Adults Flashcards
What are the components of the primary survey?
Airway Breathing Circulation Disability (pupil sizes, limb strength, glasgow) Exposure
What is involved with the secondary survey?
Thorough head-to-toe exam
What airway should not be utilized if you suspect a basilar skull fracture?
Nasal
If a trauma patient vomits, what should be done?
Log Roll them and suction
What are the components of the nexus criteria? (5)
- No midline cervical spinal tenderness
- No evidence of intoxication
- Alert
- No focal neuro deficits
- No painful distracting injuries
What should be done regarding the breathing component of the ABCs? (2)
Auscultate
Palpate trachea and chest wall
What are the following for class I shock:
- Blood loss (mL, and %)
- Pulse rate
- BP
- Pulse pressure
- Blood loss (mL, and %) = 750 mL or 15%
- Pulse rate = Less than 100
- BP = Normal
- Pulse pressure = normal or increased
What are the following for class II shock:
- Blood loss (mL, and %)
- Pulse rate
- BP
- Pulse pressure
- Blood loss (mL, and %) = 750-1500 (15%-30%)
- Pulse rate = 100-120
- BP = Normal
- Pulse pressure = Decreased
What are the following for class III shock:
- Blood loss (mL, and %)
- Pulse rate
- BP
- Pulse pressure
- Blood loss (mL, and %) = 1500-2000 mL or 30-40%
- Pulse rate = 120-140
- BP = Decreased
- Pulse pressure = Decreased
What are the following for class IV shock:
- Blood loss (mL, and %)
- Pulse rate
- BP
- Pulse pressure
- Blood loss (mL, and %) = over 2000 or 40%
- Pulse rate = over 140
- BP = Decreased
- Pulse pressure = Decreased
If there is no improvement in mentation or circulation after a 2L bolus of fluids in a patient without an obvious indication for surgery, what should be done?
Give blood
What is the correct ratio of pRBCs to FFP in trauma patients requiring massive transfusions?
1:1
How do you give TXA in a trauma patient (2 parts)
1 g bolus over 10 minutes followed by 1 g over 8 hours
What are the components of the disability part of the primary survey? (4)
- Glasgow coma scale
- Pupillary sizes
- Motor function
- Intoxicants
True or false: Prophylactic hyperventilation is indicated for potential traumatic brain injuries
False
Why should you defer the treatment of any immediately life threatening intervention on a trauma patient until after the head CT is obtained?
Need to quickly identify the need for neurosurgical intervention
True or false; it is appropriate to remove and then replaced the C-collar on a trauma patient to allow for intubation
True
What are the indications that a patient has an abdominal organ injury and requires OR intervention immediately?
Tenderness
Hypotension
Distention
In whom should a ED thoracotomy be attempted?
Penetrating chest trauma with witnessed signs of life during transport to the ED, and at least electrical heart activity
If a trauma patient has blood at the urethral meatus, what needs to be done?
Retrograde urethrography prior to inserting a foley
Any young woman with trauma should get what test performed?
Pregnancy
Any trauma patient with AMS should get what bedside test done?
Fingerstick glucose
