Remove Head Injuries Remove Hyperthermia / Hypothermia Remove Shock
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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. Establish IV access for potential fluid resuscitation. These should be given as boluses of 5-10ml/kg.

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CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

Of course any fluids given should be warmed to help avoid the lethal triad – acidosis, coagulopathy and hypothermia. Check his pupils – any signs of head injury or subdural from flying debris? Our patient will need adequate pre-oxygenation with a bag-mask valve- be aware that not all bag-masks are the same!

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Penetrating chest trauma

Don't Forget the Bubbles

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. Ranulf went white with the shock. They had been enjoying a celebratory dinner following their safe return from a trip to the Amazon rainforest.

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Grand Rounds Recap 5.3.23

Taming the SRU

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5