Trauma Flashcards

(48 cards)

1
Q

After a car accident your pt is experiencing weakness in their arms that is worse than the weakness in their legs

A

Central Cord Syndrome

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2
Q

After a car accident your pt is experiencing weakness, loss of pain, and loss of temperature sensation below the site where a coffee cup hit their back

A

Anterior Cord Syndrome

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3
Q

Adult Rule of Nines

A

Head: 9
Chest: 18
Back: 18
Arms: 9
Legs: 18
Pubic: 1

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4
Q

Ped Rule of Nines

A

Head: 18
Chest: 18
Back: 18
Arms: 9
Legs: 14

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5
Q

Infant Rule of Nines:

A

Head: 18
Chest: 18
Back: 18
Arms: 9
Legs: 14

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6
Q

Blood Loss for “Massive Hemo”

A

> 1.5L
or
200 ml/hr >4 hrs

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7
Q

Tracheal Shift is a ____ sign

A

Early on xray
Late on physical

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8
Q

Flail Chest Tx

A

Stabilize
PPV
Injured Side Down
Limit Fluids
Pain Relief

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9
Q

Beck’s Triaf

A

Hypotension
JVD
Muffled Heart Tones

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10
Q

Cardiac Tamponade Causes

A

Small penetrating injuries
Chest Surgery
Pericarditis
Stents
Aortic Dissection

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11
Q

What will POCUS reveal in cardiac tamponade

A

RV Collapse
LV Collapse
IVC Collapse

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12
Q

Aortic Rupture Causes

A

Acute Deceleration injuries

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13
Q

Aortic Rupture SS

A

CP, Midscapular pain
Dyspnea
Hoarseness
HARSH Systolic Murmur

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14
Q

Aortic Rupture Xray

A

Widened mediastinum
Rightward Tracheal Deviation

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15
Q

Aortic Rupture Treatment

A

Supportive
Slow HR
Low BP
BLOOD

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16
Q

Diaphragmatic Rupture

A

Bowel sounds in chest
Scaphoid abdomen
Blunt>Penetrating 3:1

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17
Q

Diaphragmatic Rupture what else commonly presents with

A

VC Laceration
Hepatic Vein Lac
SUPERIOR displacement of lung on CXR

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18
Q

Tracheobronchial Disruption

A

Constantly leaking tube
Pneumomediastinum
SubQ emphysema

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19
Q

Tracheobronchial disruption

A

Keep head flexed
Intubate only if necessary
Mainstem
Armored tube
Minimum occlusion pressure

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20
Q

Esophageal Perforation SS

A

Hematemesis
Dysphagia
Fever
ETOH Abuse
Swallowing difficuty

21
Q

Esophageal Perforation TX

A

NG/OG
Antiemetics
Paralysis
ABX

22
Q

Le Fort 1

23
Q

Le Fort 2

24
Q

Le Fort 3

A

Orbital walls

25
Newton's First aw
Motion in motion
26
Newton's Second Law
F = MA
27
Newton's Third Law
Equal and Opposite Rxn
28
Types of Motorcylce Crashes
Head On/Up and over Side Impact/Lay it down
29
Head on motorcycle MOI
Head Neck Thorax Femurs
30
Side impact motorcycle MOI
Femurs Pelvis
31
Urine output
30-50 ADULT 1 PED
32
Parkland Burn Formula
4 ml/kg
33
Brooke Burn Formula
2 ml/kg
34
Consensus Burn Formula
2-4 ml/kg Adult 3-4 ml/kg Ped
35
Acids do what?
Coagulative necrosis with denaturing of proteins
36
Alkalis do what?
Sopanification w/dissolving protein and collagen
37
Hydrofluoric acid Burns tx
Water and 10% CaGlu topically
38
Alkali metals tx
NO WATER Absorb/irrigate with OIL
39
Blast Injuries
Primary Plume Secondary Shrapnel Tertiary Tumble Quaternary Quark Hot
40
High Velocity Projectile
>2000 ft/s
41
GSW injury based on
Type of(handgun/rifle) Distance Bullet Construction
42
Penetration MOI factors
Area of body penetration Blade Length Angle of penetration
43
Lover's Leap
Calcaneus Fx Axial Loading Colles Fx Hip/Pelvic Organs
44
Head on up and over collision injury pattern
Face Head Neck Chest
45
Head on down and under injury pattern
Ankles Knees Hips Pelvis Abdomen/Neck from seatbelt
46
Read End Injury Pattern
T12-L1 femur, tib/fib, ankle C2
47
T Bone Injury Pattern
Ribs Pneumo Hip Upper Extremities Aortic Rupture Head injury from objects
48
Hamman's Crunch
Crunching, raspong over chest Tracheobronchial disruption