Chest Trauma : The Deadly Dozen Plus - PowerPoint PPT Presentation

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Chest Trauma : The Deadly Dozen Plus

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Pulmonary Contusion. The Deadly Dozen Plus: Pay Me Later. Simple Pneumothorax. Hemothorax ... Pulmonary Contusion. Tracheobronchial Tree Injury. Blunt Cardiac Injury ... – PowerPoint PPT presentation

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Title: Chest Trauma : The Deadly Dozen Plus


1
Chest Trauma The Deadly Dozen Plus
  • David A. Meurer, MD
  • Department of Emergency Medicine
  • University of Florida
  • College of Medicine

2
So Whats the Big Deal
  • ?

3
So Whats the Big Deal
  • Not the 1 Cause of Trauma Deaths

4
So Whats the Big Deal
  • Not the 1 Cause of Trauma Deaths
  • Who?

5
So Whats the Big Deal
  • Not the 1 Cause of Trauma Deaths
  • Who?
  • What?

6
So Whats the Big Deal
  • Not the 1 Cause of Trauma Deaths
  • Who?
  • What?
  • Where?

7
Alphabet Soup
8
Alphabet Soup
  • ABCs

9
Alphabet Soup
  • ABCs
  • SOAP ME

10
Alphabet Soup
  • ABCs
  • AVPU

11
Alphabet Soup
  • ABCs
  • AVPU
  • AMPLE history

12
Pay Me Now or Pay Me Later
13
Pay Me Now Primary Survey
  • Find it and Fix It!

14
The Deadly Dozen Pay Me Now
  • Airway Obstruction

15
The Deadly Dozen Pay Me Now
  • Airway Obstruction
  • Tension Pneumothorax

16
The Deadly Dozen Pay Me Now
  • Airway Obstruction
  • Tension Pneumothorax
  • Open Pneumothorax
  • Aka Sucking Chest Wound

17
The Deadly Dozen Pay Me Now
  • Airway Obstruction
  • Tension Pneumothorax
  • Open Pneumothorax
  • Flail Chest

18
The Deadly Dozen Pay Me Now
  • Airway Obstruction
  • Tension Pneumothorax
  • Open Pneumothorax
  • Flail Chest
  • Massive Hemothorax

19
The Deadly Dozen Pay Me Now
  • Airway Obstruction
  • Tension Pneumothorax
  • Open Pneumothorax
  • Flail Chest
  • Massive Hemothorax
  • Cardiac Tamponade

20
Cardiac Tamponade
21
Pay Me Now or Pay Me Later
22
Pay Me Later Secondary Survey
  • Defintive repair may be delayed
  • Includes Imaging and Lab Data

23
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax

24
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax

25
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax
  • Pulmonary Contusion

26
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax
  • Pulmonary Contusion
  • Tracheobronchial
  • Tree Injury

27
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax
  • Pulmonary Contusion
  • Tracheobronchial Tree Injury
  • Blunt Cardiac Injury

28
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax
  • Pulmonary Contusion
  • Tracheobronchial Tree Injury
  • Blunt Cardiac Injury
  • Thoracic Aortic
  • Dissection

29
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax
  • Pulmonary Contusion
  • Tracheobronchial Tree Injury
  • Blunt Cardiac Injury
  • Thoracic Aortic Dissection
  • Traumatic Diaphragmatic
  • Injury

30
The Deadly Dozen Plus Pay Me Later
  • Simple Pneumothorax
  • Hemothorax
  • Pulmonary Contusion
  • Tracheobronchial Tree Injury
  • Blunt Cardiac Injury
  • Thoracic Aortic Dissection
  • Traumatic Diaphragmatic Injury
  • Mediasteinal Transversing Wound

31
The Left-Overs Mostly Not So Lethal
32
The Left-Overs Mostly Not So Lethal
  • SQ Emphesema

33
The Left-Overs Mostly Not So Lethal
  • SQ Emphysema
  • Traumatic Asphyxia

34
The Left-Overs Mostly Not So Lethal
  • SQ Emphysema
  • Traumatic Asphyxia
  • Rib and Scapular Fractures

35
The Left-Overs Mostly Not So Lethal
  • SQ Emphysema
  • Traumatic Asphyxia
  • Rib and Scapular Fractures
  • Esophageal Tears

36
  • Questions?
  • meurer_at_emergency.ufl.edu
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