Acute Care of the Victim of Multiple Trauma

Question 1

Leading cause of death in children between 10 and 20 y/o in the world

Answer 1

Unintentional injuries

Question 2

Most predominant among childhood injuries

Answer 2

Blunt trauma

Question 3

Most predominant among adolescent injuries

Answer 3

Penetrating trauma

Question 4

Principal causes of death shortly after trauma

Answer 4

1) Airway obstruction 2) Respiratory insufficency 3) Shock from hemorrhage 4) CNS injury

Question 5

Initially, ___ should be suspected in any child sustaining multiple, blunt trauma

Answer 5

Cervical spine injury

Question 6

T/F In blunt trauma, a jaw thrust head tilt is recommended to open the airway

Answer 6

F, WITHOUT head tilt

Question 7

MC type of shock in trauma

Answer 7

Hypovolemic

Question 8

If a patient remains in shock after boluses totaling 40-60cc/kg or crystalloid, ___ should be given

Answer 8

10-15cc/kg PRBC

Question 9

Account for 70% of pediatric blunt trauma deaths

Answer 9

Head injuries

Question 10

Account for majority of intraabdominal injuries from blunt trauma

Answer 10

Liver and spleen injuries

Question 11

MC intraabbdominal injuries after a bicycle handle impact

Answer 11

Pancreatic and duodenal injuries

Question 12

MC intraabbdominal injuries after a direct blow to the abdomen

Answer 12

Pancreatic and duodenal injuries

Question 13

If any one of the ff is present, patient likely has intraabdominal injury

Answer 13

Low age-adjusted SBP, abdominal tenderness, femur fracture, elevated liver enzymes, microscopic hematuria, inital hct <30%