logging in or signing up INTRODUCTION TO TRAUMA CARE alaasurgen Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 475 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: September 21, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: madaabiss (19 month(s) ago) thanks, Pls to download Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript INTRODUCTION TO TRAUMA CARE : INTRODUCTION TO TRAUMA CARE BY ALAA ABDELSALAM MD, general surgery EMS instructor MIMMS instructor Slide 2: Trauma can be defined in terms of bodily injury severe enough to pose a threat to life or limb. Because of the frequent need for immediate intervention, commitment to the development of trauma care and trauma systems by physicians has been essential. Slide 3: Trimodal distribution of deaths from trauma refers to the occurrence of death following trauma as a function of time Trimodal distribution of death after injury : Trimodal distribution of death after injury Epidemiology : Epidemiology Trauma is a serious public health problem. The leading cause of preventable death in persons under the age of 44 years. Whether unintentional or intentional, most injuries are preventable. Epidemiology : Epidemiology Motor vehicle crashes are the leading cause of unintentional and work-related deaths for all US citizens between the ages of 1-34 years. Epidemiology : Epidemiology Nearly 41,000 people die annually from motor vehicle-related injury and 500,000 are hospitalised yearly. Over the last 30 years , rates are declining because of comprehensive safety and prevention programs. Epidemiology : Epidemiology Falls are second to vehicle crashes as a cause of unintentional death. More than 10,000 deaths among the elderly each year. In children, falls are a common cause of head injury. Epidemiology : Epidemiology Burns and fire-related injuries in the home are declining in frequency. Almost 5000 fire-related deaths occurred in US. Epidemiology : Epidemiology The survivors of a major burn is likely to sustain permanent disability and disfigurement. Prevention and education programs reduction of child abuse. Epidemiology : Epidemiology Intentional trauma includes all of violence : homicides, nonfatal assaults, and suicides. Some motor vehicle crashes, falls, and burns can be included under this heading. Epidemiology : Epidemiology Firearm deaths are unintentional in about 30% of cases. Intentional firearm-related death and injury has rapidly Increased during last decade. Violence prevention is a relatively new (grass root ) effort in America. Slide 13: Economic benefits of providing trauma care from a societal standpoint are most easily viewed in terms of those costs that can be directly measured ( medical cost ). The obvious advantages to society of saving a life are more difficult to calculate but no less essential. The rationale for studying trauma patients in the clinical setting : The rationale for studying trauma patients in the clinical setting Slide 15: Hippocrates said : to become a surgeon ,follow armies. Slide 16: Severely injured trauma patients are challenging Broad under standing of anatomy, the physiology of chock, neurology and pharmacology, and the surgical subspecialties. lengthy intensive care unit (ICU) stay. Critical care of these patients is (high tech) The rationale of studying trauma in the laboratory : The rationale of studying trauma in the laboratory Studies of systemic inflammatory response to syndrome (SIRS ). Slide 18: Examples of basic research driven by clinical problems in trauma: Immune function and dysfunction secondary to stress, injury, and shock. Blood transfusion and blood substitutes. Slide 19: Pathophysiology and treatment of SIRS including ARDS. Effect of early alimentary nutrition on both outcome and infection. Pathophysiology of brain injury and control of cerebral edema. Trauma systems : Trauma systems Trauma system have evolved to: Equalize access of patients Reduce death and disability Create a formalized continuum from accident scene to rehabilitation. Provide a mechanism for continuous quality improvement of the system Major components of trauma system : Major components of trauma system Prehospital care Acute hospital care Long term care and rehabilitation Slide 22: Prehospital care: Discovery of injury. Access and activation of prehospital care Life saving prehospital medical care Slide 23: Basic life support measures. Advanced life support measures Medical command Triage or injury assessment Transport of critically injured patients Acute hospital care : Acute hospital care Surgeon Operating rooms, anaesthesia, bl. Bank, CT,… Emergency physician Acute hospital care : Acute hospital care Promptly available sub specialists. Continuous performance improvement programs CPI Committed dedicated physician, nurse, and administrative leadership for the trauma program. Acute hospital care : Acute hospital care Trauma team organisation and activation system. Trauma resuscitation area Recuperation and rehabilitation of trauma patient. Continuous performance improvement in place( trauma system evaluate itself) Long term care : Long term care A dedicated link between inpatient rehabilitation and acute care to ensure smooth transition to long-term recovery is in place. Regional systems : Regional systems Regional systems are those that include prehospital provider agencies and hospitals They are political They must contain the following administrative components: Regional systems : Regional systems Leadership (medical, political, economic, public health). Continuous system development and planning for future Legislation : laws that assure that the trauma system function as integrated part of EMS Finance Regional systems : Regional systems Public education and injury prevention information ( bicycle helmet, seat belt, gun laws ) Personnel Communications system Regional systems : Regional systems Hospitals and other facilities Trauma centers designated and accredited Ongoing periodic review to assure compliance to requirements for designation and accreditation Coordination with other system components to assure the need for all injured patients Slide 32: ? Slide 33: THANKS You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
