WVU NSG 460 Trauma I & II Exam 6
Content
The Typical Trauma Victim
-male, 15-24, intoxicated, low income
Head Injuries Statistics
-typical patient is male, 15-24, intoxicated, low income
-ETOH often involved
-500,000/yr with brain damage
Trauma Statistics
-leading cause of death ages 1-40
-350,000 permanently disabled per year
-$87,000,000,000 cost per year
Spinal Trauma Statistics
-16-30 yr olds
-50% c-spine
-MVC, violence, falls
-male, 15-24, intoxicated, low income
-8-10,000 new a yr
,2 Types Of Mechanical Trauma
-blunt: MVC, falls
^no penetration of skin
-penetrating: gunshot, stab wounds
Blunt Trauma
-rapid deceleration
^spinal hyperflexion/extension, organs moving at different speed causing them to
tear
-compression/crush
^against objects and within the body
^ex: landing on legs in fall, and even tho we think this is good, spine is actually
crushed
Penetrating Trauma
-Gunshot
^size and speed of bullet/type of tissue it impacted, diffuse damage
^when bullet goes in, it decelerates, and causes tissue damage..consider-what was
it's path?
-stab wound
^usually local damage, but can be lethal. Little bit cleaner than gunshot
Initial Assessment and Management
3 Phases Of Death are?
, 1. immediate
2. early
3. late
Immediate Phase Of Death
-minutes
-severe closed head injury/c-spine damage, hemorrhage
-"dos"- dead on scene
-immediately compromises ventilation/perfusion
Early Phase Of Death
-hours
-this is the group we hope to save
-the golden hour: begins when the injury occurs, get to a trauma center ASAP!
Late Phase Of Death
-days/weeks
-sepsis, MODS, ARDS, DIC
^this is pt that came in, was stabilized, and then developed something later
^folks end up dying from nothing r/t trauma
Mechanism Of Injury
-important clues to potential injuries
-can suggest both type and severity of injury
-"they fell"--think... How far?
-"he crashed his car"--think... How fast?
-"she was hit by a car"--think...what speed? what car?
Content
The Typical Trauma Victim
-male, 15-24, intoxicated, low income
Head Injuries Statistics
-typical patient is male, 15-24, intoxicated, low income
-ETOH often involved
-500,000/yr with brain damage
Trauma Statistics
-leading cause of death ages 1-40
-350,000 permanently disabled per year
-$87,000,000,000 cost per year
Spinal Trauma Statistics
-16-30 yr olds
-50% c-spine
-MVC, violence, falls
-male, 15-24, intoxicated, low income
-8-10,000 new a yr
,2 Types Of Mechanical Trauma
-blunt: MVC, falls
^no penetration of skin
-penetrating: gunshot, stab wounds
Blunt Trauma
-rapid deceleration
^spinal hyperflexion/extension, organs moving at different speed causing them to
tear
-compression/crush
^against objects and within the body
^ex: landing on legs in fall, and even tho we think this is good, spine is actually
crushed
Penetrating Trauma
-Gunshot
^size and speed of bullet/type of tissue it impacted, diffuse damage
^when bullet goes in, it decelerates, and causes tissue damage..consider-what was
it's path?
-stab wound
^usually local damage, but can be lethal. Little bit cleaner than gunshot
Initial Assessment and Management
3 Phases Of Death are?
, 1. immediate
2. early
3. late
Immediate Phase Of Death
-minutes
-severe closed head injury/c-spine damage, hemorrhage
-"dos"- dead on scene
-immediately compromises ventilation/perfusion
Early Phase Of Death
-hours
-this is the group we hope to save
-the golden hour: begins when the injury occurs, get to a trauma center ASAP!
Late Phase Of Death
-days/weeks
-sepsis, MODS, ARDS, DIC
^this is pt that came in, was stabilized, and then developed something later
^folks end up dying from nothing r/t trauma
Mechanism Of Injury
-important clues to potential injuries
-can suggest both type and severity of injury
-"they fell"--think... How far?
-"he crashed his car"--think... How fast?
-"she was hit by a car"--think...what speed? what car?
