MILITANCY TRAUMA : ANAESTHESIA AND CRITICAL CARE MANAGEMENT
Y V Suri1, V M Venugopalan2, P C Tripathy2
1Senior Adviser, Anaesthesiology, Command Hospital (WC), Chandigarh.
Abstract:
At a Base Hospital, 2151 patients of militancy trauma were managed from Jan 1990 to 31 May 1993. It involved military, paramilitary, ex-servicemen, civilians, foreigners and antinational elements. The nature of trauma was either gun shot wounds (1333) or blast injuries (818). Polytrauma (multiple injury to soft tissue, hone, parenchyma with shock or injury to more than one body region) was seen in 862 patients. Standard protocol was evolved for initial management in ICU/acute surgical ward. Time taken for initial evaluation of injury, resuscitation, respiratory care and oxygen therapy, analgesics, blood group cross matching, antibiotics and preparation of the part before surgery was usually 45 min. Anaesthesia was induced with ketamine 2 mg/kg or thiopentone 3 mg/kg based on haemodynaemic response and maintained with N2O : O2 (50 : 50 ratio), relaxant controlled ventilation. Mortality was 3.8% including 4 deaths on operation table.
Related Concept Videos
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:16Critical Region, Critical Values and Significance Level
In hypothesis testing, a sample statistic is converted to a test statistic using z, t, or chi-square distribution. A critical region is an area under the curve in probability distributions demarcated by the critical value. When the test statistic falls in this region, it suggests that the null hypothesis must be rejected. As this region contains all those values of the...
01:31Critical Values
01:24Critical Thinking I
01:25Critical Thinking II
01:19Critical Thinking
Colleges and universities are...