clamp c pelvis
TRANSCRIPT
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EMERGENCIA
FRACTURAS DE PELVISINESTABILIDAD ANILLO PELVICO
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Lesiones alta liberación energía
MORTALIDAD >30%
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The Killing Fracture
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• Plexo venoso sacro
• Lesión a vasos de gran calibre
Hemorragia
retroperitoneal
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Complicaciones y Mortalidad• F.R. mortalidad: Edad, Severidad
lesion, Lesion asociada visceras o cabeza, Hipotension, Coagulapatia, Sangrado, Fracturas inestables o abiertas
• MORTALIDAD TEMPRANA: Hemorragia y TCE cerrado
• MORTALIDAD TARDIA: Sepsis y FMO
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ABC
CAB
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VALORACIÓN URGENTE
politrauma sospecha fractura de pelvis hasta demostrar lo contrario
alta incidencia de trauma intra-abdominal combinado
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¡SITUACIÓN CRÍTICA!
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¡PANIC!
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CASCADA DE GRITOS
MÉDICOSENFERMERAS
AUXILIAR
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DIVISIÓN AUTÓNOMA DEL TRABAJO EN EQUIPO
CIRCULANTE INSTRUMENTISTA
SVA INSTRUMENTAL
ANR MESA QX(PELVIC C-CLAMP)
INSTRUMENTAL(TARDIO) INSTRUMENTACION
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TCAE
• ENLACE QX-EXTERIOR: TELEFONO, PETICIONES, LABORATORIO, BANCO, CELADORES…
• CAPTACION MATERIALES NO PREPARADOS PREVIAMENTE: CONOCIMIENTO DEL MEDIO!!!
• AUXILIAR DIRECTAMENTE DENTRO DEL QUIRÓFANO
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ANR
• ATENCION SHOCK HIPOVOLEMICO. ADECUADO ACCESO VENOSO PARA TRANSFUSIÓN Y REEMPLAZO DE FLUIDOS EN LA PRIMERA HORA DE ATENCIÓN
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ANR
•2 VIAS GRUESO CALIBRE vs VIA CENTRAL
•V. ARTERIAL•VIA AÉREA•SVP SI ES POSIBLE ¡PELIGRO FALSAS VIAS!
¡¡¡ATENCIÓN A LA HIPOTERMIA!!!
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OPCIONES INMEDIATAS
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Control inmediato de hemorragia
LESIONES POR DAÑO MICROCIRCULACIÓN E INCLUSO ISQUEMIA
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Atador pélvico o sabana pélvica
GOLD ESTÁNDAR PREHOSPITALARIOY DE URGENCIAS A QX
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Fijador externo anterior
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Clamp C Pélvico
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EMBOLIZACIÓN
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FIJADOR DE PELVIS
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ESTANDARIZACIÓN
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INST
RUCC
IÓN
OPE
RATI
VA 1
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INST
RUCC
IÓN
OPE
RATI
VA 2
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TALLER: MONTAJE FIJADOR C PELVIS
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