Aortic Trauma PowerPoint PPT Presentations

Aorta can be injured in variety of accidents or trauma. A piercing or penetrating injury by a sharp object can directly injure the aorta in the thorax or abdomen. These injuries are often instantly fatal due to severe bleeding.

Over 15,000 deaths annually due to ruptured AAA in the United States ... 10th leading cause of death ... Diverticulitis. Pancreatitis. GI hemorrhage ...

Title: Slide 1 Author: MiKe Last modified by: Victor Created Date: 4/11/2006 12:13:02 PM Document presentation format: On-screen Show Other titles

Abdominal trauma Dr.L.Bahadorzadeh The abdomen is frequency injured after both blunt and penetrating trauma. Approximately 25% of all trauma victims will require an ...

... 25,175 Appeal of Emergency Medicine Make an immediate difference Life threatening injuries and illnesses Undifferentiated patient population Challenge of ...

If moderate sized (500 to 1500 ml) and stops bleeding, closed drainage usually sufficient ... If initial drainage 1500 ml OR continuous bleeding 200 ml / hr, ...

Victor Politi, M.D., FACP Medical Director, SVCMC Division of Allied Health, Physician Assistant Program

The Three collision concept in MVC's includes collisions of the ... Cullen's Sign is ecchymosis in what part of the body? periumbilical. Mark Betterton NREMT-P ...

... Propagation of the dissection can occur both distal and proximal to the initial ... to an acute coronary syndrome with or ... Acute MI due to coronary ...

Chest Trauma

Acute Aortic Dissection AM Report 6/29/09 Brandon M. Williams, MD Classification Two systems: DeBakey Daily (Stanford) = most used DeBakey Type 1: origin in ascending ...

Chest Trauma Untold secrets by Dr Fiaz M.Fazili Former Cardiac and Thoracic Surgeon,SIMS university Hospital Chest trauma(magnitude of problem) Trauma is leading ...

AIRWAY TRAUMA & ITS EMERGENCY MANAGEMENT MODERATOR : PROF. RAJESHWARI PRESENTORS : DR. CHITRA DR. GURURAJ www.anaesthesia.co.in anaesthesia.co.in@gmail.com

Trauma 3rd leading cause of death in the U.S. ... Contusions, diminished or absent breath sounds, SQ emphysema can readily be found ...

Aortic Dissection Tintinalli Chap. 63 Epidemiology Male to Female (3:1) Mean age is 63 Incidence 3.5 per 100,000 Risk Factors Systemic HTN (present in 70-90% ...

Stress the importance of anticipating serious chest trauma or the potential for life-threatening injury even before deterioration has occurred.

Separated into 3 distinct systems for discussion only ... Arteriogram: for pelvic injuries with bleeding. Abdominal Trauma. CT Scan ...

AORTIC VALVE Aortic Valve is located at the junction of LV outflow tract and ascending Aorta. Aortic valve consists of 3 components annulus, cusp and commissure.

Neck (tracheal position, SQ emphysema, JVD, open injury) ... SQ Emphysema. Decreased lung sounds on affected side. Open Pneumothorax. Management ...

Tension pneumothorax. Massive hemothorax. Open pneumothorax. Cardiac tamponade ... Tension Pneumothorax. One way valve allows air leak from lung or chest wall ...

X-rays not sensitive nor specific. 90% linear # have overlying hematoma ' ... photograph. B/W: CBC, PT/PTT, LFTs, lipase, U/A. skeletal survey. CT head, abd prn ...

... in flexion of both ascending aorta and descending aorta Descending aorta flexes just distal to left subclavian artery ... of pulse wave (dP/dT) Spontaneous ...

The EKG is most useful in distinguishing Aortic Dissection from an Acute MI. Rarely the dissection involves the ostium of the RCA or the LCA resulting in an acute-MI ...

Principles of Surgery Evaluation of Abdominal Trauma Anand Pandya MD FRCSC Trauma Surgery and Critical Care Medicine Clinical Associate St. Michael s Hospital ...

Second leading cause of trauma deaths. Accounts for 25% of all ... Crepitus. Deformity. Local Tenderness. Hypoventilations. Potential for Pneumo/hemothorax ...

If necessary, epidural anesthesia. If necessary, intercostal nerve block ... undergo an operation under general anaesthesia even when there is neither ...

Marfan syndrome (6-9% of aortic dissections) Ehlers-Danlos syndrome. Other Risk Factors ... Acute Coronary Syndrome. Pericarditis. Pulmonary embolus. Pleuritis ...

... to head injury in cause of death 25% of trauma related deaths Often associated with other injuries Prevention Focus Gun Control Legislation Improved motor ...

... inhales * Cardiac Tamponade Management Secure airway High concentration O2 Rapid transport Definitive treatment is pericardiocentesis followed by surgery ...

