Poornima Vanguri Amar Shah Dan Cabral Vinny Gopaul Justin Brown Dee Willis Trauma Surgery 11/24-11/29.

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Presentation transcript:

Poornima Vanguri Amar Shah Dan Cabral Vinny Gopaul Justin Brown Dee Willis Trauma Surgery 11/24-11/29

ATTD/RESDATEPATIENTINDICATIONPROCEDURE Whelan/Vanguri 11/25 Traumatic right inguinal hernia 2/2 MVC Repair of… Goldberg/Shah 11/25 Left arm laceration Exploration of… Goldberg/Brown 11/26GSW to abdomen Exploratory laparotomy, Repair of left diaphragmatic injury, Small bowel resection x 2, Debridement and repair of anterior gastrotomy, Repair of posterior gastrotomy, Repair of proximal gastrotomy, GE junction, Repair of transverse colotomy, Repair of proximal jejunal enterotomy, Placement of Abthera.

ATTD/RESDATEPATIENTINDICATIONPROCEDURE Goldberg/Brown 11/26MVC Exploratory laparotomy, Lysis of adhesions, Resection of ileocolonic anastomosis, Ileostomy, Kocherization of duodenum, Exploration of pancreas and lesser sac, Placement of ABThera device Aboutanos/Vang uri 11/27 Open abdomen Reopening of recent laparotomy, Small bowel anastomosis x 2 with removal of bullet, Resection of 4th portion of duodenum (former anastomosis site), Duodenojejunostomy, Repair of right diaphragm injury, Repair of liver laceration, Placement of right chest tube, Removal of right subcutaneous bullet, Partial omentectomy.

ATTD/RESDATEPATIENTINDICATIONPROCEDURE Aboutanos/Vang uri 11/27Open abdomen Reopening of recent laparotomy, small bowel resection and anastomosis, maturation of ileostomy Aboutanos/Vang uri 11/28MVC Ex lap, full thickness repair of bladder Aboutanos/Vang uri 11/28 Pneumatosis with hypotension Exploratory laparotomy Whelan/ Adams 11/28 Pedestrian Struck Exploratory laparotomy for trauma, Preperitoneal pelvic packing, Left thoracotomy, Pericardiotomy, Right thoracostomy tube, Abthera placement

ATTD/RESDATEPATIENTINDICATIONPROCEDURE Aboutanos/Wess on, Shah 11/29Open abdomen Planned exploratory laparotomy, Placement of retrograde duodenal drainage tube, Placement of antegrade feeding jejunostomy tube, Control and drainage of hepatic bile drain, Abdominal washout, Application of ABThera wound VAC. Aboutanos/ Wesson 11/20Moped Crash Ex lap, Splenectomy, Repair of colonic serosal tears, Evacuation of hemoperitoneum.

Death and Complications AttendingDATEPATIENTDx/PROCEDURECOMPLICATION Ferrada 11/25 Ped struck rib fx, L1 vert.body fx, Rt clavicle fx, bil pulm contusions, complex hip lac PE Jayaraman 11/27 Inhalation Injury and left foot burn Pneumonia, cardiac arrest, death Aboutanos 11/28 MVC with multiple rib fractures/Exploratory laparotomy Death