Substance abuse is a major healthcare issue with effects on all aspects of patient care, including trauma. A large percentage of trauma patients have a positive drug screen, and acute and chronic abuse have impacts both on the acute and long-term management of these patients. This report is the first of a two-part series and focuses on stimulants and substances with sympathomimetic properties, with particular attention to the impact on the trauma patient.
Blunt abdominal trauma is commonly encountered in any acute care center. Prompt recognition, assessment, diagnostic evaluation, and disposition are critical aspects that must be a part of every clinician’s expertise.
Pediatric drowning events are associated with consequences varying from transient pulmonary symptoms to devastating neurologic disability. All acute care providers need to be prepared to diagnose and effectively manage a child with this type of injury.
Trauma to the mouth and throat is very common. Fortunately, the majority of the injuries are minor, but early and timely recognition of critical, potentially devastating injuries is essential. The authors provide a thorough review highlighting critical injuries and their management.
Painful procedures are common in the acute care setting, and failing to mange a child’s anxiety and pain may have long-term consequences. Being familiar with a diversity of non-pharmacologic and pharmacologic alternatives is critical.
Older adult trauma patients present unique challenges for the emergency care provider. Airway anatomic and physiologic changes associated with age may pose difficulties in the setting of trauma and may affect the overall care of the patient. Understanding the geriatric variations and developing alternative strategies is critical in the acute care setting.
The authors provide a concise, comprehensive overview of the unique anatomic and physiologic features of pregnancy, as well as modifications and considerations important for the management of the pregnant trauma patient.