Trauma

Question 1

What is Newton’s 1st law?

Answer 1

Law of intertia. A body at rest stays at rest. A body in motion stays in motion until acted on by an opposing force.

Question 2

Newton’s 2nd law?

Answer 2

Force= Mass x Acceleration

Question 3

Newton’s 3rd Law

Answer 3

For every action, there’s is an equal and opposite reaction

Question 4

Revised Trauma Score criteria?

Answer 4

0-12. <4 needs trauma center

Question 5

Kehr’s sign?

Answer 5

Pain at the tip of the shoulder area

Spleen Injury

Indicates peritoneal blood

Question 6

Balance sign?

Answer 6

Splenic rupture

Question 7

Coopernails sign?

Answer 7

Pelvic Fracture

Question 8

Halstead’s sign?

Answer 8

Hemmorhage in the abdomen

Question 9

Grey turner’s sign?

Answer 9

Brushing around the flank

Pancreatitis sign

Question 10

Cullen’s sign?

Answer 10

Bruising around the umbilicus

Also Pancreatititis

Question 11

Murphy’s sign

Answer 11

Cholecystitis

Tender gallbladder

Question 12

Murphy’s punch sign?

Answer 12

Kidney problem

Question 13

Levine’s Sign?

Answer 13

Acute MI,

Clenched fist over chest with R arm

Question 14

Hamman’s crunch

Answer 14

Air in wrong place

Trachebronchal injury

Question 15

Kussmaul’s sign

Answer 15

Right sided heart failure

Question 16

Beck’s triad

Answer 16

Cardiac tamponade

Muffled heart tones
Hypotension w/ narrowed pulse pressure
JVD

Question 17

Waddell’s triad

Answer 17

Ipsilateral femur fracture

Ipsilateral abdominal/chest injury

Contralateral head

Question 18

Reboa zones?

Answer 18

Zone 1- Chest upper abdomen

Zone 3- Lower abdomen/pelvis

Question 19

1st line vasopressor for distributive shock

Answer 19

Norepi (levophed)

Followed by Epi, Dopamine, and lastly Phenyl

Phenyl contraindicated in spinal trauma due to reflex bradycardia

Question 20

Shock classifications

Answer 20

Class 1- Fine,

Class 2- Compensating, ^HR, RR, decreased pulse pressure

Class 3- Same as above, but BP less than 90

Class 4- HR >140, ALOC, low BP

Question 21

Hypothermia Temp ranges (degrees C)

Answer 21

Mild:35-32

Moderate: 32- 28

Severe: 28 and below

Question 22

Kernig’s sign

Answer 22

Lifting knee causes inflammation of the brain/spinal cord.

Meningitis

Question 23

Electrical Alternans?

Answer 23

Sign of cardiac tamponade, every other beat on EKG

Little QRS, Big QRS, Little QRS, Big QRS

Question 24

Chovstek’s sign?

Answer 24

Cheek quivering

Hypocalcemia

Question 25

Troussea’s sign

Answer 25

Contraction of the arm when taking BP Hypocalcemia

Question 26

Conn Syndrome

Answer 26

Hyperaldosteronism High BP, Low Potassium, M. Acidosis Give Potassium

Question 27

Homan’s sign

Answer 27

Squeeze calf causes pain Sign of DVT

Question 28

Dressler Sign

Answer 28

Myocarditis after an AMI

Question 29

Mackler’s Triad

Answer 29

Sign of Boerhave Tear Bright red vomit Chest pain Subcutaneous Emphysema

Question 30

Virchow’s Triad

Answer 30

Venostasis Coagulopathy Recent surgery

Question 31

Which facial fracture has complete craniofacial dissociation?

Answer 31

Leforte grade 3

Question 32

What is Kussmaul sign?

Answer 32

Increased JVD on inspiration. Sign of tamponade

Question 33

How many liters can you lose in a pelvic fx?

Answer 33

Over 2 liters

Question 34

How much blood can you lose in a femur fracture?

Answer 34

1-2 liters

Question 35

Mild Hypothermia?

Answer 35

36-32 degrees celsius

Question 36

Moderate hypothermia?

Answer 36

32-28 degrees

Question 37

Severe hypothermia

Answer 37

Under 28 degrees