Trauma CBL - December 7, 2017
A bomb explosion occurs at the Peoria Marathon. The explosion affected about a 1.5 mile radius. Ambulances are starting to arrive with some of the survivors.
Your first patient is a 56 year old male with no PMH and complains of bilateral ear pain, chest pain and shortness of breath. His vitals: BP 135/63, HR 90, R 20, sats 97% on NRB. EMS reports his LLE has been badly crushed. After putting him on the monitor, you notice that his vital signs are decompensating and he is having increased respiratory distress. Suddenly he becomes apneic.
Your first patient is a 56 year old male with no PMH and complains of bilateral ear pain, chest pain and shortness of breath. His vitals: BP 135/63, HR 90, R 20, sats 97% on NRB. EMS reports his LLE has been badly crushed. After putting him on the monitor, you notice that his vital signs are decompensating and he is having increased respiratory distress. Suddenly he becomes apneic.
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PGY - 1
1. What are different categories of blast injuries (and give examples of each)? 2. What are the signs and symptoms of Blast Lung Syndrome? 3. What radiographic findings correlate with Blast Lung Injury? 4. How do you manage Blast Lung Injury? |
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PGY - 2
1. What is one potential major complication of blunt extremity injury? 2. What kind of laboratory derangements will you see in this condition? 3. How do you manage it? |
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PGY - 3
1. What are the different kinds of blast patterns? 2. What kind of mortality pattern is associated with blast injuries? 3. Which kind of blast is associated with the most morbidity and mortality? 4. Why is this relevant? |