one sees a trauma patient arriving in the Emergency Department can be confusing and intimidating as there are many things going on simultaneously.
Blood Gas Analysis

Blood Gas Analysis


Blood Gas Analysis
Arterial blood gases
Arterial blood gas analysis provides information about oxygenation (O2) and ventilation (CO2), and metabolic disturbance. Some machines also provide electrolytes, lactate and carbon monoxide levels.
Airway Management And Sedation

Airway Management And Sedation


Airway Management And Sedation
Airway management in the Emergency Department is more challenging than in the operating room as patients presenting to the Emergency Department must be assumed to be non-fasted, may be physiologically unstable, and may have head, neck or facial injuries.
Analgesia

Analgesia


Analgesia
Patients often arrive at the Emergency Department in pain, and painkillers are often used before a definitive diagnosis is made. This is humane, and enables a thorough examination to be per- formed: there is no reason to withhold analgesia.
Imaging in the Emergency Department

Imaging in the Emergency Department


Imaging in the Emergency Department
Imaging use in the Emergency Department has increased rapidly over the past few years due to technical advances and increasing pressure to move decision-making earlier in a patient’s journey, and to prevent unnecessary hospital admissions. Ultrasound is now a core skill for senior Emergency Department doctors and new hospitals often have a CT scanner in the Emergency Department.

Anatomy Physiology

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