atls versjon 10 -hva er nytt- -...
TRANSCRIPT
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ATLS versjon 10 -Hva er nytt-
Jørgen Joakim Jørgensen ATLS Norge og ATLS Europa
Avdeling for traumatologi, Karavdelingen Oslo Universitetssykehus
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“begynnelsen”
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“begynnelsen”
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ATLS EUROPE
1. UK (1988) 2. Israel (1990) 3. Ireland (1991) 4. South Africa (1992) 5. Greece (1993) 6. Italy (1994) 7. Netherlands (1995) 8. Sweden (1996) 9. Switzerland (1998) 10. Denmark (1998) 11. Portugal (1999) 12. Spain (2000) 13. Germany (2003) 14. Norway (2004) 15. Lithuania (2004) 16. Hungary (2005) 17. France (2010) 18. Slovenia (2010) 19. Czech Republic (2012) 20. Cyprus (2013) 21. Georgia (2013) 22. Estonia (2015) 23. Kenya (2016) 24. Moldova (2017) 25. Ghana (2017)
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Opp gjennom årene
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...Ietsystem
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Planlagt mars 2017 Kommer primo 2018
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Forberedelser • iBook, eBook, Printet manual (desember 2017) • Alt tilgjengelig online • mLearning (mai 2018)
– Hybrid kurs på 1,5 dager – 13 kapitler med 5-6 leksjoner
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Forberedelser • iBook, eBook, Printet manual (desember 2017) • Alt tilgjengelig online • mLearning (mai 2018)
– Hybrid kurs på 1,5 dager – 13 kapitler med 5-6 leksjoner
Innhold • Kompendium – mindre forandringer • NICE Major Trauma Guidelines 2016
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Initial Assessment
• 1 liter væske, forsiktig
• Massiv transfusjonsprotokoll
• Cyklokapron
• Koagulopati
• CCSR
• Traumeteam
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Airway and Ventilation
• RSI endret til Drug Assisted Intubation
• Videolaryngoskopi
• Traumeteam
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Shock
• Utvidet sjokklassifikasjon – BE
• Tidlig bruk av blodprodukter
• Fokus på koagulopati
• Massiv transfusjon definisjon – >10SAG/24t eller 4SAG/1t
• Cyklokapron
• Traumeteam
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Class I! Class II (mild)!
Class III (moderate)!
Class IV (severe)!
Approximate blood loss' < 15 % ' 15–30%' 31–40%' > 40%'
Heart rate '/ ' ' / '
Blood pressure' / ' '
Pulse pressure' ' ' '
Respiratory rate' / ' '
Urine Output'' '
GCS'' '
Base deficita' 0 to –2 mEq/L'
–2 to –6 mEq/L'
–6 to –10 mEq/L'
–10 mEq/L or more'
Need for Blood Products'
Monitor' Possible' Yes' MTP '
/
/
/
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ANTICOAGULANT TREATMENT COMMENTS Antiplatelets (e.g. asiprin, plavix)
Platelets May need to repeat; consider DDAVP deamino-delta-d-arginine vasopressin (Desmopressin acetate)
Coumadin (warfarin) FFP, Vitamin K Normalize INR; avoid fluid overload in elderly patients and patients who sustained cardiac injury
Heparin Protamin sulfate Monitor PTT
Low molecular weight heparin e.g. lovenox (enoxaparin)
Protamine sulfate N/A
Direct thrombin inhibitors Pradaxa (dabigatran etexilate)
Praxbind (idarucizumab) May benfit from (PCC) prothrombin complex concentrate (e.g. K cenetra)
Rivaroxaban Xarelto (ribaroxaban)
N/A May benefit from PCC
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Thoracic Trauma
• Trykkpneumothorax – SV vs IPPV
• Livstruende: – Flail ut og tracheobronchial in
• 5ic for nåldekompresjon
• Åpen thoracostomi
• Algoritme for sirkulasjonsstans – Clamshell
• 28-32F dren (ikke 36-40F)
• Aortaruptur med Betablokker
• Traumeteam
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Abdominal and Pelvic Trauma
• Ikke palpere prostata for uretra skade
• Oppdatert protokoll for blødende bekkenskader
• Traumeteam
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Head Trauma
• GCS endret – ”pressure, sound, NT”
• Guide for SBT mål – >100mmHg (50-69) – >110mmHg (15-49 eller over 70)
