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HC traumatologie
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Collegedictaat van 10 pagina's voor het vak Minor High Care aan de HAN (HC traumatologie)
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HC traumatologie kinderenAdvanced pediatric life support, Piet le roi (of zoiets).
Pro active nursing: klinisch redeneren in de acute zorg
Prevalentie:
Doodsoorzaak nummer 1 bij kinderen met een piek van 0-4 jaar.
Oorzaken naar leeftijd
- Zuigeling
o Verdrinking
o Vallen
o Verbranding
o Verstikking
- Peuter/kleuter:
o Verkeer,
o Verdrinking,
o Verbranding
o Vallen
- Schoolkind:
o Ongeval
o Verdrinking
o Verbranding
- Hoogste mortaliteit: schedel/hersenletsel.
Eerste opvang
- Advanced pediatric life support (APLS)
- Vanaf 1998 spoedeisende behandeling (eerste uur = golden hour)
- In Nederland de cursus
- Aangepast aan de nederlandse situatie; reanimatie richtlijnen kinderen en neonaten
(nederlandse vereniging kindergeneeskunde).
- Multidisciplinair
- Methodiek ABCDE
ABCDE
- Airway/CWK
- Breathing
- Ciruculation
- Disability
- Exposure/environment
o ABCDE wordt de primary survey genoemd
Secundairy survey:
Volledig anatomisch lichamelijk onderzoek
- Labonderzoek
- Rontgen
- Zwelling, kneuzing, ademgeruis, thorax, achterkant thorax
- Anamnese
- Doel: differentiaal diagnose
- Hoofd aangezicht en nek controle
o Ogen, oren, neus
o Thorax
o Buik
o Bekken en genitalien
o Extremiteiten/achterzijde
o N.b. Kijken, luisteren, voelen
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