Vascular Trauma General Surgery Teaching Rounds April, 2005 Overview Basic Principles Common Exam Questions Neck Chest Abdomen Extremities Basic Principles Anatomy ...

Abdominal Aortic Aneurysm Bryan Imayanagita UCI T-RAP 2/2/11 Background Aka: AAA Aneurysm: swelling/dilation Most common in men over 60. smoking increases risk ...

Thoracic Vascular Trauma Gan Dunnington MD Stanford University 10/17/05

degeneration of the tunica media (sometimes manifest as 'cystic' medial ... with cystic medial degeneration. Aortic Dissection: Symptoms ...

Controversies in Abdominal Trauma Controversies in Emergency Ultrasound Should EM physicians perform ultrasound? How should this work be funded?

Advances in Trauma Anesthesia Charles E. Smith, MD Professor, Case Western Reserve University Director, Cardiothoracic and Trauma Anesthesia MetroHealth Medical Center

Forces distributed over a small area ... Innominate. Internal mammary. Pulmonary. Veins. Superior vena cava. Inferior vena cava ...

Stress on Aortic Aneurysms University of Rhode Island Biomedical Engineering Kasey Tipping Overview What/Where/ Why/ Who How is it diagnosed? Treatment Surgery ...

Descending Aorta Spinal artery vascular supply ... Surgical repair w/Grafts, with concomitant coronary artery repair if needed. Surgical complication most ...

Prompt dx required to avert exsanguination from aortic rupture ... Newer evidence supports use of CT angiogram. Very sensitive. But more false positives ...

Early evaluation and resuscitation of the pediatric trauma patient. Sem Pediatric ... Initial management and stabilization of pediatric trauma patients http//www ...

Aortic Dissection & Aneurysm Aortic Dissection Epidemiology 2-3 x more common than aortic aneurysm rupture Male to Female (3:1) Mean age is 63 Incidence 3.5 per ...

Trauma Part II To recap 45 year old man is involved in a two vehicle MVC. He is a single occupant trying to cross a highway when he is struck on the passenger side.

Chest drainage 1500 ml or 200 ml per hour. Large unevacuated clotted haemothorax ... Chest wall defect. Massive air leak despite adequate drainage ...

Data presented at ACC demonstrate benefits of Keystone Heart’s TriGuard™ Cerebral Embolic Protection Device during TAVR. Based upon results from the DEFLECTIII trial, the CE marked TriGuard™ Cerebral Embolic Protection Device has improved in-hospital safety outcomes and cognitive scores at discharge during Transcatheter Aortic Valve Replacement (TAVR). http://www.keystoneheart.com/us/clinical-evidence/

Advances in Trauma Anesthesia Charles E. Smith, MD Professor, Case Western Reserve University Director, Cardiothoracic and Trauma Anesthesia MetroHealth Medical Center

The word Aneurysm is an abnormal bulging of an artery (which is a blood vessel) like a balloon due to the weakening of a portion in the blood vessel. If the aneurysm develops in the abdominal part of aorta, which is the main blood vessel in the body, it is called as an Abdominal Aortic Aneurysm, in short AAA.

By CCM Fellows UBC Case -19 years old girl, otherwise healthy, was brought to ER at RCH by EHS after being hit by a freight train. -Earlier, she was partying with her ...

ED Approach to the Trauma Patient University of Utah Medical Center Division of Emergency Medicine Medical Student Orientation

A calculation that can easily be done by entering the. patient's height & weight into the U/S system at the. same time you enter the name, acct. ...

Introduction to Trauma Curriculum

Unilateral signs: movement and breath sounds, resonant to percussion. Confirmed by CXR ... Clinically: hypovolaemia absence of breath sounds dullness to percussion ...

Brain and Spinal Cord Trauma Mani K.C Vindhya M.D Asst Prof of Anesthesiology Nova Southeastern University Spinal shock Spinal shock (Ezekiel MR.

Angiogram. Gastro-graffin Swallow. Endoscopy (Gscope, Bronch) CT. Angiogram. Case 1. Case 1. Pneumothorax. Case 2. Case 2. Left Lateral Decubitus. Cardiac Tamponade ...

Aortic aneurysms and anesthesia Moderator: Dr. Renu Presenters: Dr. Dipal Dr. Mridu www.anaesthesia.co.in anaesthesia.co.in@gmail.com Haemodynamic changes ...

Departments of Emergency Medicine, Mater Adult and Children's Hospitals, ... Aortic atheroma can be mistaken for intimal injury and flap ...

Anesthetic Management of Aortic Aneurysm Aortic dissection risk factors: hypertension, aortic medial disease, Marfan syndrome, congential bicuspid aortic valves ...