Multiple Trauma Part III: Thoracic Trauma
Summary
Pulmonary contusion is present when a direct pulmonary injury is generating hypoxemia through the formation of a pulmonary shunt. Injury to the lung parenchyma results in alveolo-capillary rupture, bleeding, secretions and cellular debris, leading to inadequate ventilation in the injured areas. This is followed by a two-stage evolution with a primitive injury and a gradual worsening in the first 48 hours.
General Information
Enrolled trainees 549
Open 25.04.2023
Available for ESICM members
Student effort 3
Last Updated April 25, 2023
Intended Learning Outcomes
After studying this module on Multiple Trauma Part III: Thoracic Trauma you should be able to:
- To identify the relevant factors related to the management of injury to different organ systems including chest, abdomen, pelvis, extremities, facial, neck and spinal injury
- To identify and describe the challenges related to pregnancy in a trauma patient
Relevant competencies in CoBaTrICE
- 1.2 Manages cardiopulmonary resuscitation
- 1.5 Assesses and provides initial management of the trauma patient
- 2.2 Undertakes timely and appropriate investigations
- 2.3a Performs and interprets transthoracic cardiac ultrasound for the recognition and assessment of left ventricular and right systolic failure, contraction pattern and dilation and pericardial tamponade
- 2.3b Performs and interprets ultrasonographic assessment of the lungs and pleura for the recognition and assessment of consolidation, pleural effusion and pneumothorax.
- 2.3c Performs and interprets ultrasonographic assessment of the abdomen to assess intraperitoneal free fluid, hydronephrosis and bladder volume.
- 2.3d Performs and interprets venous ultrasound examination to assess for deep venous thrombosis and to aid vascular access (arterial and venous)
- 2.6 Obtains and interprets the results from blood gas samples
- 2.7 Interprets chest x-rays
- 2.8 Liaises with radiologists to organise and interpret clinical imaging
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.3 Recognises and manages the patient with circulatory failure
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 4.3 Administers blood and blood products safely
- 4.4 Uses fluids and vasoactive / inotropic drugs to support the circulation
- 5.1 Administers oxygen using a variety of administration devices
- 5.2 Performs fibreoptic laryngoscopy
- 5.3 Performs emergency airway management
- 5.4 Performs difficult and failed airway management according to evidence-based protocols
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