INTRODUCTION TO TRAUMA CARE alaasurgen Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 475 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: September 21, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: madaabiss (19 month(s) ago) thanks, Pls to download Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript INTRODUCTION TO TRAUMA CARE : INTRODUCTION TO TRAUMA CARE BY ALAA ABDELSALAM MD, general surgery EMS instructor MIMMS instructor Slide 2: Trauma can be defined in terms of bodily injury severe enough to pose a threat to life or limb. Because of the frequent need for immediate intervention, commitment to the development of trauma care and trauma systems by physicians has been essential. Slide 3: Trimodal distribution of deaths from trauma refers to the occurrence of death following trauma as a function of time Trimodal distribution of death after injury : Trimodal distribution of death after injury Epidemiology : Epidemiology Trauma is a serious public health problem. The leading cause of preventable death in persons under the age of 44 years. Whether unintentional or intentional, most injuries are preventable. Epidemiology : Epidemiology Motor vehicle crashes are the leading cause of unintentional and work-related deaths for all US citizens between the ages of 1-34 years. Epidemiology : Epidemiology Nearly 41,000 people die annually from motor vehicle-related injury and 500,000 are hospitalised yearly. Over the last 30 years , rates are declining because of comprehensive safety and prevention programs. Epidemiology : Epidemiology Falls are second to vehicle crashes as a cause of unintentional death. More than 10,000 deaths among the elderly each year. In children, falls are a common cause of head injury. Epidemiology : Epidemiology Burns and fire-related injuries in the home are declining in frequency. Almost 5000 fire-related deaths occurred in US. Epidemiology : Epidemiology The survivors of a major burn is likely to sustain permanent disability and disfigurement. Prevention and education programs reduction of child abuse. Epidemiology : Epidemiology Intentional trauma includes all of violence : homicides, nonfatal assaults, and suicides. Some motor vehicle crashes, falls, and burns can be included under this heading. Epidemiology : Epidemiology Firearm deaths are unintentional in about 30% of cases. Intentional firearm-related death and injury has rapidly Increased during last decade. Violence prevention is a relatively new (grass root ) effort in America. Slide 13: Economic benefits of providing trauma care from a societal standpoint are most easily viewed in terms of those costs that can be directly measured ( medical cost ). The obvious advantages to society of saving a life are more difficult to calculate but no less essential. The rationale for studying trauma patients in the clinical setting : The rationale for studying trauma patients in the clinical setting Slide 15: Hippocrates said : to become a surgeon ,follow armies. Slide 16: Severely injured trauma patients are challenging Broad under standing of anatomy, the physiology of chock, neurology and pharmacology, and the surgical subspecialties. lengthy intensive care unit (ICU) stay. Critical care of these patients is (high tech) The rationale of studying trauma in the laboratory : The rationale of studying trauma in the laboratory Studies of systemic inflammatory response to syndrome (SIRS ). Slide 18: Examples of basic research driven by clinical problems in trauma: Immune function and dysfunction secondary to stress, injury, and shock. Blood transfusion and blood substitutes. Slide 19: Pathophysiology and treatment of SIRS including ARDS. Effect of early alimentary nutrition on both outcome and infection. Pathophysiology of brain injury and control of cerebral edema. Trauma systems : Trauma systems Trauma system have evolved to: Equalize access of patients Reduce death and disability Create a formalized continuum from accident scene to rehabilitation. Provide a mechanism for continuous quality improvement of the system Major components of trauma system : Major components of trauma system Prehospital care Acute hospital care Long term care and rehabilitation Slide 22: Prehospital care: Discovery of injury. Access and activation of prehospital care Life saving prehospital medical care Slide 23: Basic life support measures. Advanced life support measures Medical command Triage or injury assessment Transport of critically injured patients Acute hospital care : Acute hospital care Surgeon Operating rooms, anaesthesia, bl. Bank, CT,… Emergency physician Acute hospital care : Acute hospital care Promptly available sub specialists. Continuous performance improvement programs CPI Committed dedicated physician, nurse, and administrative leadership for the trauma program. Acute hospital care : Acute hospital care Trauma team organisation and activation system. Trauma resuscitation area Recuperation and rehabilitation of trauma patient. Continuous performance improvement in place( trauma system evaluate itself) Long term care : Long term care A dedicated link between inpatient rehabilitation and acute care to ensure smooth transition to long-term recovery is in place. Regional systems : Regional systems Regional systems are those that include prehospital provider agencies and hospitals They are political They must contain the following administrative components: Regional systems : Regional systems Leadership (medical, political, economic, public health). Continuous system development and planning for future Legislation : laws that assure that the trauma system function as integrated part of EMS Finance Regional systems : Regional systems Public education and injury prevention information ( bicycle helmet, seat belt, gun laws ) Personnel Communications system Regional systems : Regional systems Hospitals and other facilities Trauma centers designated and accredited Ongoing periodic review to assure compliance to requirements for designation and accreditation Coordination with other system components to assure the need for all injured patients Slide 32: ? Slide 33: THANKS