Please enable JavaScript.

Coggle requires JavaScript to display documents.

Traumatology - Coggle Diagram

- - - - Loading
        
        Slow
        
        E dissipated over larger area
        
        No shock/compression waves generated
        
        Tiss allowed to disp @ slow rate
        
        Injuries
        
        None > minor
        
        Result from ext of tiss disp
        
        Rapid
        
        E not dissipated over larger area
        
        Shock/compression waves generated
        
        Injuries
        
        Tiss & orgs move relative to each other
        
        Disp minimal but rapid
        
        Tiss & Orgs vibrate @ diff freqs
        
        Loss of tissue cohesion = shearing
        
        Tiss cant disp @ low rate
  - - - Viscosity = ability tissue to resist deformation on impact
      - Elasticity = ability tissue to return to pre-impact shape
      - Bone = high visc & low elas
        
        Lung = low visc & high elas
  - - - Thoracic limb & thorax
      - Pelvic limb & abdomen
- - - - Crushing
      - Compression
      - Shearing
    - - Slow v Rapid
  - - - Bullet crushes path through tissues
- - - - Staff training
      - Systematic operating plan
        
        Rigid - no syst/org overlooked
        
        Simple & rigid
      - Crash cart
  - - - Source?
      - Time elapsed?
      - Changes in patient status?
  - - - Already accessed ABC
      - Support therapy has begun
      - Review signs & response to treatment
      - Sedatives/anesthetics
        
        Pain, excitement & fright
        
        Difficult to handle for treatment
      - Depressant only if:
        
        Resp supported
        
        Blood vol supported
        
        Anesthetic level maintained absolute min
    - - Abdom punctures
      - Abdom hernias
      - Abdom tense, painful
      - Can abdom orgs be palpated
      - Blood in rectum
    - - Norm cranial & spinal reflexes
      - Have signs improved
      - Patient conscious, alert, ambulatory???
      - Localize injury: brain, SC
      - Scull / SC #s
    - - Has animal urinated
      - Blood in urine
      - Can bladder be palpated
      - Abdom hernias
      - Abdom tense, painful
    - - Ext haemorrhage
      - Hypovolaemic shock
      - Pulse type/rate
      - Cardiac auscultation
      - Peripheral veins
    - - F#s long bones
      - F#s pelvis
      - Multiple #s
      - Temp splinting/casting
    - - Respiration
      - Cyanosis
      - Pharynx, larynx
      - Thoracic wall punctures, rib #s
      - Nostrils, nasal cavity, oral cavity
      - Pulm auscultation
- - - - Lrg lacerations
      - Luxations
      - Ligament #s
      - Simple # long bones &/or pelvis
      - Spinal # w/out neuro signs
    - - Multiple lrg lacerations
      - Spinal # w/ neuro deficits
      - Multiple #s long bones &/or pelvis
      - Pneumo/haemothorax
      - Pulm contusion w/ min resp embarressment
    - - Non-disp pelvic #
      - Simple metacarp/tars #s
      - Sml lacerations
    - - Thoracic trauma w/ resp embarressment
      - Multiple open #s long bones & pelvis w/ shock
      - Spinal # w/ major neuro deficits
      - Abdom trauma w/ shock
    - - Spinal # w/ no deep pain on multiple exams
      - Comatose > 48hrs
      - Polytrauma in geriatric