TRAUMATIC INJURIES OF THE HEAD, NECK AND SPINE

HEAD INJURIES

HEAD INJURIES

SPINAL INJURIES

mechanism of injury

patient reliability

signs and symptoms

Spinal Injuries

Open Wounds

long term wound care (cleaning)

• Protect yourself
• Inspect and identify high risk wounds*
• Clean in and around wound with potable water & soap or Betadine*
• Pressure irrigation/scrubbing as needed
• Avoid causing further bleeding by cleaning

HIGH RISK WOUNDS

• Bites or very dirty wounds
• Any exposed bone, tendon,muscle, etc.
• Deep punctures, gaping wounds
• Crush injuries
• Wounds to high-risk patients

High risk wounds

consider closing low-risk wounds

Wound reassessment

TREATMENT FOR INFECTED SMALL WOUNDS

Specific Wounds

CONTUSIONS

EVISCERATED ORGANS

Impaled objects: most are to be left in place. Remove objects which occlude airway, are a threat to life, and those which can be easily removed (fishhooks).

Amputation: a part or all of an extremity that is completely removed from the body.

(prevention, prevention, prevention)

METHICILLIN-RESISTANT STAPHYLOCOCCUS AREUS (MRSA)

WOUND Evacuation criteria

• Any wound showing s/s beyond localized infection.
• If wound shows no signs of improvement over time.
• Contusions w/ suspected underlying fractures or significant MOI.
• Evacuate any impaled object or evisceration.
• Rapid evac. if patient shows s/s of shock due to bleeding or sepsis.

HEENT

SCALP INJURIES

NOSE BLEEDS

TEETH INJURIES

Eye injuries

EVACUATION CRITERIA FOR EYE INJURIES

BURNS

• Prevalence
• Physiology
• Prevention

Assessment of Burns

Thermal burns

sunburns

Chemical burns

electrical burns

EVACUATION CRITERIA FOR BURNS

questions