Page 98 - Hospital Authority Convention 2018

Masterclasses
HOSPITAL AUTHORITY CONVENTION 2018

M4.3 Advances in Trauma Management 14:30 Room 221

Current Concepts on Neurotrauma and Neurocritical Care
Mak CHK
Department of Neurosurgery, Queen Elizabeth Hospital, Hong Kong
In this lecture, clinical signs and symptoms of traumatic brain injury (TBI) will be introduced, as well as the Glasgow Coma
Scale which is widely used as triage purpose and continuous monitoring of patients. Clinical and radiological features of
typical intracranial injuries will be discussed, including subdural hematoma, epidural hematoma, diffuse axonal injury, brain
contusion and generalised cerebral edema. The concept of intracranial pressure (ICP), cerebral perfusion pressure (CPP) and
the associated physiological response in traumatised brain will be discussed, as well as methods and role of ICP monitoring
in TBI patients. Finally, management of elevated ICP will be introduced along with evidence based approach to neurocritical
care.

Monday, 7 May 2018

M4.4 Advances in Trauma Management 14:30 Room 221

Updates on Interventional Radiology in Trauma Management
Wong KYK
Department of Radiology and Intervention, Queen Elizabeth Hospital, Hong Kong

Diagnostic and interventional radiology has long been a major player in the management of trauma patients with diagnostic
radiology. With emergence of better scanning equipment and interventional tools, interventional radiology (IR) is becoming
more and more important as a partner to surgical management in trauma. Newer hybrid angiosuites that can accommodate
a surgical table and state-of-the-art angiogram C-arms allow laparotomies and IR management to take place on the same
table. In thoracic trauma, more stent graft choices allow management of some aortic trauma. Improved techniques as well as
a variety of embolization agents and tools can allow arterial hemostasis in a variety of arteries that may not be immediately
assessable to surgical exploration. In Kowloon Central Cluster, pelvic angiogram and embolization is incorporated as a part
of the 3-in-1 pelvic trauma management protocol to achieve pelvic hemostasis in suitable trauma victims. In conclusion, IR
management in trauma can be an adjunct to surgical trauma management or as an alternative to surgical management in
various trauma scenarios.

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