ISSN 2398-2942      

Trauma: overview

icanis
Contributor(s):

Elisa Mazzaferro


Cardiovascular system

Emergency

Aim

  • Arrest hemorrhage and restore blood pressure to maintain adequate vital tissue perfusion.

Procedure

  • Control external hemorrhage - ligation or compression bandage to all exposed bleeding tissue.
  • Warmth, restrict movement.
  • Analgesia - but avoid respiratory depressants.
    An animal with chest pain (eg fractured ribs) will ventilate better with analgesia.
  • Restore fluid pressure with (shock doses) intravenous fluids Fluid therapy :
    • Blood - crossmatched if possible Blood: transfusion.
    • Plasma.
    • Plasma expanders.
    • Electrolyte solutions.
  • Consider need for emergency surgery if continued evidence of blood loss.
  • Assess:

Follow-up

  • Monitoring as above.
  • Check blood supply to traumatized areas:
    • Edema.
    • Pulse.
    • Warmth.
    • Local capillary refil time (CRT).
    • Pressure bandage - check not restricting venous return.
  • Maintain fluid balance IV or PO as necessary.
Follow the diagnostic tree for Vehicular trauma.

Respiratory system

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Surface wounds

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Musculo-skeletal system

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Neurological system

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Abdominal systems

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Further Reading

Publications

Refereed papers

Other sources of information

  • Rozanski E (2003) Approach to the trauma patient. A Bridge to the Future Veterinary Conference. 

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