Scenerio issues.txt

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Author:
Goody
ID:
109369
Filename:
Scenerio issues.txt
Updated:
2011-10-16 16:33:21
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Important scenerio issues
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Description:
Important scenerio issues
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  1. Irregular Resperations, Increased BP, Decreased pulse
    • - Cushings Response, Cerebral hemorrahage, incresased icp
    • -treated by hyperventilation to contract the cerebral arteries and veins
  2. JVD, Muffled heart sounds, Low Blood Pressure
    • -Becks Triad
    • Watch out for: hemothorax / pneumothorax
  3. Shallow breathing, guarding around chest, sucking chest wound
    • - Open pneumothorax
    • initial - hand on hole
    • Secondary - 3 sided occlusive
  4. 3+ ribs broken in 2+ places in succession
    • - Flail chest
    • initial - support with hand
    • secondary - ball of gauze, pushed in slightly to support the flail section
    • Watch for: Pulminary contusion / hemothorax / pneumothorax
  5. Breath sounds decreased (hypertympany when percussed), SOB fast and shallow, dimished breath sounds, JVD, tracheal deviation
    • - Tension pneumothorax
    • - give low flow O2, careful not to make the problem worse
  6. Breath sounds decreased (hypotympany when percussed), shock, confusion
    • - Massive Hemothorax
    • initial - possible o2
    • Secondary - treat for shock
  7. chest pain, dysrythmias, cardiagenic shock
    • - myocardial contusion (very similar to MI)
    • initial - possible O2
  8. MVC's or falls from height, pulsating mass in the abdomen
    • - Traumatic Aortic rupture (or AAA)
    • Nothing you can do!
  9. Altered LOC, confusion, amnesia, personality changes, focal neurological signs
    • - Cerebral contusion
    • - deal with secondary injuries (shock, LOC, CAB)
  10. Increased ICP symptoms are:
    increased BP, decreased pulse and ~ resps
  11. Absolute hypovolemia
    • - fast pulse
    • - flat neck veins
    • - weak radial pulse
    • - pale skin
  12. Relative Hypovolemia (high space) shock
    • Injury - low pulse, pink, Flat neck veins, absent PMS in extremities
    • Poisoned - fast heart, pale, flat neck veins
  13. Mechanical (Obstructive/cardiogenic) shock
    • - caused due to:
    • - Tension pneumothorax
    • - cardiac tamponade
    • - myocardial contusion
    • S/S
    • - quick resps
    • - weak pulse
    • - pale, cool, diaphoretic

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