After a car accident your pt is experiencing weakness in their arms that is worse than the weakness in their legs
Central Cord Syndrome
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
Anterior Cord Syndrome
Adult Rule of Nines
Head: 9
Chest: 18
Back: 18
Arms: 9
Legs: 18
Pubic: 1
Ped Rule of Nines
Head: 18
Chest: 18
Back: 18
Arms: 9
Legs: 14
Infant Rule of Nines:
Head: 18
Chest: 18
Back: 18
Arms: 9
Legs: 14
Blood Loss for “Massive Hemo”
> 1.5L
or
200 ml/hr >4 hrs
Tracheal Shift is a ____ sign
Early on xray
Late on physical
Flail Chest Tx
Stabilize
PPV
Injured Side Down
Limit Fluids
Pain Relief
Beck’s Triaf
Hypotension
JVD
Muffled Heart Tones
Cardiac Tamponade Causes
Small penetrating injuries
Chest Surgery
Pericarditis
Stents
Aortic Dissection
What will POCUS reveal in cardiac tamponade
RV Collapse
LV Collapse
IVC Collapse
Aortic Rupture Causes
Acute Deceleration injuries
Aortic Rupture SS
CP, Midscapular pain
Dyspnea
Hoarseness
HARSH Systolic Murmur
Aortic Rupture Xray
Widened mediastinum
Rightward Tracheal Deviation
Aortic Rupture Treatment
Supportive
Slow HR
Low BP
BLOOD
Diaphragmatic Rupture
Bowel sounds in chest
Scaphoid abdomen
Blunt>Penetrating 3:1
Diaphragmatic Rupture what else commonly presents with
VC Laceration
Hepatic Vein Lac
SUPERIOR displacement of lung on CXR
Tracheobronchial Disruption
Constantly leaking tube
Pneumomediastinum
SubQ emphysema
Tracheobronchial disruption
Keep head flexed
Intubate only if necessary
Mainstem
Armored tube
Minimum occlusion pressure
Esophageal Perforation SS
Hematemesis
Dysphagia
Fever
ETOH Abuse
Swallowing difficuty
Esophageal Perforation TX
NG/OG
Antiemetics
Paralysis
ABX
Le Fort 1
Upper lip
Le Fort 2
Nose
Le Fort 3
Orbital walls