A Week in Review: Oct 23rd - 28th
Quick review of how to handle these painful injuries:
Techniques that involve the Zipper or just the teeth.
1) Direct Pressure OR Proximal and Distal Pressure
2) Topical agents such as gelfoam, topical thrombin
3) Protamine to reverse the heparin that was given or DDAVP
Remeber to try and use noninvasive airway mangement options prior to intubation.
If intubated, do not traget a normal pCO2
Determine Sick vs not Sick
What was the cause - Blunt Trauma? Penetrating Trauma? Esophageal Rupture
Esophageal Rupture is a life threatening Emergency that needs aggressive care and early surgery to reduce the high mortality rate
What are the characteristics of a febrile seizure and who needs more of a work up?