Journal of trauma nursing : the official journal of the Society of Trauma Nurses
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Abdominal compartment syndrome in the trauma patient is usually associated as a post surgical complication or as a consequence of full thickness burns to the trunk and abdomen. It is not widely recognized in patients who have received massive fluid resuscitation in the absence of abdominal pathology. This paper will present a case study of a pediatric patient who was the victim of a motor vehicle collision. ⋯ The patient underwent abdominal decompression and returned to the pediatric intensive care unit with an open abdomen covered with a temporary dressing. Differences in pediatric anatomy and physiology which can predispose children to this condition will be explained. In addition pathophysiologic responses to trauma that contribute to abdominal compartment syndrome and nursing care of this condition will be explored.
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Capnometry is a useful tool for emergency airway and ventilation management. Advantages include high sensitivity and specificity with regard to ET tube placement and the ability to provide continuous data throughout the initial resuscitation. Ultimately the ability of capnometry to guide ventilation and even chest compressions may be its most important contribution to the care of critically ill and injured patients.