Definitive control of the airway is achieved by ____________ - Endotracheal intubation
How do you treat hypothermia in the ED? - crystalloid fluids at
... [Show More] 102.2 degrees F and warmed treatment area
What does definitive hemorrhage control refer to?
(3) - 1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by? - Size and length of catheter
Minimum flow rate of oxygen reservoir mask - 11 L/min
MCC of shock in trauma pt - Hypovolemia due to hemorrhage
Describe the 3 for 1 rule - Replace each mL of blood loss with 3 ml of crystalloid solution
What metabolic state can result from continued hemorrhage or decreased perfusion? - Metabolic acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption - Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma? - CT
What can FAST rapidly diagnose? - Abdominal hemorrhage
When is a laparotomy indicated? - Fascial penetration with intraperitoneal bleeding or peritonitis
What does the Monro Kellie doctrine describe? - The relationship between IC volume and pressure
Normal resting ICP - 10 mm Hg
How do you reduce elevated ICP? - Mannitol in a 20% solution
How do you temporarily control pelvic hemorrhage and instability? - Internal traction and external counter-pressure
How do you initially manage major arterial injury? - Direct pressure and fluid resuscitation
Full thickness burn - Third degree burn
What is used to estimate the size and depth of burns? - Rule of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
What type of burns appear wet and blistered? - Partial thickness burns (second degree)
How do you treat CO exposed pt? - 100% oxygen flow through non re-breather mask
What is a reliable measure of circulating blood volumes in burn patients? - Hourly urine output
*Goal= 0.5-1.0 ml/kg body weight*
Hospital admission criteria for burn pt
(8) - 1) Partial-thickness burns greater than 10% total BSA (TBSA)
2) Full-thickness burns greater than 2% TBSA
3) Burns involving the face, hands, genitalia, perineum, or major joints
4) Circumferential extremity burns [Show Less]