trauma

Question 1

flail chest tx

Answer 1

1. pain meds
2. lung expansion/hygiene
3. O2
4. stabilization of chest (VC-CMV w PEEP and sedation)

Question 2

head injury

Answer 2

trauma to scalp involving

1. contusions
2. laceration
3. hemorrhage
4. seizures
5. pupillary abnormalities

Question 3

head trauma diagnostics

Answer 3

1. xray

2. CT- will show cerebral edema, contusion, cerebral hematoma

Question 4

head trauma tx

Answer 4

1. patent airway *seizures
2. intubation for uncounscious
3. elevated bed 30 deg to decrease ICP
4. hyperventilation to reduce PCO2
5. O2 therapy
6. manitol to decrease ICP

Question 5

head trauma meds

Answer 5

dilatin for seizures

*do not use narcotics

Question 6

CO poisoning diagnosis

Answer 6

• carboxihemoblogin levels

- fiberoptic bronch- use as soon as possible to evaluate burn injury

Question 7

HbCO levels

Answer 7

normal 5%

mild to heavy smoke >10%>20%

Question 8

CO poisoning xray

Answer 8

pulmonary edema

ARDS

Question 9

CO poisoning meds

Answer 9

1. sympathomimetics for bronchospasm
2. expectorants and mucolytics
3. analgesics
4. antibiotics
5. fluid replacement for hypovolemic shock
6. infection control (isolation, wound covering)

Question 10

CO poisoning management

Answer 10

PATENT AIRWAY

1. sympathomimetics for bronchospasm
2. expectorants and mucolytics
3. analgesics
4. antibiotics
5. fluid replacement for hypovolemic shock
6. infection control (isolation, wound covering)
   * bicarb if metabolic acidosis