stab wounds pdf
TRANSCRIPT
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AN APPROACH TO STAB WOUNDS
DR Y MAHOMED
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MOST STABS ARE NOT SERIOUS , BUT MUST BE TAKEN SERIOUSLY
• WE WILL TRY TO COVER A BASIC APPROACH TO STABS
• HOW TO DEAL WITH A STAB WOUND
• WHEN TO BE WORRIED
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A STAB IS LIKE ANY WOUND
• WOUNDS MUST BE KEPT CLEAN
• WOUNDS MUST BE DERIDED
• WOUNDS MUST BE FULLY ASSESSED
• WOUNDS MUST BE CLOSED PROPERLY
• A CLOSED, CLEAN WOUND IS A HAPPY WOUND
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WHAT STEPS DO WE FOLLOW?
• EXPOSE THE WOUND
• CLEAN THE WOUND AND SURROUNDING AREA
• DRAPE THE WOUND
• STERILE EQUIPMENT IS VERY IMPORTANT
• GIVE LOCAL ANAESTHETIC
• DEBRIDE IF NECESSARY
• CLOSE WITH SUTURES,STAPLES OR TAPE
• DRESS THE WOUND WITH ANTISEPTIC
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WE CAN USE THE MNEMONIC LACERATE
• L-LOOK AT THE WOUND
• A-ANAESTHETIC
• C-CLEAN THE WOUND
• E-EQUIPMENT(SET-UP)
• R-REPAIR WOUND
• A-ASSESS THE RESULTS
• T-TETANUS IMMUNIZATION
• E-EDUCATE ABOUT WOUND CARE
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CUTE BABY TO MAKE US FORGET THE UGLY WOUND
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SUTURES
• WE HAVE ABSORBABLE AND NON-ABSORBABLE
• BOTH CAN BE USED
• NON-ABSORBABLE LEAVES A BETTER SCAR
• ABSORBABLE EASIER FOR CHILDREN, BECAUSE IT DOESN’T HAVE TO BE REMOVED
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INTERUPTED SUTURE
CONTINOUS SUTURE
STAPLES
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SUBCUTICULAR SUTURE STERI-STRIPS
WOUND GLUE SEPTIC SUTURE WOUND
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IF YOU HAVE A WEAK STOMACH PLEASE LOOK AWAY
THE NEXT SLIDE IS A BIT GRAPHIC
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SCALP STABS• THEY OFTEN BLEED ALOT • A SKULL XRAY SHOULD BE DONE
IF ITS DEEP • LUCKILY WE HAVE THICK SKULLS
SO IT’S DIFFICULT FOR A BLADE TO PENETRATE, BUT NOT IMPOSSIBLE
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NECK STAB WOUNDS
• THERE ARE 3 ZONES
• IF THE PLATYSMA IS VIOLATED THE SURGEONS MUST BE INVOLVED
• THESE PATIENTS CANT BE SUTURED AND SENT HOME
• WHY?
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THERES A LOT THAN CAN BE
DAMAGED!!MOST OF THESE STRUCTURES ARE
QUITE CLOSE TO THE SURFACE , DAMAGE TO THEM HAS
SERIOUS ,AND SOMETIMES FATAL ,CONSEQUENCES
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CHEST STAB WOUNDS
• POTENTIALLY VERY DANGEROUS
• MAY INJURE HEART, LUNGS, MAJOR VESSELS, LYMPHATICS
• MUST BE X-RAYED EVEN IF THEY SEEM NOT SO SERIOUS
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A PNEUMOTHORAXI.E A COLLAPSED LUNG DUE TO A STAB WOUND
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ABDOMINAL STABSPOTENTIAL FOR INJURY TO MANY STRUCTURES
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IF YOU HAVE A WEAK STOMACH PLEASE LOOK AWAY
THE NEXT SLIDE IS A BIT GRAPHIC
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PENETRATING WOUNDS
BOWEL EVISCERATION
BOWEL EVISCERATION
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FREE AIRTHIS IS UNDER THE DIAPHRAGM, A SIGN OF BOWEL INJURY
IT IS A MEDICAL EMERGENCY
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SOME OTHER AREAS OF
IMPORTANCEANTERIOR ASPECT OF THE BODY
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MAJOR VESSELS RUN
IN THESE AREAS
SOMETIMES THERE MAY BE SIGNIFICANT INJURY WITHOUT
MASSIVE BLEEDING
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OTHER AREAS OF
IMPORTANCEPOSTERIOR ASPECT
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THESE ARE OFTEN MISSED EVEN BY EXPERIENCED DOCTORS!!
• FROM TOP TO BOTTOM
• SPINAL COLUMN
• ABDOMEN, KIDNEYS, AORTA
• MAJOR NERVES AND VESSELS OF THE BUTTOCK
• POPLITEAL ARTERY BEHIND KNEE
• TENDONS OF THE HAND
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TAKE HOME MESSAGE• STABS ARE SERIOUS
• SEVERE INJURIES CAN BE MISSED
• ALL OF US CAN BE VIGILANT AND GUIDE ONE ANOTHER
• DONT BE AFRAID TO APPROACH COLLEAGUES IF YOU THINK SOMETHING HAS BEEN MISSED
• KEEP THINGS CLEAN
• TRY NOT TO STAB PEOPLE TOO OFTEN, CASUALTY IS ALREADY BUSY ENOUGH!!
• REMEMBER , LIFE IS BEAUTIFUL, DONT LET SOME OF THE HORRIBLE THINGS WE SEE MAKE YOU FORGET THAT
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THANK YOU