Trauma Surgery 1/13/13 – 1/19/13 Keri Quinn Justin Brown Amy Houck Valerie Plant Graham Wilson.

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Presentation transcript:

Trauma Surgery 1/13/13 – 1/19/13 Keri Quinn Justin Brown Amy Houck Valerie Plant Graham Wilson

ATTD RES DATE PATIENTINDICATIONPROCEDURE Aboutanos/ Long 1/13Devitalized muscle, necrotic tissue s/p fasciotomy Wound debridement Ferrada / Ojo 1/13MVC, intra abdominal bleeding SMV repair, splenectomy, abthera vac placement Whelan/ Quinn 1/14Open abdomenRemoval of abthera vac, Abdominal exploration, closure of abdomen Goldberg/ Rashid 1/15Stab to LUQ, left arm, left chest Diagnostic laparoscopy Goldberg/ Quinn 1/15Recurrent abdominal wall fluid collection s/p blunt trauma Evacuation of fluid collection, excision of capsule

ATTD RES DATEPATIENTINDICATIONPROCEDURE Whelan/ Brown 1/15Abdominal compartment syndrome Reopening laparotomy, evacuation of fluid, placement of abthera vac Whelan/ Houck 1/16Granulated abdominal wound Split thickness skin graft Goldberg/ Plant 1/17Ventilator dependent Tracheostomy Goldberg/ Quinn 1/17GSW right arm, left leg, right abdomen Exploratory laparotomy, exploration of GSW’s Whelan/ Rashid 1/18MVC, HemothoraxThoracotomy, control intercostal bleeding

Complications ATTD RES DATEPATIENTDX/PROCEDURECOMPLICATION Whelan/ Ferrada/ Quinn/ Ojo 1/15Abdominal compartment syndrome Reopen laparotomy, evacuation of ascites fluid, abthera vac placement Hogan/ Espino Whelan/ Quinn 1/15Rib fractures, Respiratory failure Transfer back to ICU for pulmonary toilet Duane/ Hogan/ Gebre- Giorgis/Long/ Espino 1/8GLF, Rib fractures, bronchoscopy, tracheostomy Transfer back to ICU, pulmonary toilet, intubation Duane/ Whelan/ Gebre-Giorgis/ Quinn 1/16GSW C spine, quadriplegia UTI Whelan/ Quinn1/15MVC, C spine tenderness Readmission

ATTD RES DATE PATIENT DX/PROCEDURECOMPLICATION Whelan/ Rashid/ Quinn 1/12GSW abdomen, bowel resection, colostomy Wound infection Lou/ Ferrada/ Whelan Long/ Quinn 12/24 1/02 1/14 GSW abdomen, splenectomy,partial colectomy, colostomy Intra abdominal abscess Anand/ Rashid 1/03MVC, ruptured spleen, pelvic hematoma, severe head trauma Death