Care of the Polytraumatized - Emergencies and Medical Emergencies

Emergency Room · Clinical Specialties

How it begins

Guía de referencia avanzada para la aproximación sistemática, reanimación de control de daños y abordaje de lesiones potencialmente mortales en pacientes con trauma grave multifocal.

What it covers

1. Care of the Polytraumatized
2. Introduction, Definitions and Epidemiology
3. · Global Epidemiological Impact
4. · Trimodal Distribution of Mortality in Trauma
5. Pathophysiology of Severe Trauma and Metabolic Response
6. · The Transition from the Triad to the Diamond of Death
7. · Endotheliopathy of Trauma (EoT) and Loss of the Glycocalyx
8. · Immune and Inflammatory Response: The pendulum between SIRS and CARS
9. Prehospital Phase, Biomechanics and Triage
10. · Kinematics and Biomechanics of Trauma
11. · Triage Models in Multiple Casualty Incidents (MIV)
12. · Evacuation Strategies: Scoop and Run vs. Play and Treat
13. Hospital Reception and the "Trauma Team"
14. · Organization and Roles in the Resuscitation Box
15. · The Zero Point Survey
16. · M.I.S.T Transfer Protocol. / S.B.A.R.
17. Primary Evaluation (A-B-C-D-E): Systematic Approach
18. · A: Airway with Cervical Spine Control (Airway)
19. · B: Breathing and Ventilation (Breathing)
20. · C: Circulation with Hemorrhage Control (Circulation)
21. · D: Disability and Neurological Status (Disability)
22. · E: Exposure and Control of the Environment (Exposure)
23. Damage Control Resuscitation (DCR) and Massive Transfusion
24. · Principles of Damage Control Resuscitation (DCR)
25. · Activation of the Mass Transfusion Protocol (MTP)
26. · Hemostasis Guided by Viscoelastic Tests (TEG and ROTEM)
27. · Essential Adjuvant Pharmacotherapy
28. Secondary Evaluation and Diagnostic Imaging in Trauma
29. · Secondary Evaluation: Head to Toe Systematization
30. · The Head to Toe Physical Examination
31. · eFAST Ultrasound (extended Focused Assessment with Sonography for Trauma)
32. · Pan-scan Whole Body CT (Gold Standard in High Energy Trauma)
33. Cranioencephalic and Vertebromedullary Trauma
34. · Pathophysiology of Secondary Brain Injury
35. · Systemic Physiological Stabilization Parameters in Severe TBI
36. · Emergency Osmotic Treatment for Intracranial Hypertension (ICH)
37. · Hemodynamic Differentiation: Neurogenic Shock vs. Spinal Shock
38. Thoracic and Cardiac Trauma
39. · Myocardial Contusion (Closed Cardiac Injury)
40. · Dissection and Rupture of the Thoracic Aorta due to Trauma
41. · Emergency Thoracotomy in the Emergency Department (EDT)
42. Abdominal and Pelvic Trauma
43. · Abdominal Trauma: Solid Viscera vs. Hollow Viscera
44. · AAST (American Association for the Surgery of Trauma) Severity Classification
45. · Pelvic Ring Fractures and Hemodynamic Instability
46. Musculoskeletal and Extremity Trauma
47. · Gustilo-Anderson Classification for Open Fractures
48. · Pathophysiology and Diagnosis of Compartment Syndrome
49. · Crush Syndrome and Rhabdomyolysis
50. Damage Control Surgery vs. Early Total Care
51. · Comparison of Surgical Treatment Philosophies
52. · The Three Classic Phases of Damage Control Surgery (DCS)
53. · Abdominal Compartment Syndrome (ACS) in Polytraumatized Patients
54. Trauma in Special Populations
55. · 1. Pediatric Patient: Anatomical and Physiological Differences
56. · 2. Geriatric Patient: Loss of Reserve and Anticoagulation
57. · 3. Pregnant Patient: Two Lives at Risk
58. Severity, Quality and Continuous Improvement Scales
59. · Anatomical and Physiological Severity Scales
60. · Quality Indicators and Deming Cycle in the Trauma Team