MANAGEMENT OF A CASE OF ABDOMINAL TRAUMA
Maintenance of airway, breathing and circulation is the first priority
The patient should be intubated in case of airway block
If the breathing is compromised, the patient should be ventilated with a high fraction of inspired oxygen
Large bore IV cannulas should be inserted and IV fluids should be administered
In case of external bleeding, direct pressure should be applied to control it
Spinal immobilisation should be done in cases with suspected spinal cord injury
Indications for laparotomy in blunt trauma abdomen
Hemodynamically unstable patients with shock
Signs of peritonitis
Progressive deterioration of the patient’s status
Identification of hemoperitoneum after Focused Assessment with Sonography in Trauma (FAST) or Diagnostic Peritoneal Lavage (DPL)
Non surgical management
If the patent is hemodynamically stable, further investigations like CT scan can be done to visualise the site of injury
- Which of the following is not a component of Total Parenteral Nutrition?
A. Amino acids
B. Fats
C. Vitamins
D. Fiber
Correct answer : D. Fiber