• Klassifikasjon – ”mild” hodeskade
• Profylakse kramper
• Traumeteam
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Spine and Spinal Cord Trauma
• Nytt myotom diagram – ASIA
• ”Redusere spinal bevegelse”
• CCSR
• Traumeteam
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Musculoskeletal Trauma
• Vektbasert antibiotika regime
• Bilaterale femurfrakturer
• Traumeteam
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Thermal injuries
• Voksen: 2ml/kg x vekt x % brannskade
• Barn: 3ml/kg x vekt x % brannskade
• Væskeresussitering relatert til urinproduksjon
• Traumetema
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Paediatric Trauma
• DOPE mnemonic – Påminner
• Nåldekompresjon forblir i 2 IC rom
• Begrense krystalloider – Maks bolus x 2
• Traumeteam
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Geriatric Trauma
• Mortalitet/Morbiditet – KOLS – IHS – DM – Cirrhose – Koagulopati
• Bekkenskade – 4 x mortalitet – Økt LOS – Transfusjoner
• Traumeteam
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Trauma in Pregnancy and Intimate Partner Violence
• Fostervannslekkasje: Vaginal pH>4,5
• Traumeteam
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Transfere to Definitive Care
• Unngå CT ved primær sykehus
• ABC-SBAR som kommunikasjon
• Traumeteam
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ATLS and Trauma Team Resource Management
• Nytt kapittel
• Valgfritt
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Kurset: • Timeplan: relativt uforandret
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Kurset: • Timeplan: relativt uforandret • Interaktive diskusjoner og IKKE FORELESNINGER
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1 Initial Assessment and Management !"#$%&'()*+#&
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1 Initial Assessment and Management
5 of 22
1Discussion Questions: 1.! How would you prepare for the arrival
of this patient?
2.! What other information would be helpful to know in order to prepare?
3.! From the history, what are the potential injuries this patient may have suffered?
Initial Assessment and Management
5 of 22
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Kurset: • Timeplan: relativt uforandret • Interaktive diskusjoner og IKKE FORELESNINGER • Skills stations – stor forandring (8 stasjoner, 60 min)
– Scenariebasert – A-I: Basic and Advanced Airway Management – A-II: Pediatric Airway and Cricothyrotomy – B: Breathing – C: Circulation – D: Disability – E: Adjuncts – F. Secondary Survey – G: Initial Assessment and Team Training
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Kurset: • Timeplan: relativt uforandret • Interaktive diskusjoner og IKKE FORELESNINGER • Skills stations – stor forandring (8 stasjoner, 60 min)
– Scenariebasert – A-I: Basic and Advanced Airway Management – A-II: Pediatric Airway and Cricothyrotomy – B: Breathing – C: Circulation – D: Disability – E: Adjuncts – F. Secondary Survey – G: Initial Assessment and Team Training
• Eksamen og triage: Uforandret
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Forandres ikke • Prinsipper og prioriteringer • Mest av innhold • Triage • Initial assessment og MCQ For deltagerne • Må være forberedt. Ingen forelesninger
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D><E:),)77:8-,'D><E:),)77:8-,
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ATLS NORGE INVITERER TIL
UPDATE 2017
BERGEN
1 4 . N O V E M B E R 2 0 1 7
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Preliminært program
09.00-09.30: Registrering
09.30-09.45: Velkommen – Slåke/Jørgensen
09.45-10.00: Versjon 10, hva er nytt? - Jørgensen
10.00-10.30: Demo diskusjon – Jørgensen/Eriksson
10.30-10.45: ”5 step model” skill teaching - Eriksson
10.45-11.00: Pause
11.00-12.20: Rotasjon skills grupper (20 minutter A, B, C, D) – Eriksson/kursledere
12.20-13.00: Plenumsdiskujon og veien videre - Jørgensen
13.00-14.00: Lunsj
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