trauma

Question 1

AVPU

Answer 1

alert, verbal, painful, unresponsive

Question 2

Glasgow

Answer 2

eye opening, verbal, motor

Question 3

Tetanus

Answer 3

Complete, booster in 5 yr= nothing
incomplete clean=toxoid
incomplete dirty= Toxoid + TIG
unknown status clean=toxoid
unknown dirty= toxoid +TIG

Question 4

how large must glass be to be visible on radiograph?

Answer 4

5mm

Question 5

Resnick puncture classifications

Answer 5

1 superficial no signs of infection
2 subcutaneous w out signs infection
3a. subq with infection
3b bone with out infection
4 bone w osteomyelitis

Question 6

Patzakis wound location

Answer 6

1. toe/met head 50% osteo
2. mid foot 17%
3. Calc 33%

Question 7

high velocity GSW

Answer 7

speed >2500 ft/sec

Cavitation

Question 8

compartment syn definition

Answer 8

volkman first described
interstitial pressure exceeds capillary hydrostatic pressure
suspect if pressure >20 mm Hg

Question 9

MESS score

Answer 9

mangled extremity severity score
skeleton/soft tissue injury, limb ischemia, age, shock
>7 amp

Question 10

gustillo anderson

Answer 10

1. clean wound <1 cm (ancef)
2. wound 1-5 cm ancef + aminoglycoside
   3a >5 cm and adequate soft tissue coverage
   3b >5cm and periosteal stripping
   3c arterial damage
   ancef + aminoglycoside

Question 11

shock

Answer 11

tachycardia, tachypnea, delayed cap refill, low pulse pressure, mental status, decreased systolic bp, decreased urine output