Trauma

Question 1

What are the 5 stages of trauma management?

Answer 1

1. Stop bleeding
2. Airway
3. Decompress
4. Fluids
5. TXA
6. Maintain temperature

Question 2

What considerations should be made for the airway section of traumatic management?

Answer 2

Hoarseness and strider suggests laryngeal damage

Gurgling suggests secretions (log roll, suction)

Snoring suggests tongue obstruction (jaw thrust)

RSI requirements:
Immense pain
Reduced GCS
Anxious due to TBI or aggressive

Question 3

What considerations should be made for the fluid section of trauma management?

Answer 3

Give fluids AFTER bleeding has stopped
Maintain permissive hypotension for short periods of time:
80-90 for penetrating
90-100 for blunt
100-110 for TBI

1l fluid max