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TRAUMATISMELE

VERTEBRO - MEDULARE

TRAUMATISMELE VERTEBRO - MEDULARE

Repere
anatomice

TRAUMATISMELE VERETEBRO - MEDULARE

ETIOLOGIE

TRAUMATISMELE VERTEBRO - MEDULARE


ETIOLOGIE

TRAUMATISMELE VERTEBRO-MEDULARE
CLASIFICARE
DESCRIPTIV

deschise
nchise

CLINIC

mielice
amielice

TERAPEUTIC

stabile
instabile

TRAUMATISMELE VERTEBRO-MEDULARE

Examen local

TRAUMATISMELE VERTEBRO-MEDULARE
nivel senzitiv

TRAUMATISMELE VERTEBRO-MEDULARE
nivel osos

TRAUMATISMELE VERETEBRO-MEDULARE
NIVEL

NEUROLOGIC
NIVELUL

LEZIONAL
NIVEL OSOS

TRAUMATISMELE VERTEBRO-MEDULARE

ASPECTE CLINICE

TRAUMATISMELE VERTEBRO-MEDULARE

SINDROAME NEUROLOGICE

TRAUMATISMELE VERTEBRO-MEDULARE

SINDROAME NEUROLOGICE

TRAUMATISMELE VERETEBRO-MEDULARE
Aspecte radiologice

TRAUMATISMELE VERETEBRO-MEDULARE
aspecte radiologice

TRAUMATISMELE VERETEBROMEDULARE

TRAUMATISMELE VERETEBRO-MEDULARE
aspecte radiologice

TRAUMATISMELE VERTEBRO-MEDULARE

Aspecte RMN

TRAUMATISMELE VERTEBRO-MEDULARE
aspecte RMN

TRAUMATISMELE VERTEBRO-MEDULARE
CONDUITA DE URGEN

TRAUMATISMELE VERTEBRO-MEDULARE
aspecte terapeutice

TENSIUNEA ARTERIAL
STEROIZI

TRAUMATISMELE VERTEBRO-MEDULARE
conduit terapeutic segment cervical

Interesare medular
Traciune continu
Absena interesrii medulare
Stabile ortopedic
Instabile - chirurgical

TRAUMATISMELE VERTEBRO-MEDULARE
tratament ortopedic

TRAUMATISMELE VERTEBRO-MEDULARE
tratament chirurgical

TRAUMATISMELE VERETEBRO-MEDULARE
conduit terapeutic segment toracal i lombar
Stabile

TRAUMATISMELE VERETEBRO-MEDULARE
conduit terapeutic segment toracal i lombar

Instabile

TRAUMATISMELE VERTEBRO MEDULARE


COMPLICAII

COMA
POLITRAUMATISMELE

COMA
ETIOLOGIE
DIAGNOSTIC
TRATAMENT
POLITRAUMATISME

CEREBRAL

CU COMPONENT

COMA

COMA
ETIOLOGIE
INTRACRANIAN
Traumatic
Tumoral
Vascular
Infecioas

AS

UTIPSIE

EXTRACRANIAN
Metabolic
Endocrin
Respiratorie
Hemodinamic
Intoxicaii
Psihiatric

COMA
DIAGNOSTIC CLINIC

STABILIREA STRII DE
COM

COMA
DIAGNOSTIC CLINIC
GCS

Deschiderea

Ochilor (4- 1)

COMA
DIAGNOSTIC CLINIC

GCS

Rspunsul
Motor (6 -1)

COMA
DIAGNOSTIC CLINIC
GCS

Rspunsul
Verbal (5 -1)

COMA
DIAGNOSTIC CLINIC
EXAMEN CLINIC GENERAL

COMA
DIAGNOSTIC DIFERENIAL
TRAUMATIC

NON - TRAUMATIC
neurologic

focale
supratentoriale

subtentoriale

metabolic
difuze

COMA TRAUMATIC
PRINCIPII TERAPEUTICE

TRATAMENT
MEDICAL

Prevenirea i limitarea
extensiei leziunilor
cerebrale

Tratarea corect i
precoce a leziunilor
extracraniene asociate

COMA TRAUMATIC
PRINCIPII TERAPEUTICE
PERFUZIA CEREBRAL
(PIC, TA)
NORMOVOLEMIE
NORMOTENSIUNE
PROTECIE NEURONAL

COMA TRAUMATIC
PRINCIPII TERAPEUTICE

TRATAMENT
CHIRURGICAL

MOARTEA CEREBRAL
Absena reflexelor de
trunchi cerebral
Apnee
Adinamie
Temperatura
Tensiunea arterial

COMA TRAUMATIC
PRINCIPII TERAPEUTICE
Tratarea corect i precoce a leziunilor extracraniene asociate

POLITRAUMATISMELE

POLITRAUMATISMELE

POLITRAUMATISMELE
GLASGOW COMA SCALE
TENSIUNEA ARTERIAL
FRECVENA RESPIRATORIE

POLITRAUMATISMELE
PRIMUL AJUTOR

POLITRAUMATISMELE
PRIMUL AJUTOR

POLITRAUMATISMELE
CRANIO-CEREBRAL

MINOR

FACIAL I CERVICAL

MODERAT

TORACIC

SEVER

ABDOMINAL

RISC VITAL

EXTREMITI

STARE CRITIC

POLITRAUMATISMELE
prioriti
Traumatisme toracice
Hemoragii abdominale
HED
Hemoragii vase mari

POLITRAUMATISMELE
PRIMA ZI

Monitorizare

clinic

STABILIZARE I REEVALUARE

Hematom

intracranian

Leziuni

medulare
evolutive

Fracturi

instabile rahis