![]() ![]() Turay says he likes to bear in mind, "First control the bleeding, and then assess the rest. This is often the case even when a concomitant devastating neurological injury is present.ĭr. When caring for a patient who's experienced penetrating trauma, hemorrhage control, either externally by applying pressure or tourniquet, or surgical control is the next order of business after controlling the patient's air and ensuring adequate oxygen delivery. Mapping the path of the bullet or knife and, by inference, the injured organs, forms the basis for timing and type of intervention. When available, a focused assessment with sonography in trauma (FAST) scan is an invaluable adjunct. Paper clips at the puncture site aid in matching up possible organ involvement on plain films. The professional's eyes and imagination are key to penetrating trauma diagnosis, determining missile or penetrating object trajectory and intracavitary bleeding presence. He encourages trauma providers to sharpen IV access skills, remembering that the intraosseous route is equally effective and relatively easier to attain in patients with profound shock. Turay says that anxiety during IV insertion in high-stakes scenarios is normal. ![]() ![]() Mark wounds with paper clips prior to X-ray.ĭr.
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