Top Banner
EmergencyMedicineIreland.com the basic anatomy of chest and abdominal trauma
39

TCD Lecture: basic anatomy of chest and abdominal trauma

Apr 16, 2017

Download

Healthcare

Andy Neill
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

the basic anatomy of chest and abdominal trauma

Page 2: TCD Lecture: basic anatomy of chest and abdominal trauma

Who am I?

Page 3: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Credit: trauma.orgCredit: trauma.org

Page 4: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Credit: hh1edits on YouTubehttps://www.youtube.com/watch?v=tmYrWXhFf4c

Page 5: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Objectives

What’s at risk?

How do I find out?

What can I do about it?

Page 6: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Outside The Chest

Chest WallRespiratory CompromiseBleedingTransmission of force

What’s at risk?

Page 7: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Where will the chest wall break?

CostoTransverse Joint

CostoVertebral JointOutside The Chest

Page 8: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Outside The Chest

Page 9: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

IntercostalsInnermostInternal External

Outside The Chest

Page 10: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Credit: 1rmutube on YouTubehttps://www.youtube.com/watch?v=snqrcB30ZXQ

What happens if the handles are broken?Outside The Chest

Page 11: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com-ve

Outside The Chest

What can I do about it?

+ve

Page 12: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Chest

Lungs

What’s at risk?

HeartGreat Vessels

Page 13: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

How do I find out?Inside The Chest

Haemothorax

Page 14: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Pleura

Inside The Chest: Pleura

Parietal

Visceral

Page 15: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

What do we do about it?

Page 16: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Credit: trauma.org

What’s at risk?Inside The Chest

Page 17: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Chest: Heart

Page 18: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

How do I find out?

Credit: Mattia Quarta [@squartadoc]

Credit: Laleh Gharahbaghian [@sonospot]

Inside The Chest: Heart

Page 19: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Chest: Heart

Page 20: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Credit: Laleh Gharahbaghian [@sonospot]

Credit: Mike Mallinsonocloud.org

Inside The Chest: Heart

Page 21: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

What can I do about it?

Inside The Chest: Heart

Credit: umemergencymed on YouTubehttps://www.youtube.com/watch?v=A57ZB_J4FuY

Page 22: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Chest: Great Vessels

Page 23: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Chest: Great Vessels

Credit: Hani Alsalam on radiopaedia.org

How do I find out?

Credit: CardiologyReview on YouTube https://www.youtube.com/watch?v=L91vprk-K28

Page 24: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

What can I do about it?

Blood Pressure

Credit: .SilentMode on Flickr

Cold Steel

Inside The Chest: Great Vessels

Page 25: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Page 26: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly

Young maleHigh speed RTARestrained, BSPChief complaint abdo and back pain

Credit: Jonathan_W on Flickr

Page 27: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

What’s at risk?

Credit: Kane Guthrie https://gmep.org/media/10991

Inside The Belly

Seat Belt Sign

Page 28: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Credit: acurachin on YouTube Credit: acurachin on YouTube

What’s at risk? What’s at risk?

BowelPelvisSpineSolid organs

Stupid question... the dummy’s dead...

Inside The Belly

Page 29: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Bowel Bucket Handle Tear

Credit: Michael McGonigal http://regionstraumapro.com/post/13921884326

Page 30: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Pelvis

The PelvisBleedingUrethral injuries

Page 31: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Spine

Credit: Ian Erskine on GMEP.org

Credit: Gagandeep Singhon radiopaedia.org

Chance Fracture

Page 32: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Solid organs What’s at risk?

Page 33: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Solid organs How do I find out?

Page 34: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Solid organs

Page 35: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Solid organs

Page 36: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Inside The Belly:Solid organs What can I do about it?

Page 37: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

What’s at risk?

How do I find out?

What can I do about it?

Objectives

Page 38: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com

Page 39: TCD Lecture: basic anatomy of chest and abdominal trauma

EmergencyMedicineIreland.com