X

Download Management of Penetrating Neck Trauma PowerPoint Presentation

SlidesFinder-Advertising-Design.jpg

Login   OR  Register
X


Iframe embed code :



Presentation url :

Home / Health & Wellness / Health & Wellness Presentations / Management of Penetrating Neck Trauma PowerPoint Presentation

Management of Penetrating Neck Trauma PowerPoint Presentation

Ppt Presentation Embed Code   Zoom Ppt Presentation

PowerPoint is the world's most popular presentation software which can let you create professional Management of Penetrating Neck Trauma powerpoint presentation easily and in no time. This helps you give your presentation on Management of Penetrating Neck Trauma in a conference, a school lecture, a business proposal, in a webinar and business and professional representations.

The uploader spent his/her valuable time to create this Management of Penetrating Neck Trauma powerpoint presentation slides, to share his/her useful content with the world. This ppt presentation uploaded by worldwideweb in Health & Wellness ppt presentation category is available for free download,and can be used according to your industries like finance, marketing, education, health and many more.

About This Presentation

Slide 1 - Management of Penetrating Neck Trauma Shashidhar S. Reddy, MD, MPH Shawn D. Newlands, MD, PhD
Slide 2 - Types of Weapons Low velocity – knives, ice picks, glass High velocity – handguns, shotguns, shrapnel K=1/2mv^2
Slide 3 - Guns <
Slide 4 - Ballistics
Slide 5 - Ballistics
Slide 6 - Ballistics
Slide 7 - Anatomy
Slide 8 - Anatomy Zone III Zone II Zone I
Slide 9 - Incision for Neck Exploration:
Slide 10 - Incisions for Neck Exploration:
Slide 11 - Incidence and Mortality
Slide 12 - Initial Management Airway Intubation vs. Surgical Airway Breathing Circulation IV access, Immediate Exploration Examination Determine weapon trajectory
Slide 13 - Signs of Injury: Vascular Shock, Profuse bleeding, Evolving stroke, Expanding hematoma, hemoptysis, hematemesis, unequal pulses, bruits or thrills
Slide 14 - Signs of Injury: Larynx/Trachea Subcutaneous emphysema, Hoarseness, Respiratory distress, Stridor Esophagus Neck pain, Blood in saliva, Fever, Odynophagia
Slide 15 - Management of the Stable Patient: Wound Penetrates Platysma? The Old Standard: Yes No Immediate Neck Exploration Observation/Discharge Laryngoscopy Esophagoscopy
Slide 16 - The Old Standard: Based on wartime experiences Fogelman et al (1956) showed that immediate neck exploration led to better outcomes in study group for vascular injuries. Led to rate of negative neck explorations in > 50% Arteriogram slowly began to gain acceptance as screening tool before exploration, especially for zone 1 and 3 injuries (hard to detect on physical).
Slide 17 - Arteriogram Zone 1 and Zone 3 vascular injuries are difficult to visualize by physical exam, making arteriogram useful in these patients. Flint et al (1973) reported absence of P.E. findings in 32% of pts. with major zone 1 vascular injury. Arteriogram can be accompanied by embolization.
Slide 18 - A Newer Algorithm Mansour et al 1991 retrospective study
Slide 19 - Newer Algorithm (Mansour) 63% of the study population was in the observation group. Entire study population had a mortality of 1.5%, similar to those in more rigorous treatment protocols. Similar results obtained in other large studies with similar protocols (e.g. Biffi et al 1997). Still uses the Arteriogram in asymptomatic patients with zone 1 injury.
Slide 20 - Points of Controversy: Most trauma surgeons accept observation of select patients similar to the Mansour algorithm. Study by Eddy et al questions the necessity for arteriogram / esophagoscopy in asymptomatic zone 1 injury (use of P.E. and CXR resulted in no false negatives). Other noninvasive modalities than arteriogram exist for screening patients for vascular injury.
Slide 21 - CT scan Can aid in identifying weapon trajectory and structures at risk. Should only be used in stable patients. Gracias et al (2001) found that use of CT scan in stable patients was able to save patients from arteriogram indicated by other protocols 50% of the time and avoid esophagoscopy in 90% of tested patients who might otherwise have undergone it.
Slide 22 - Duplex Ultrasonography Requires the presence of reliable technician and radiologist. A double blinded study by Ginsburg et al (1996) showed 100% true negative, 100% sensitivity in detecting arterial injury, using arteriography as the gold standard.
Slide 23 - Management of Vascular Injuries: Common carotid: repair preferred over ligation in almost all cases. Saphenous vein graft may be used. Shunting is rarely necessary. Thrombectomy may be necessary. Internal carotid: Shunting is usually necessary Vertebral: Angiographic embolization or proximal ligation can be used if the contralateral vertebral artery is intact. Internal Jugular: Repair vs. ligation.
Slide 24 - Esophageal Injury: Best detected by combination of esophagoscopy and esophagram in symptomatic patients. Injection of air or methylene blue in the mouth may aid in localizing injuries. Close wounds in watertight 2 layer fashion. Controlled fistula with T-tube or exteriorization of low non-repairable wounds Small pharyngeal lesions above arytenoids can be treated with NPO and observation 5-7 days All patients should be NPO for 5-7 days.
Slide 25 - Laryngeal/Tracheal Injury Thorough Direct Laryngoscopy for suspicious wounds Tracheotomy for suspected laryngeal injury
Slide 26 - Conclusions Mandatory neck exploration is no longer considered acceptable ABC’s Physical Exam is probably the most useful diagnostic tool. Intervention should be directed to sites of possible injury Non-invasive diagnostic modalities should be considered.
 

