 
Class of 2023
 Go Back | | Session Title: | | SURG: Trauma | | | | Description: | | | | Keywords: |
| Blueprint ID | Learning Objectives | | 1251 | Describe the priorities and sequence of a trauma patient evaluation (ABC’s). | | 1252 | Identify the four classes of hemorrhagic shock and how to recognize them. | | 1253 | Describe the appropriate fluid resuscitation of a trauma victim, including the following: (a) choice of IV access (b) choice of fluid and use of blood components (c) differences between adult and pediatric resuscitation | | 1254 | Discuss the types, etiology and prevention of coagulopathies typically found in patients with massive hemorrhage. | | 1255 | Describe the appropriate triage of a patient in a trauma system. | | 1256 | Discuss the importance of mechanism of injury on management and triage decision-making. | | 1257 | Describe the diagnostic evaluation, differences between blunt and penetrating mechanisms of injury, and the initial management of the following: (a) closed head injury (consider Glasgow Coma Scale, ICP, subdural hematoma, epidural hematoma, diffuse axonal injury, basilar skull fractures and CSF leaks) (b) spine injury (consider mechanism of injury, level of injury, use of steroids, immobilization, neuro exam, management of shock) (c) thoracic injury (consider hemo/pneumothorax, tension pneumothorax, tamponade, pulmonary contusion, massive air leak, widened mediastinum, flail chest) (d) abdominal injury (consider role of physical exam, ultrasound, CT, peritoneal lavage, operative vs. non- operative management of liver and spleen injury, patients needing urgent laparotomy, management of hematomas) (e) urinary injury (consider operative vs. non-operative renal injury, ureteral injury, testicular trauma, intraperitoneal and extraperitoneal bladder injury, urethral trauma, when not to place a Foley catheter, candidates for cystogram, relationship to pelvic fracture) (f) bony injury [consider open vs. closed fractures, compartment syndromes, concepts of immobilization (splinting, internal fixation), treatment of patients with pelvic fractures, hemorrhage control, commonly associated vascular injuries)] | | 1258 | Outline the early management of a major burn, including the following: (a) estimation of total body surface burn and burn depth (b) fluid resuscitation, choice of fluid, and monitoring for adequacy of resuscitation (rule of 9’s, differences in pediatric and adult management) (c) options for topical antimicrobial therapy (d) inhalation injury, CO poisoning, and triage of patients to burn centers | | 1259 | Discuss the basic principles of wound coverage, skin grafting, and timing. | | 1260 | Describe the recognition of suspected child abuse and domestic violence presenting as trauma and the physician’s role in reporting. | | 1261 | Define shock. | | 1262 | Differentiate the signs, symptoms, and hemodynamic features of shock, including the following: (a) hemorrhagic (b) cardiogenic (c) septic (d) neurogenic (e) anaphylactic | | 1263 | Discuss priorities and specific goals of resuscitation for each form of shock. (a) Define goals of resuscitation. (b) Defend choice of fluids. (c) Discuss indications for transfusion. (d) Discuss management of acute coagulopathy. (e) Describe indications for invasive monitoring. (f) Outline use of inotropes and afterload reduction in management. | | 1264 | Discuss priorities in resuscitation (ABCs). | | 1265 | Perform a rapid, concise, thorough trauma history and physical examination focusing on the ABC’s, AMPLE history, and primary/secondary surveys. | | 1266 | Perform emergency airway management. | | 1267 | Perform needle decompression of tension pneumothorax. | | 1268 | Use the appropriate IV access. | | 1269 | Insert a Foley catheter if necessary. | | 1270 | Include neck veins, cardiac, pulmonary, and abdominal exams as part of a focused physical exam. | | 1271 | Exercise placement of large-bore intravenous access. | | 1272 | Interpret EKG and chest X-ray. | | 1273 | Interpret hemodynamic measurements, including Swan Ganz catheter measurements. | | 1274 | Explain the importance of passenger and appropriate infant restraints in motor vehicles. | | 1275 | Outline the role of helmets in preventing head injury in motorcycle, bicycle, and roller blade accidents. | | 1276 | Describe the significant influence of the use of drugs and alcohol on a large percentage of traumatic injuries, including assaults, burns, and motor vehicle accidents. | | 1277 | Explain the value of smoke and carbon monoxide detectors and evacuation drills in reducing mortality and injury. | | 1278 | Discuss the importance of shock prevention. | | 1279 | Identify a patient who might develop hypovolemic shock, cardiogenic shock, neurogenic (distributive) shock, septic shock, or anaphylactic shock. | | |
| Blueprint ID | Course Goals | | 11632 | EPA 1 (AFMC): Obtain a history and perform a physical examination adapted to the patient''s clinical situation.
Linked Program Competencies
To This Course Goal: me-1 me-2 cm-1 cm-2 ld-3 ha-1 sc-1 sc-2 pr-1 | | 11634 | EPA 3 (AFMC): Formulate an initial plan of investigation based on the diagnostic hypotheses.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 pr-1 | | 11635 | EPA 4 (AFMC): Interpret and communicate results of common diagnostic and screening tests.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1 | | 11636 | EPA 5 (AFMC): Formulate, communicate and implement management plans.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1 | | 11637 | EPA 6 (AFMC): Present oral and written reports that document a clinical encounter.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1 | | 11639 | EPA 8 (AFMC): Recognize a patient requiring urgent or emergent care, provide initial management and seek help.
Linked Program Competencies
To This Course Goal: me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-1 sc-1 sc-2 sc-3 pr-1 | | 11640 | EPA 9 (AFMC): Communicate in difficult situations.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1 | | 11642 | EPA 11 (AFMC): Perform general procedures of a physician.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1 | | 11644 | EPA 13 (MUN): Collaborate as a member of an interprofessional team.
Linked Program Competencies
To This Course Goal: me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 pr-1 | | me-1 | Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation. | | me-2 | Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation. | | cm-1 | Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families. | | cm-2 | Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals. | | ld-3 | Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system. | | ha-1 | Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes. | | sc-1 | Scholar
Develop a plan for personal continued education. | | sc-2 | Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice. | | pr-1 | Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards. | | me-4 | Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient. | | me-5 | Medical Expert
Develop a management plan for key clinical problems following assessment of a patient. | | me-6 | Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem. | | cm-3 | Communicator
Discuss relevant health care information and management plans with patients and their families. | | cm-4 | Communicator
Develop a shared plan of care with patients, their families, and other health care professionals. | | cm-5 | Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter. | | ld-2 | Leader
Apply evidence and management processes to effectively allocate health care resources. | | ha-2 | Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized. | | co-1 | Collaborator
Demonstrate effective collaboration skills within the health care system. | | co-3 | Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role). | | sc-3 | Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility. | | co-2 | Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations. | | ha-3 | Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels. | | me-3 | Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation. | | ld-1 | Leader
Identify strategies to effectively manage practice and career. | | co-4 | Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration. |
| (011) BURNS | | (109-8) FACIAL INJURIES | | (109-9) HAND AND/OR WRIST INJURIES | | (109-10) HEAD TRAUMA / BRAIN DEATH / TRANSPLANT DONATIONS | | (109) TRAUMA |
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