11/28

Question 1

Ketamine sedation dose

Answer 1

1-2 mg/kg IV over 1 min
3-5 mg/kg IM

Question 2

Propofol Sedation Dose

Answer 2

1 mg/kg
–>
followed by
0.5 mg/kg every 2 min as needed

Question 3

In general, pericardiocentesis is not performed in cases of traumatic hemopericardium; _____________- should be considered in these cases.

Answer 3

resuscitative thoracotomy

Question 4

AMPLE history

Answer 4

Allergies
Medications
Past medical history
Last meal and menses
Events leading to the injury.

Question 5

If increased ICP/impending herniation is suspected take these actions

Answer 5

-head of the bed to 30°
-hypertonic saline or mannitol
-avoid hypotension and hypoxia.

Question 6

ATLS chest tube size

Answer 6

28-32 French

Question 7

Trauma Blood pearls

Answer 7

Transfuse blood products in a 1:1:1 ratio of PRBCs : FFP: platelets

Give blood products through a blood warmer

first 3 h after injury should receive tranexamic acid

Question 8

ED Thoracotomy Indications

Answer 8

Blunt trauma and arrested <10 min before arrival at ED

Penetrating trauma and arrested <15 min before arrival at ED

Question 9

ED Thoracotomy Management/ Steps

Answer 9

1- Call surgery
2- Incision at fifth intercostal space
3- Cut from sternum to posterior axillary line
4- Blunt dissect into pleural space
5- Rib spreaders
6- Cross clamp aorta
7- Open pericardium parallel to phrenic nerve
8- Repair heart

Question 10

Consider surgery if ______ bleeding is present in Hemothorax

Answer 10

Initial drainage >1.5 L
Ongoing bleeding >200 mL/h for 2-4 h