Vital Signs: Emergency Department

Vital Signs: Emergency Department

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The wannabe doctor's guide to Trauma
By 1
(INJURY CASES #1 AND #2 ONLY)
Have you ever wanted to pretend you're a trauma doc? Or have you memorized the ATLS algorithm by heart out of boredom? Or have you ever wanted to practice your orthopedics skills?

Well this is the guide for you! In this guide, I'll teach you how to succeed in Vital Signs' various trauma cases from injury cases #1 and #2.
   
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Welcome to Trauma (And Toxicology)
Broken bones, swollen ankles, high falls, gunshot wounds, and teens overdosing on medications.

Only two of these really need to go into a trauma bay, and one is more of an ICU problem, but this is the stuff you've signed up for in the Injury Packs!

Before we start, here's a ground rules and protocols that one must go over.
Trauma 101 (Or how to handle hard falls and gunshot wounds)
Welcome to the Trauma Room, Doctor! These patients are badly hurt and need your "expert" help. But before you can even touch these patients, you need to remember the ABCDEs of ATLS

A: Airway
Check for tracheal injuries, possible C-spine injuries, or whatever could compromise the airway.
B: Breathing
Check breath sounds for collapsed lungs. Increased and they're in shock, Decreased in one side or the other means they're having a pneumothorax/hemothroax and need a chest tube.
C: Circulation
Stabilize the BP with blood products, secure said bleeding, and hope the heart didn't get damaged none. That being said, you don't want to be the doctor who missed an traumatic dissection and had a patient bleed out infront of their eyes.
D: Disability
How mentally alert is the patient? If they're awake and oriented, they're stable, if they're unconscious or told by EMS of altered mental status, prepare to intubate if they haven't been already.
E: Exposure
Head-to-Toe Examination, Chest X-Ray if indicated, Pelvic X-Ray if indicated, Trauma labs (PT/INR, Type and Cross-Match Blood, check CBC, BMP, and liver panels. Lipase and Amalyse if you suspect pancreatic trauma.
s: other stuff
Trauma Consults, differential diagnoses, ancef, etc
Toxicology 101 (or how to deal with ingestions and overdoses)
You'd think for trauma cases you wouldn't be dealing with overdoses. But oh boy, you will!
1 Comments
HAN'NYA 23 May, 2024 @ 4:30pm 
Hey there. Your guide is awesome. Thank you for the instructions!