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Lecture Mosby's paramedic textbook (4th ed) - Chapter 43: Abdominal trauma

In this chapter you will learn about the following: Describe the basic structure of the legal system in the United States, relate how laws affect the paramedic’s practice, list situations that a paramedic is legally required to report in most states, describe the four elements involved in a claim of negligence, describe measures paramedics may take to protect themselves from claims of negligence. | 9/11/2012 1 Chapter 43 Abdominal Trauma 2 Learning Objectives • Identify mechanisms of injury associated with abdominal trauma. • Describe mechanisms of injury, signs and symptoms, and complications associated with abdominal solid organ, hollow organ, retroperitoneal organ, and pelvic organ injuries. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Outline the significance of injury to intra‐ abdominal vascular structures. • Describe the prehospital assessment priorities for the patient suspected of having an abdominal injury. • Outline the prehospital care of the patient with abdominal trauma. 4 Review of Abdominal Anatomy • Organs in abdomen include – Intestines – Kidneys – Liver – Gallbladder – Pancreas – Spleen – Stomach 5 Review of Abdominal Anatomy • Abdomen has many vascular structures – – – – – – – – Abdominal aorta Superior and inferior mesenteric arteries Renal artery Splenic artery Hepatic artery Iliac arteries Hepatic portal system Inferior vena cavae 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Review of Abdominal Anatomy • All abdominal organs and vascular structures are susceptible to injury – Quick recognition of injury, emergency care, and rapid transport for definitive care can tremendously alter morbidity and mortality 7 8 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/11/2012 Mechanisms of Abdominal Injury • Abdominal injury may result from blunt or penetrating trauma – Regardless of organ injured, management usually is limited to Securing airway with spinal precautions Providing ventilatory support Providing wound management Managing shock with fluid replacement and application of pneumatic antishock garment (PASG) (per protocol) • Rapidly transporting • • • • 10 Mechanisms of Abdominal Injury • .