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35 passage(s) dans 15 référentiel(s).
- OMS / CICR — Basic Emergency Care (cahier du participant)OMS · CICR · IFEM
- p. 60Module 2: Approach to trauma 525252 Did the person sustain a crush injury? Is there severe pain or numbness? Is there dark urine? Crush injuries may damage skin, muscle, blood vessels and bone. Damaged muscle can release ... build up and damage the kidneys. It is important to know how long a body part was crushed. Even a small crushed area can cause the release of a dangerous amount of myoglobin (for example when a limb
- p. 228rapid handover for operative management. Penetrating object Leave object in place and stabilize it to prevent further injury. Crush injury Give IV fluids, monitor urine output, monitor for compartment syndrome. Burn injury Assess size and calculate ... stabbing • Explosion or fire in an enclosed space. • Penetrating injuries to head, neck or torso • Blast or crush injuries • Flail chest • Two or more large bone fractures, or pelvic fracture • Spinal injury • Limb paralysis • Amputation above wrist
- p. 70Approach to trauma 626262 SPECIAL CONSIDERATIONS Management by injury mechanism CONDITION CONCERNING SIGNS AND SYMPTOMS IN-DEPTH MANAGEMENT Crush injury • Fractures, bruising, soft tissue damage • Evidence of compartment syndrome (pain, firm muscle compartments, numbness, decreased pulses or pale ... skin) • Small amounts of red-brown urine Crush injuries can have serious complications. Look for compartment syndrome (a build-up of pressure within the muscle compartments that can limit blood supply to muscles and nerves) and kidney damage
- p. 59important to find out what part of the body was trapped (arm/leg, etc.) and for how long. Consider crush injury in a person who has been trapped. A death at the scene of a road traffic crash suggests
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- p. 395forceps. • Hold up a loop of tube 2.5 cm in length (Fig. P-26 A, page P-64). • Crush the base of the loop with artery forceps and ligate it with 0 plain catgut suture ... page P-64). • Excise the loop (a segment 1 cm in length) from between the crushed areas (Fig. P-26 C–D, page P-64). • Repeat the procedure on the other side
- p. 26TABLE OF CONTENTS 26 CRUSH SYNDROME History • Entrapped extremity (as little as 1hr) • Erythema, ecchymosis, abrasion • Swelling, tense muscle compartment History (Complications) • Hyperkalemia • Hypocalcemia • Compartment syndrome • Rhabdomyolysis • Arrhythmia • Hypotension Treatment • Prior to extraction o Consider tourniquet placement ... crush injuries if the length of entrapment exceeds 2 hours and crush injury protocol cannot be initiated immediately o Apply two tourniquets side by side and proximal to the site of entrapment immediately prior to extraction • Initiate crush
- p. 4PAIN MANAGEMENT 21 ABDOMINAL INJURY 22 TRAUMA BURNS / ELECTRICAL INJURY 23 BURN FLUID RESUSCITATION 24 CHEST TRAUMA 25 CRUSH SYNDROME 26 EXTREMITY TRAUMA 27 EYE INJURY / PAIN 28 HEAD INJURY / TBI 29 HYPOTENSION / SHOCK 30 TRAUMATIC ARREST
- p. 17pneumothorax or pulmonary edema. Check ventilator to make sure prescribed tidal volume is being delivered. Check for kinked / crushed tubing. • Air Leaks Causing Low Pressure Alarms / Volume Loss: Assess, correct air leaks in ETT, tracheostomy cuff, ventilator system
- p. 94bronchospasm o Asthma o Reactive airway / bronchospasm o COPD • Off-label Indications o May also be used in crush syndrome (hyperkalemia) Contraindications • Hypersensitivity to albuterol or any component of the formulation • Hypersensitivity to milk protein (dry powder inhalers
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- p. 18with initial fluid/blood product resuscitation (> 110 mmHg with TBI, MAP > 60) HAND-OFF • Provide E-FAST exam findings CRUSH INJURY CONSIDERATIONS ERC personnel should follow unit protocols if established CPG: Crush Syndrome (Category: “Orthopedic”) Tier 3 Crush Injury ... until further hyperkalemic diagnostic or treatment methods can be performed). ASSESS FOR COMPARTMENT SYNDROME: For casualties with a crush injury to an extremity who are already being treated, frequently reassess the injured extremity for signs of acute compartment
- p. 19Back to Table of Contents Tier 4 Crush Injury Treatment • Use electrocardiography to monitor for evidence of hyperkalemia. ECG changes include T-waves, a widened QRS complex, bradyarrhythmias, conduction blocks, among others. If noted: o Administer ... Sodium Bicarbonate ARE NOT to be administered in the same IV line. ADDITIONAL CONSIDERATIONS OVERALL ERC CONSIDERATIONS: • Crush injuries can quickly develop into crush syndrome (hyperkalemia, hypocalcemia, rhabdomyolysis due to muscle necrosis leading to acute tubular necrosis
- p. 2Communication and Documentation ......................................................................................... 6 Massive Hemorrhage ................................................................................................................. 7 Airway ....................................................................................................................................... 9 Respiration and Ventilation ...................................................................................................... 11 Circulation and Resuscitation (including Crush Injuries)............................................................ 14 Hypothermia ........................................................................................................................... 18 Head Injury ............................................................................................................................. 19 Pain Management (Analgesia and Sedation) ............................................................................. 24 Antibiotics and Other Medications ........................................................................................... 28 Wounds
