Traumatic disease pathology

most common cause of death for people between ages 1-44 years in US

traumatic disease

• 3 mill hospitilzations

• 27 mill individual ED admissions

• 192,000 deaths

• airway established, acute bleeding controlled, immobilization of spine & skeletal fractures

modality of choice for spine or brain trauma

CT

vertebral column injuries

• never take off collar

• immobilization of head & neck

most common type of vertebral injury

compression fractures

injuries to skull & brain

cerebral cranial fractures

• linear fractures

• depressed fractures

• basilar skull fracture

brain trauma

• closed head injury or traumatic brain injury

  • concussion

  • coup lesion

  • contrecoup lesion

  • hematoma

    • epidural/extradural: between skull and outermost layer of meninges

    • subdural: between dura mater (outer) and second layer, arachnoid

fat pads can be shown

if injury or present

(or bad positioning)

avascular necrosis

• bone death from inadequate blood supply

• affects hip, knee, shoulder, carpal, scaphoid

• idiopathic or posttraumatic

approx ___% of all trauma deaths occur annually from chest injuries

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