Frequently Asked Questions

> About SlidesFinder?

Slidesfinder is a website that allows users to upload and share their PowerPoint presentations online. It provides a platform for individuals and businesses to share their ideas and knowledge through presentations, and for others to view and download these presentations for educational or professional purposes.
Slidesfinder offers a wide range of presentation topics and categories, including business, education, science, technology, health, and more. Users can also search for presentations using keywords, tags, or by category. The website provides tools to create professional presentations with rich media, animations, and graphics.



One of the key features of Slidesfinder is its user-friendly interface, which allows users to easily upload, view, and share presentations. Users can also embed their presentations in their websites or blogs using the website's embed code feature.
Slidesfinder also offers premium services, such as the ability to create private presentations and to download presentations in high-quality formats. However, the basic features of Slidesfinder are free to use, making it accessible to anyone who wants to share their ideas and knowledge through presentations.

> How do I register with SlidesFinder?

Go to registration page (you can see signup link on top of website page) https://www.slidesfinder.com/signup . If you have facebook/gmail account them just click on SIGN IN WITH FACEBOOK OR SIGN IN WITH GOOGLE button, by this you will be a registered member of slidesfinder without filling any form, required detail automatically will be fatch from your account. If you do not a Facebook account, then click on "Signup". Fill all required fields and you will be a registered member of slidesfinder.

> Is slidesfinder account confirmation is mandatory?

Yes it is mandetory to active your account to login.

> Do I need to signup/login on SlidesFinder before uploading a PowerPoint presentation?

Yes, you need to login with your account before uploading presentation. Your username will be displayed on your uploaded presentation. Your registered email id is needed for sending your stats of uploaded presentation.

Slidesfinder is a sharing website for PowerPoint presentations search and share. Find your interest in the form of powerpoint presentations on slidesfinder and save your valuable time . On Slidesfinder you get presentations from our huge library of professional ppt presentations. We believe in making your search INFORMATIVE and FUN. Find your best ppt presentation from a pool of PowerPoint presentations stacked under important industry categories like business & management, heath & Wellness,eduction & training etc. We provide unique informative PowerPoint presentation for marketers, presenters and educationists. These professional PowerPoint presentations are uploaded by professionals from across numerous industry segments.These ppt presentations are available for FREE download.

Not just finding your interest, but facilitate you broadcast your interest. We have created this platform for easy sharing of PowerPoint presentations, ensuring that these presentations get maximum exposure. Create your slidesfinder account and upload PowerPoint presentations for free, share on social media platforms and BUILD YOUR CROWD WITH PRESENTATION !!

The Great Buddha says, "Share your knowledge.It’s a way to achieve immortality"! So, start sharing knowledge and we are here to make that immortal !!

© 2013-2022 SlidesFinder. All rights reserved.

Re-productivity of content are not allowed. Without prior written permission from author, commercial use of any content is illegal.