New Wheels Session 3

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New Wheels Session 3 by Mind Map: New Wheels Session 3

1. step 11

1.1. Review and evaluate

1.2. Group members

1.3. Chairman

1.4. Scribe

1.5. Tutor

1.6. Material

1.7. 10 minutes

2. Step 9

2.1. Review session 3

2.2. visualize the data and theory

2.3. 20 minutes

3. Step 10

3.1. Management (for the individual)

3.1.1. shock

3.1.1.1. a trauma team

3.1.1.2. supine position

3.1.1.3. O2 (may cause hyper ventilation), fluid (2 liters, more may cause hyper perfussion)) or blood transfusion, kolloids, fibrinogens

3.1.1.3.1. history and general apperance, vital signs and hematochrit 40 to 45)

3.1.1.4. vasopressors (dopamine) for compensation of blood loss to internal organs

3.1.1.5. check if there is internal bleeding (compartment syndrome)

3.1.1.6. asses the mental status, bp and urine output

3.1.1.7. angiography

3.1.2. pain management

3.1.2.1. morphine while controlling the bp or other opioids

3.1.2.1.1. IV fentanyl

3.1.2.2. NSAIDs (acetamenophen) for mild pain

3.1.2.3. traction and splenting

3.1.3. thigh injury

3.1.3.1. radiography for the thigh, hip and knee with immoblization (anatomical position)

3.1.3.2. prophylactic antibiotics to reduce having an infection

3.1.3.3. traction and splenting

3.1.3.3.1. reducing further injuries and pain

3.1.3.4. restoration of broken fragments

3.1.3.5. antegrade (common and easy to perform) or retrograde (for obese or pregnants and has less chance of infections) intramedullary nailing after stabelizing the patient (2-12 hrs)

3.1.3.6. using the least appropriate invasive method

3.1.3.7. there may legamentum injury in the epsilatersl knee or hip joints

3.1.3.8. check if there is pain in other sites after thigh surgery

3.1.3.9. 3-6 months for healing, after that doing muscle rehab and it differs based on patients and the fracture

3.1.3.10. malunion, unuonion, delayed union

3.1.4. late management

3.1.4.1. rehabilitation

3.1.4.2. follow ups

3.1.4.2.1. x-rays

3.1.4.2.2. pain management

3.1.4.2.3. psychological and social treatment

3.1.4.3. education and awareness

3.1.4.4. calcium intake and vitD

3.1.4.5. safe driving and life

3.2. Prevention (for the population)

3.2.1. education and awareness based on clutures and values

3.2.2. avoiding heavy works in suseptible people (menopause)

3.2.3. safety awareness

3.2.4. driving regulations

3.2.5. blood transfusion to avoid shock

3.2.6. lifestiles and nutrition

3.3. 60 minutes