2018 Trauma University: Penetrating Trauma-Penetrating Trauma

Video Transcription

Video Summary

In this video, Dr. Britt Christmas, the Associate Medical Director of Trauma at Carolinas Medical Center in Charlotte, discusses penetrating trauma. She begins by expressing gratitude to the attendees and announces a schedule change in the session. Dr. Christmas explains that the number of penetrating trauma cases has been increasing, particularly in trauma centers. She discusses the importance of understanding the nature of penetrating trauma, such as high energy vs. low energy, ballistics of firearm entries, and resuscitation and diagnostic strategies. Dr. Christmas emphasizes the need to assess depth, number, and location of wounds, as well as the difference between stab wounds and slash wounds. She also mentions the use of compression, tourniquets, and sutures to control hemorrhage. The talk includes information on specific regions of the abdomen and approaches to different types of wounds, including local wound exploration and laparotomy. Bullet types, shotguns, and gunshot wound appearances are also discussed. The video concludes with information on the assessment of thoracic injuries, including tension pneumothorax, massive hemothorax, and cardiac tamponade. Finally, resuscitative thoracotomy and guidelines for treating penetrating trauma are mentioned.

Keywords

penetrating trauma

resuscitation strategies

hemorrhage control

abdominal injuries

thoracic injuries