Polytrauma management

Pitfalls in the trauma case management:

intubation 

hemorrhagic shock

thoraco-abdominal penetrating injuries

pelvic circumferential fractures

posterior dislocation of the hip

retro-orbital hematoma

older patients

Be careful to avoid common cognitive errors,  premature diagnosis, over-reliance upon early negative results, attributing abnormal findings to benign causes, early grading injury severity based on signs in young healthy adults, distractions due to focus on main/obvious injuries and on performing a critical procedure. Also consider lot of potential communications error, lack of situational awareness & errors in staffing or workload distribution.

PS do not forget analgesia & sedation!

infographic based on the talk given by Sharon Einav, Shaare Zedek Medical Center, Hebrew University Faculty of Medicine, Jerusalem, Israel during the Trauma & surgery session  of the EDIC I Refresher Course at LIVES2019

graphics by M Velia Antonini @FOAMecmo