Pacientul politraumatizat - Cursul national de ghiduri si protocoale in ...
Pacientul politraumatizat - Cursul national de ghiduri si protocoale in ...
Pacientul politraumatizat - Cursul national de ghiduri si protocoale in ...
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Tabelul 2. Protocolul <strong>de</strong> abordare precoce <strong>in</strong> trauma multipla – Acute Trauma Sub-Algorithm.Early Management of Severe Trauma Protocol (5)234ABC<strong>in</strong>juria cailor aeriene<strong>de</strong> cautat: absenta securizarii cailor aerieneventilatie <strong>in</strong>corectamanagement: evaluarea <strong>in</strong>tubatiei orotrahealecricotiroidotomie precoce <strong>in</strong> leziuni faciale exten<strong>si</strong>ve<strong>in</strong>juria coloanei cervicale<strong>de</strong> cautat: priaprism, areflexie, trauma <strong>de</strong>asupra nivelului claviculelor,durere, contractura muscularamanagement: imobilizarea gatului, radiografiepneumotorax compre<strong>si</strong>v<strong>de</strong> cautat: disten<strong>si</strong>a venelor gatului, miscari toracice reduse,timpanism, <strong>de</strong>vierea mediast<strong>in</strong>uluimanagement: punctie pleurala, pleurostomiehemotorax ma<strong>si</strong>v<strong>de</strong> cautat: disten<strong>si</strong>a sau colabarea venelor gatului, miscaritoracice reduse, matitate, <strong>de</strong>vierea mediast<strong>in</strong>uluimanagement: repletie volemica, pleurostomie, toracotomie <strong>de</strong> urgentacontuzie pulmonara<strong>de</strong> cautat: <strong>de</strong>saturare la cei cu trauma toracicamanagement: vezi algoritmul <strong>de</strong> <strong>de</strong>saturarefistula bronho-pulmonara<strong>de</strong> cautat: pier<strong>de</strong>re cont<strong>in</strong>ua <strong>de</strong> aer pr<strong>in</strong> pleurostomamanagement: pensarea pleurostomei, pleurostomie aditionala,<strong>in</strong>tubatie selectivahemoragie/hipovolemie<strong>de</strong> cautat: semne <strong>de</strong> hemoragie <strong>in</strong>terna la nivelultoracelui/abdomenului/baz<strong>in</strong>uluisemne <strong>de</strong> hemoragie externamanagement: radiografii, lavaj peritoneal, laparotomie <strong>de</strong> urgenta,exam<strong>in</strong>area plagilorutilizarea corecta a “pantalonilor antisoc”tamponada cardiaca<strong>de</strong> cautat: disten<strong>si</strong>a venelor gatului, asurzirea zgomotelorcardiace, hipoten<strong>si</strong>uneegalizarea pre<strong>si</strong>unilor <strong>in</strong>tracardiacemanagement: punctie pericardica/pericardiocentezaActualitati <strong>in</strong> anestezie, terapie <strong>in</strong>ten<strong>si</strong>va <strong>si</strong> medic<strong>in</strong>a <strong>de</strong> urgenta
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