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

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

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

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

Trauma Surgery1/13/13 – 1/19/13

Keri QuinnJustin BrownAmy HouckValerie PlantGraham Wilson

Page 2: Trauma Surgery 1/13/13 – 1/19/13 Keri Quinn Justin Brown Amy Houck Valerie Plant Graham Wilson.

ATTD

RES

DATE PATIENT INDICATION PROCEDURE

Aboutanos/Long

1/13 Devitalized muscle, necrotic tissue s/p fasciotomy

Wound debridement

Ferrada / Ojo

1/13 MVC, intra abdominal bleeding

SMV repair, splenectomy, abthera vac placement

Whelan/ Quinn

1/14 Open abdomen Removal of abthera vac, Abdominal exploration, closure of abdomen

Goldberg/ Rashid

1/15 Stab to LUQ, left arm, left chest

Diagnostic laparoscopy

Goldberg/ Quinn

1/15 Recurrent abdominal wall fluid collection s/p blunt trauma

Evacuation of fluid collection, excision of capsule

Page 3: Trauma Surgery 1/13/13 – 1/19/13 Keri Quinn Justin Brown Amy Houck Valerie Plant Graham Wilson.

ATTD

RES

DATE

PATIENT INDICATION PROCEDURE

Whelan/ Brown

1/15 Abdominal compartment syndrome

Reopening laparotomy, evacuation of fluid, placement of abthera vac

Whelan/ Houck

1/16 Granulated abdominal wound

Split thickness skin graft

Goldberg/ Plant

1/17 Ventilator dependent

Tracheostomy

Goldberg/ Quinn

1/17 GSW right arm, left leg, right abdomen

Exploratory laparotomy, exploration of GSW’s

Whelan/ Rashid

1/18 MVC, Hemothorax Thoracotomy, control intercostal bleeding

Page 4: Trauma Surgery 1/13/13 – 1/19/13 Keri Quinn Justin Brown Amy Houck Valerie Plant Graham Wilson.

ComplicationsATTD

RES

DATE PATIENT DX/PROCEDURE COMPLICATION

Whelan/ Ferrada/ Quinn/ Ojo

1/15 Abdominal compartment syndrome

Reopen laparotomy, evacuation of ascites fluid, abthera vac placement

Hogan/ Espino Whelan/ Quinn

1/15 Rib fractures, Respiratory failure

Transfer back to ICU for pulmonary toilet

Duane/ Hogan/ Gebre-Giorgis/Long/ Espino

1/8 GLF, Rib fractures, bronchoscopy, tracheostomy

Transfer back to ICU, pulmonary toilet, intubation

Duane/ Whelan/ Gebre-Giorgis/ Quinn

1/16 GSW C spine, quadriplegia

UTI

Whelan/ Quinn 1/15 MVC, C spine tenderness

Readmission

Page 5: Trauma Surgery 1/13/13 – 1/19/13 Keri Quinn Justin Brown Amy Houck Valerie Plant Graham Wilson.

ATTD

RES

DATE PATIENT DX/PROCEDURE COMPLICATION

Whelan/ Rashid/ Quinn

1/12 GSW 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

1/03 MVC, ruptured spleen, pelvic hematoma, severe head trauma

Death