ESTABILISHED STANDARD PREHOSPITAL TRANSPORT PROTOCOL AND EMERGENCY DEPARTMENT MANAGEMENT ALGORITHMS...
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Transcript of ESTABILISHED STANDARD PREHOSPITAL TRANSPORT PROTOCOL AND EMERGENCY DEPARTMENT MANAGEMENT ALGORITHMS...
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ESTABILISHED STANDARD PREHOSPITAL TRANSPORT PROTOCOL AND EMERGENCY
DEPARTMENT MANAGEMENT ALGORITHMS
11% PREALGORITHM7% POST ALGORITHM
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1-MOTORCYCLE COLLISION
2-CAR VS PEDESTRIAN3-FALL OVER 4.6 M
4-LATERAL IMPACT 5-MVC WITH VEHICLE INCOMPATIBILITY
HIGH ENERGY TRAUMA
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MEN > WOMEN
33YEARS
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SUSPICION OF PELVIC FRACTURE 1-MECHANISM OF FRACTURE
EMERGENCY MEDICAL PROFESSTIONAL INFORMATION
2-PATIONT PRESENTATION 3-PHYSICAL EXAM
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1 -SHORTENING OF LOWER LIMBVERTICAL SHEAR
2-LATERAL ROTATION ROTATIONAL INSTABILITY
3-PRINEAL ECHYMOSIS AND FLANK SCROTAL,LABIAL
4-RECTAL BLEEDING 5-VAGINAL BLEEDING
URETHRAL BLEEDING -6
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PHYSICAL EXAM 1-LATERAL COMPRETION (ILIAC WING)2-ANTEROPOSTERIOR COMPRETION
MAKE PAIN OR GROSS INSTABILITY 3-GAP OR PUBIS SYMPHYSIS
SEPARATION 4-VAGINAL AND RECTAL EXAM
HIGH POSISION PROSTAT=URETRA TEARRECTAL EXAM IN CHILD ONLY WHEN
HEMORAGE
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5-NEROLOGIC EXAMSCIATIC NERVE AND
LUMBOSACRAL BRANCHS IS NEAR Fx
BULBOCAVVERNUS REFLEX MOTOR FUNCTION
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IMAGINGIMAGING1-STANDARD AP
COLINEAR PUBIS SYMPHYSIS AND SACRAL SPINOUS PROCESS
1-DISPLASMENT OF SACRUM OR SI JOINT
2-L5 SPINOUS PROCESS FRACTURE3-PUBIS SYMPHYSIS DIASTASIS OR
RAMI Fx WITH DISPLACEd
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PELVIC INLET PROJECTION45 DEGREE CODAL
1-LATERAL ROTATION OF HEMIPELVIC2-OPEN SI JOINT 3-IMPACT SACRAL ALA 4 -AP DISPLACEMENT OF HEMIPELVIC
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PELVIC OUTLET PROJECTION
45 DEGREE CEPHALAD1 -SACRUM 2-SI JOINT 3-VERTCAL DISPLACEMENT4 -UNSTABLE HEMIPELVIS
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FLEXION EXTENTION DEFORMITYIS SEEN IN 3 XRAY BUT IS BETTER
OUT LET VIEW( ROTATION POINTIS TYPICALY AT POSTERIOR RING)
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CT SCAN2-3 mm AXIAL SECTION IS GOOD
FOR MAJORITY OF SIGNIFICANT INJURIES
GOOD FOR THREE DIMENTIONAL RECONSTRACTIONS
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CT IS INDICATED DOUBT ABOUT THE DIAGNOSIS
IN PLAIN RADIOGHRAPH OPERATIVE INTERVENTION IS
PLANNED
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CT SCANNING CHANGED INJUREY CLASSIFICATION IN
15% MANAGEMENT IN 3% OF
PATIENTS
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CT AIDS DECISION FOR OPERATION
AND CONSERVATIVE IMPROVE OPERATION
APPROACH SELECTION
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MANY TRAUMA CENTERSOPTAIN CT ROUTINLY FOR ABDOMEN AND
PELVIC VISCERAL INJURY
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MRI OFFERS SIMILAR BENEFITESOF CT ,WITH THE ADVANTAGES OVER CT IN DELINEATING SOFT
TISSUE INJURIES,ABSENCE OF IONIZING RADIATION,FRACTURESOF CARTILAGINOUS STRACTURES
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RADIOISOTOPE BONE SCANIS RARELY USEFUL FOR THE DIGNOSIS
OF NONDISPLACED PELVIC FRACTURESAND IN THE IDENTIFICATION OF ACUTE
INJURIES IN CHILDREN ADULTS WITH HEAD INJURIES OR MULTIPLE SYSTEM
INJURIES
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Unstable pelvic fractures
1-2.5 cm pubis symphysis disruption2-sacro spinous lig rapture 3-lateral sacral avulsion fx 4 -ischial spine fx 5-sachral fx with gap(vertical
Instability )
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6-L5 TRANSVERS PROCESS FX (VERTICAL INSTABILITY ) 7-VERTICAL DISPLACEMENT OF
HEMIPELVIS 1CM (VERTICAL) 8-STRES TESTING FOR INSTABILITY
ONLY ONE TIME HEMODINAMIC INSTABILITY AND ZONE 2,3 SACRUM
DUE TO NERVE INJURY
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STABLE Fx 1 -intact posterior ligament 2-impact fx of anterior sacrum
In LC fractures ))
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