Mohamed El-Gindy
Professor of Surgery
Mansoura
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الحوادث المروريه فى مصر )(2009
85%على الطرق المحليه
15%على الطرق السريعه
5مليار جنيه خسائر ماديه 26ألف حادث
25مليون مخالفه مرورية 6ألف قتيل
23ألف مصاب
أخطاء بشريه % 85
أخطاء فنيه % 10
أحوال جويه % 5
Significance of trauma
41 bilion annually.
" 3 Rs"
* It can Resuscitate the victim
* It can Review (assessment, monitoring
and diagnosis)
* It can Repair (definitive treatment)
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Level (I) Trauma
Hospital
It provides specialised trauma care " 3 Rs"
trauma care.
Death is inevitable
2) Stable patients (80%)
Penetrating mechanisms
Low velocity
Knife
ice pick
Medium velocity
gunshot/handgun
shotgun
High velocity
high power hunting rifle
military weapon
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The 3 lines of management
of the injured patient are
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the victim should be
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5
Q ?
1) Is the victim breathing ?
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1- Asphyxia
It may be due to
a. Airway obstruction.
b. Acute-thoracic injury.
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a. Airway obstruction
Causes:
mandible
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Management of Airway
obstruction
(CONT.)
4. One or two large-bore needles through
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3- HEMORRHAGE
Shock
*1 ry Shock ( pain and fright)
*Hypovolemic shock ( loss of blood or plasma)
*patient must be recumbent
* Analgesics should be (I V(
Bleeding coagulopathy
Acidosis hypothermia
4- Fracture Spine
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Pelvic Fractures
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5-Fractures
•Splinting using boards, pillows, blankets
or any
other materials.
•Improper handling of Fractures may cause:
position.
Except for
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Fire and police services do the BASIC support .*
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Greater dependence on ambulance services*
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Hopping for
1-The Basic Care by the
police man
in inaccessible sites
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III Emergency Room Care
1- General Principles :
3) History of :
a. medical diseases.
Impalement Injury
Small Intestine Injury
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2. Resuscitation
blood.
* Serum electrolytes.
urinary
tract injury
injuries.
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Thermal Trauma
Extensive Thermal Trauma
Special Bed for Extensive Thermal Trauma
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Bullet Injury of the
heart and abdomen
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Extensive Fissure Fracture of the Skull
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Blunt Abdominal Trauma
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• Alcoholic intoxication .
• Cerebro vascular accident .
• Diabetic coma .
• Barbiturate Poisoning
• Hypovolemic shook .
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