Summary

Summary NSG4430: Nursing Assessment & Management of Trauma

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Course
NSG4430

Institution
University Of Ottawa (U Of O )

This document includes a comprehensive summary/review of trauma, the difference between primary and minor trauma, mechanisms of injury, and its energy agents. In addition, this class note contains the peaks of trauma and death and special considerations such as what types of trauma are most common ...

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Uploaded on January 17, 2025
Number of pages 6
Written in 2024/2025
Type Summary

trauma
nursing
management
care
assessment
phases
mechanism of injury
major
minor
peaks of trauma
patterns of injury
blunt
rear
lateral
frontal
penetrating
risk factors
atls
complications
triage
ctas
c

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Week 14: Trauma ASYNCHRONOUS

Emergency Care Situations

Trauma: “an injury to human tissues and organs resulting from the transfer of energy from the
environment” (TMCC Provider Manual, 2005, p. 11).

Minor versus Major Traumas:

Minor Trauma: Major or Multiple Trauma:

● Causes injury to one part or system. ● Serious single-system injury or
● It is treated in practitioners' offices, multiple-system trauma; requires
hospitals or ERs. immediate intervention with a focus on
survival.
● Most often, it results from MVCs and
requires long periods in ICUs.

Mechanisms of Injury:

Energy Agent: Mechanism of Injury:

Mechanical (Kinetic) ● Motor vehicle crashes
● Firearms, falls, assaults
● Motorcycle crashes

Thermal ● Heat, steam, fire

Chemical ● Plant and animal toxins
● Chemical substances

Electrical ● Lightning
● Exposure to wires, plugs

Radiant ● Sun rays
● Sound waves
● Electromagnetic waves
● Radioactive emissions

Peaks of Trauma:
heart
1. Death occurs within sec/min of trauma; Catastrophic pleed-brain,
2. Death min/hours after initial trauma; slow bleed intracranial bleeding
-

3. Hours/days/weeks later. infection immobility , clotting
,

, Week 14: Trauma ASYNCHRONOUS

Patterns of Injury:

Frontal Impact a subtypes
down and under trajectory eg seatbelt
.

up and over trajectory eg. wearing
seatbelt poorer prognosis
Lateral Impact . T-bone
eg

Rear Impact eg .
rear-ending
to "transfer of
Blunt Trauma: injury without interuption
of skin integrity , related
energy" to "anatomic structures."

3-subtypes
:

acrtic tears , splenic lacerations
① Shearing
: twisting incl
,
.

body hitsfirst organs keep moving then stops
Deceleration :
② Acceleration
,

second collision is when injury happens.

③ compression reduction
of body in amount of space
:

Example MUC questions Interior
: :

wheel deformity
how did it occur?
size-difference dash deformity
speed , direction , intrusion
secondary collision? Windshield
starring of

sustained by Transmission of energy body
to tissues
PenetratingTrauma Injury
:

.
framd moving object that interepts
skin integrity

Special Age-Considerations:

seats + being in back ↓ risk.
MVCs and Children: most children die as passengers , car
Pedestrians : sayo-run anto road
> 10yo- intersections ATNs bikes
, ,

Trauma in Older Population:
MVCs , fells and burns make up a total of 8030 of injuries in this population

Risk Factors :
#
history of falls
anemia
psychotropic drug use
arthritis
LE weakness
Stroke
balance problems
cognitive impairments
Orthostatic hypotension
dizziness

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