When something crashes in secondary survey, you... - Answer- GO BACK TO PRIAMRY SURVEY
If the question says you do not have capabilities, you will most
... [Show More] likely - Answer- PREPARE FOR AND DO NOT DELAY TRANSPORT
How much blood can femur lose - Answer- 2L
What is always going to be the shock type to pick - Answer- Hemorrhagic
What are the classes of hemorrhagic shock - Answer- 0-15% is class 1
15-30 is class 2
30-40% is class 3
>40% is class 4
What is the EARLIEST predictor of shock at what class - Answer- Narrowed pulse pressure in class 2
What will be base deficit for class 2 shock? - Answer- -2 to -6 meQ
What will be the deficit for class 4? - Answer- -10 or less
When will urine output start to decrease in shock? - Answer- Class 3 and 4
When does BP start to fall in shock - Answer- Class 3
What is GCS? - Answer- E-4
V-5
M-6
Eye spont 4
To command 3
To pain 2
None 1
Verbal spont is 5
Verbal confused is 4
Inappropriate 3
Garbling is 2
None is 1
Motor spont is 6
Localize pain is 5
Withdrawal pain is 4
Decorticating (flexion) is 3
Decebrate (extension) is 2
None is 1
Two main reasons to think about why GCS goes down? - Answer- TBI
Hemorrhagic shock
Why do you want to put in chest tube before needle decompression? - Answer- SIMPLE PTX can turn into TENSION PTX
When is DPL useful over fast? - Answer- No ultrasound available.
What is LEMON for airway patency - Answer- Look
Evaluate
Malay-ATI
Obstruction
Neck mobility
What is DEFINITIVE airway? - Answer- Tube in trachea BELOW vocal cords
WHEN is surgical airway indicated? - Answer- When you CANNOT do any other form of airway (2 attempts typically)
What is contraindicated with suspicion of basilar skull frx? - Answer- OPA, put in gastric tube for suction because it can go through up into cranium thru cribiform plate
Peds kid with bicycle trauma is most likely goin to be? - Answer- PANCREATIC injury
Organ tear is more common with? - Answer- Penetrating injury
What type of pelvic fracture is binder indicated in - Answer- Open book
If there is BLOOD at the meatus, then what do you need to do? - Answer- RUG first, because if you do a cyst gram you will be spilling into the abd cavity
If patient is unstable, free air/blood on CT, peritoneal signs yield what? - Answer- EMERGENT laparotomy
What lab value is good for assessing hydration in burn patient? - Answer- URINE OUTPUT
How do you determine difference between PTX and tamponade? - Answer- BREATH SOUNDS
Blowing air leak on chest tube is sign of? - Answer- TRACHEOBRONCHIAL RUPTURE
Bowel sounds on chest auscultation are reflective of - Answer- Diaphragm injury
Apical capping and widened mediastinum are reflective of what? - Answer- Aortic trauma
Circumferential burn? - Answer- Escharotomy
What is main goal of priamry brain injury? - Answer- Preventing secondary brain injury
2 big causes of secondary brain injury? - Answer- HYPOVOLEMIA and HYPOXEMIA
Girl falls on her head, loses consciousness, and is now unstable. What kind of hematoma is this? - Answer- EPIDURAL, *lucid interval* is common between time of injury and presentation
What is more common, subdural or epidural - Answer- Subdural
What is considered mid TBI? - Answer- 13-15
T/o secondary management of mild TBI? - Answer- CT repeat if first is abnormal OR GCS persists at under 15.
Serial exams
Initial management of TBI? - Answer- elevate head
NS (3%)
Indications of transport to higher Level of care with TBI? - Answer- Worsening GCS, GCS <8. Lesions on CT
Above what level can you get neurogenic shock - Answer- T6
Description of neurogenic shock patient? - Answer-
What is bulbovesicular reflex indicative of? - Answer- NOT qualify as sacral sparing.
If there is ANY motor or sensory function below level of injury, constitutes as incomplete injury and should be documented appropriately
T/F: Stridor is LATE finding of airway damage in burn pt? - Answer- TRUE
Initial management of burn? - Answer- DRY dressing. NOT moist!
Transfer indications for burn? - Answer- Partial thickness >40% BSA
What is dark urine reflective of in burn pt? - Answer- RHABDO
What do you constantly need to replenish burn pt? - Answer- Cellular losses 2/2 inflammation
What is GOAL urine output in burn? - Answer- 3-50mL per hour, BEST assessment of hydration
What do you need to monitor for with rewarming in hypothermia - Answer- ARRYTHMIA
MCC of cardiac arrest in kids? - Answer- HYPOXIA
If you fail an IV in a kid what is next step? - Answer- IO
What is crystalloid infusion unit for kids - Answer- 20/kg
Two MCC of geriatric injuries? - Answe [Show Less]