#3 Trauma

Question 1

Positive Criteria DPL (5)

Answer 1

1- >10 cc blood on aspiration
2- >500k wbc/mm3
3- >100k RBC/mm3
4- presence of bile, bacteria, and fb
5-lavage fluid exits a chest tube or Foley catheter

Question 2

DPL RBC <50k:

Answer 2

Negative DPL and observe

Question 3

DPL RBC 50-100k:

Answer 3

CT scan, to r/o active hemorrhage

Question 4

Liver and spleen MC injured this way

Answer 4

Blunt trauma

Question 5

Seat belt sign should point towards this type of injury:

Answer 5

Small bowel (MC injury)