Trauma
Activity
Large Group Session
Large Group Session
Demonstrate concepts of primary and secondary patient assessment. Establish management priorities in trauma situations. Initiate primary and secondary management as necessary. Arrange appropriate disposition.
Curriculum Block
Clerkship / Surgery Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- Differentiate the signs, symptoms, and hemodynamic features of shock: hemorrhagic; cardiogenic; septic; neurogenic; anaphylactic.
- Discuss fluid resuscitation, choice of fluid and monitoring for adequacy of resuscitation (rule of 9's, differences in pediatric and adult management).
- Describe the diagnostic evaluation, differences between blunt and penetrating mechanisms of injury and the initial management of: Spine injury; Thoracic injury; Abdominal injury; Urinary injury.
- Describe the appropriate triage of a patient in a trauma system.
- Discuss the types, etiology and prevention of coagulopathies typically found in patients with massive hemorrhage.
- Discuss the differences between adult and pediatric resuscitation.
- Discuss the choice of fluid and use of blood components (for a trauma patient).
- Discuss choice of IV access (of a trauma patient).
- Describe the appropriate fluid resuscitation of a trauma victim.
- Describe the four classes of hemorrhagic shock and how to recognize them.
- Describe the priorities and sequence of a trauma patient evaluation (ABC's).
- Discuss priorities and specific goals of resuscitation for each form of shock: define goals of resuscitation; defend choice of fluids; discuss indications for transfusion; discuss management of acute coagulopathy; discuss indications for invasive monitoring; discuss use of inotropes; afterload reduction in management
- Describe the causes, diagnosis, and treatment of spontaneous pneumothorax.
- Define shock.
- Discuss the most common non-traumatic causes of hemothorax.
- What are the risks in leaving the blood diagnostic in the chest?
- Which patients (with hemothorax) need an operation?
- Discuss the appropriate management of blood in the pleural cavity.
- Discuss an appropriate diagnostic evaluation for a patient with hemothorax.
- Describe the common etiologies for hemothorax.
- Discuss the role of: Observation; Tube thoracostomy; Chemical sclerosis; Surgical management of this condition (pneumothorax).
- Discuss the underlying pulmonary pathology you might expect to find. (pneumothorax)
- Discuss the risks of pneumothorax which could prove life-threatening.
Tags
Curriculum Block
Clerkship
Surgery Rotation
Discipline
Surgery
MCC Presentations
Abdominal Injuries
Chest Injuries
Head Trauma / Brain Death / Transplant Donations
Spinal Trauma
Trauma
McMaster Program Competencies
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
MeSH
Airway Management [E02.041]
Wounds and Injuries [C26]