- p. 16Back to Table of Contents Circulation and Resuscitation (including Crush Injuries) ERC ROLE-BASED GUIDELINES FOR CIRCULATION AND RESUSCITATION
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- p. 51chemical, thermal, radiation) including inhalation injury (F,F) • Chemicals in the eye and on the skin (S,S) • Crush/compartment syndrome (S,S) • High-pressure injection injury (S,S) • Wounds (avulsion, bite, laceration, puncture, incision) (F,F) • Burns (electrical ... chemical, thermal, radiation) including inhalation injury (F,F) • Chemicals in the eye and on the skin (S,S) • Crush/compartment syndrome (F,S) • High-pressure injection injury (S,S) • Wounds (avulsion, bite, laceration, puncture, incision) (C,C) • Burns (electrical
- p. 5decision is made to reduce the tourniquet, resuscitation should address hyperkalemia and reperfusion syndrome, similar to crush injuries. See PFC Clinical Practice Guideline (CPG) Crush Syndrome under Prolonged Field Care.23 WOUND PACKING NOTES If bleeding continues through
- p. 15S445–S452. 23. Walters T, Powell D, Penny A, et al. Joint Trauma System Clinical Practice Guideline: Crush Syndrome under Prolonged Field Care (CPG ID: 58). 28 December 2016. http://jts.amedd.army.mil/assets/docs/cpgs/Prolonged_Field_Care_CPGs/Crush_Syndrome_Management_ PFC_28_Dec_2016_ID39.pdf 24. Joint Trauma System Clinical
- IFRC — International First Aid, Resuscitation and Education Guidelines 2020IFRC — Global First Aid Reference Centre
- p. 228damage to their spine. Introduction Spinal injuries can be caused by falling or diving from a height, being crushed by machinery or a heavy object, or being involved in road traffic collisions or sporting accidents. Spinal injuries
- p. 195warm. Chain of survival behaviours Prevent and prepare • In workplaces where there is a high risk of falls, crush injuries or explosion risks, such as construction and mining, include training on this topic and provision of appropriate first
- CIO — Consensus sur les épreuves sportives par forte chaleur (Racinais et al., 2023)CIO · British Journal of Sports Medicine
- p. 3event, during and postevent), in a different format (eg, cold water immersion (CWI), ice-towels, ice-socks, crushed ice and ice cubes) and by different stakeholders (eg, sports teams, athletes, officials and medical personnel). It is therefore important
- Agressions collectives par armes de guerre — conduites à tenirMinistères de l'Intérieur, des Armées et de la Santé
- p. 50énergie avec une zone qui constitue la cavité résiduelle, ou cavité permanente, dans laquelle les tissus sont broyés (crushing) et une zone dite de cavité temporaire dans laquelle les tissus sont étirés (stretching) avant de reprendre leur place
- p. 56tertiaires, conséquence de la projection du corps et de sa chute ou de lésions d’ensevelissement (fractures, contusions, crush…) ; §§§ les lésions quaternaires, liées aux autres conséquences de l’explosion : brû- lures thermiques ou chimiques, inhalations, asphyxie et même
- p. 317elle est de plus de deux heures. La compression prolongée des muscles des membres est aussi appelée « crush syndrome » ou « syndrome des ensevelis ». Causes Les compressions de membres se rencontrent lors de situations accidentelles telles que : • les accidents
- p. 14casualties, fasciotomies on burned extremities may be required for those with: • delayed revascularization. • hemorrhage requiring massive resuscitation. • fractures, crush, or blast injuries. Following escharotomy or fasciotomy, late bleeding may occur as circulation is restored. Examine the surgical site
- p. 13limited to, wounds contaminated with dirt, feces, soil, and saliva; puncture wounds; avulsions; and wounds resulting from missiles, crushing, burns, and frostbite. † DTaP is recommended for children aged <7 years. Tdap is preferred to Td for persons aged
- p. 2wound that may involve penetrating fragments, extensive tissue damage or loss, and massive contamination with dirt and debris. Crush injury: A wound caused by blunt trauma and may include injury to skin, muscle, or bone
- p. 7among many others. Clamping bleeding vessels provides a temporary hemostatic maneuver. When applying a clamp, try to avoid crushing the surrounding tissues. The bleeding vessel can then be ligated and tied off. Clamps can be left
- p. 18plastic medical equipment can be sterilized using formaldehyde. Wrap a 5mg tablet of formaldehyde in gauze and crush the tablet. Place the gauze-wrapped tablet in 100mL of potable water (can be cold water). This solution
- p. 23function associated with treatment Implement definitive care when possible Types of Wounds Abrasion Burn Puncture Laceration Gunshot Blast Crush injury Telemedicine Large or complex wounds Associated injury to bone, blood vessel, tendon, nerve Penetrating chest or abdominal wound
- p. 9This requires prior coordination and setup and is a non-standard equipment load. Use of thermal heat packs (crush packs, Ready Heat 1 Panel Blanket, MRE heater, even Foley bag in extremis) or body heat for fluid
- p. 12failure • IM dose variable and delayed Percocet Background pain Contains oxycodone (5mg) AND acetaminophen (325mg) PO/enteral (may be crushed): 1–2 tabs every 4–6 hours. • DO NOT exceed 4,000mg total acetaminophen per day. • Respiratory/cardiac/mental status depression