In: Anatomy and Physiology
A)Trauma is defined as it is a type of experience that is either external or internal to the body by external forces or by emotional issues for an extended period of time.
Causes
Accidents, natural disasters,,health issue requiring surgery ,emotional and psychological effects ,electrical injuries etc are some causes of trauma
Management : based on the cause management should be depends
Example : any accidents for injuries
1.basic management should be done and like pain killers anti biotics and dressing should be done
2.if require fluids and maintain bp and monitor the patient
Emotion trauma :
Consult for psychiatrists
Burns : based on the area of burns and content patient should be admitted tho the hospital and in sever burns fluid restoration with ringer lactate and antibiotics and vaccine should be given monitor the patient
B)charatestics of inflamation are
Rubor
Calories
Tumor
Dolor
This are the four characteristic signs of inflamation
Wound healing:
Primary:it occurs in a surgical wound or incised wound the edges are approximated and sutured ,healing by more epithelial regeneration than the fibrosis,wound heals with rapid complet closure ,linear scar will be formed
Secondary:it occurs in wounds like excessive soft tissue loss like major trauma ,burns etc heal slowly by fibrosis and wide scar will be formed
Re epithelialisation can be occur by remaining dermal elements of wound margin
Stages of healing are
1.stage of inflamation
2.stage of granulation tissue formation and organisation here due to fibroblastic activity synthesisation of collagen and ground tissue occur
3.stage of epithelialzation
4.stage of scar formation and resorption
5.stage of maturation
Wound management
1.inspect and classifying the type of wound
2.if it is vital area air way should retained
Bleeding should control
Intravenous fluids should start
Oxygen is required should given
2.primaru suture should done after cleaning
3.if lacerated wound should excised and primary suture should be done
4.vascular and nerve injuries ,,and internal injuries has to be dealt with accordingly
5.fluids and electrolyte balance ,antibiotics ,blood transfusion ,tetanus toxic intra muscular should given .