A patient with blunt trauma presents to the trauma bay holding a large kitchen knife. The patient is alert and oriented. Knife is removed and patient is taken to the operating room for a thoracotomy.
Checkout this video:
The Mechanism of Injury
Blunt trauma is a type of trauma caused by an impact or collision with a blunt object. It can cause internal bleeding and damage to organs. A patient with blunt trauma may be in shock and may need surgery.
The mechanism of injury is the initial event that causes the patient’s injuries.
There are many different types of mechanism of injury, but the most common mechanisms are blunt trauma, penetrating trauma, and burn injury.
Blunt trauma is when the patient is hit with a blunt object, or when the patient falls and hits a hard surface. This can cause bruises, broken bones, or internal bleeding.
Penetrating trauma is when the patient is pierced by a sharp object, such as a knife or bullet. This can cause bleeding, organ damage, or infection.
Burn injury is when the patient’s skin is damaged by heat, chemicals, or electricity. This can cause pain, scarring, and infections.
The mechanism of injury can be classified as either blunt or penetrating.
The mechanism of injury can be classified as either blunt or penetrating. Blunt trauma is caused by an object striking the body with enough force to break through the skin or to crush, bruise, or tear internal tissues and organs. Common blunt trauma injuries include contusions (bruises), abrasions (shallow wounds in which the top layer of skin is scraped off), and lacerations (cuts).
Penetrating trauma occurs when an object pierces the skin and enters the body. Common penetrating injuries include stab wounds and gunshot wounds.
The Patient With Blunt Trauma
A patient with blunt trauma who is holding is a medical term used to describe a person who has been injured in an accident and is being treated for their injuries. The term is usually used in the hospital setting, but can also be used in other medical settings such as an ambulance or doctor’s office.
The patient with blunt trauma is typically unconscious at the time of arrival to the emergency department.
The patient with blunt trauma is typically unresponsive and requires immediate resuscitative efforts. Life-threatening injuries can occur from blunt trauma, and it is imperative that emergency medical services (EMS) personnel stabilize the patient en route to the hospital. Once the patient arrives at the emergency department, a team of medical professionals will work to further stabilize the patient and assess for any life-threatening injuries.
The patient with blunt trauma may have a Glasgow Coma Scale score of 3 or less.
The patient with blunt trauma may have a Glasgow Coma Scale score of 3 or less, which indicates the need for immediate airway intervention. In some cases, a tracheostomy may be required. ventilation and oxygenation are of paramount importance in these patients.
The Patient Who Is Holding
The patient who is holding is usually a difficult patient to manage. The main reason for this is that the patient is often in a lot of pain and is unwilling to move. This can make it difficult to assess the patient and to provide treatment. Another reason why the patient who is holding is a difficult patient to manage is that they often have a lot of questions and are very anxious about their condition.
The patient who is holding is a term used to describe a patient who arrives to the emergency department and refuses to be examined.
The patient who is holding is a term used to describe a patient who arrives to the emergency department and refuses to be examined. This often happens when the patient has been involved in a fight or altercation and does not want to be seen by police or medical personnel. The patient may also be holding if they have been the victim of a crime and do not want to be identified. In some cases, the patient may be intoxicated and is not able to give consent for medical care. Regardless of the reason, the patient who is holding presents a unique challenge for emergency department staff.
It is important to remember that the medical needs of the patient always come first, even if the patient is uncooperative. Every effort should be made to assess and treat the patient using whatever information is available. If necessary, security or law enforcement should be called to assist in safely examining the patient. In some cases, it may be necessary to physically restrain the patient in order to provide care. However, this should only be done as a last resort and only when it is clear that there is an immediate threat to the safety of the staff or other patients.
The patient who is holding is often combative and may be intoxicated.
The patient who is holding is often combative and may be intoxicated. This prevents emergency medical personnel from properly assessing and treating the patient. The patient may also have underlying medical conditions that are exacerbated by the trauma.
Management of the Patient With Blunt Trauma
The patient with blunt trauma who is holding is a unique and challenging patient to manage. There are a few different ways to approach this patient population, but it is important to remember that each patient is unique and will require a different approach. In this section, we will discuss the management of the patient with blunt trauma who is holding.
The management of the patient with blunt trauma begins with the ABCs: airway, breathing, and circulation.
In the trauma patient, the focus of resuscitation is to identify and correct any life-threatening injuries. This begins with theprimary survey, also known as the ABCs: airway, breathing, and circulation.
The airway must be assessed and cleared if necessary. The patient may require intubation for airway protection or to facilitate ventilation. If the patient is able to maintain their own airway, they may be placed in a semi-Fowler’s position to help prevent aspirating vomitus or blood.
Next, assess breathing. Check for rise and fall of the chest, look for symmetric chest rise, and auscultate for breath sounds. If the patient is not breathing adequately, they will require positive-pressure ventilation via bag-mask or intubation.
Once the airway and breathing have been addressed, evaluate circulation. Check for a pulse on both sides of the neck and document rate and character. Look for signs of external hemorrhage and control any bleeding with direct pressure or tourniquets if necessary. If there are no signs of external hemorrhage, move on to assess neurologic status.
The patient with blunt trauma should be placed in a supine position.
The patient with blunt trauma should be placed in a supine position with the head and shoulders slightly elevated. This position will help to prevent further injury to the spine and brain. The patient should be immobilized with a neck collar and backboard if possible. If the patient is pregnant, extra care should be taken to immobilize the pelvis and abdomen to avoid further injury to the fetus.
The computed tomography (CT) scan of the abdomen and pelvis showed evidence of a hepatic laceration and a splenic laceration. The spleen was intact and there was no evidence of extravasation of contrast material. There was also no evidence of intra-abdominal free air.
The patient with blunt trauma who is holding is a challenging patient to manage.
The patient with blunt trauma who is holding is a challenging patient to manage. In this population, there is a wide range of potential injuries, and the treating physician must have a high index of suspicion for occult injuries. The majority of patients with blunt trauma can be managed conservatively with pain control and close observation. However, some patients will require more aggressive management, including operative intervention.
The management of the patient with blunt trauma begins with the ABCs and should be performed in a supine position.
The management of the patient with blunt trauma begins with the ABCs and should be performed in a supine position. The primary survey includes an assessment of the airway, breathing, and circulation. After control of any life-threatening problems has been achieved, a secondary survey is then performed. The secondary survey is a more comprehensive exam that is focused on identifying all injuries. Once all injuries have been identified, a treatment plan can be formulated.