ATLS Flashcards
Categories of head injury
8 - severe
9-12 - moderate
13-15 - mild/minor
LEMON
Look externally Evaluate 3-3-2 Mallampati Obstruction Neck mobility
LMA sizes
3 - small female
4 - large female/small male
5 - large male
shock is…
the clinical evidence of inadequate organ perfusion and tissue oxygenation
sources of blood loss
"on the floor plus 4 more" chest abdomen pelvis/retroperitoneum femur
this type of shock does not have a narrow pulse pressure
neurogenic shock
needle decompression of PTX
2 ICS, midclavicular line
management of open PTX
occlusive dressing on wound with 1 side open
chest tube in another location
indication for early thoracotomy when blood returns from chest tube placement
> 1500ml immediate blood return
indication for thoracotomy based on amt of blood return from chest tube over time
> 200ml/hr x2-4hrs
loss of contralateral pain and temperature
loss of ipsilateral motor
Brown Sequard syndrome
hemisection of the spinal cord
loss of motor and pain sensation
preserved temp and proprioception
Anterior cord syndrome
disruption of the anterior spinal artery
upper extremities affected more than lower extremities
central cord syndrome
Posterior cord syndrome
loss of proprioception and pain sensation
loss of proprioception and pain sensation
Posterior cord syndrome
With regards to hemothorax, what amount of bloody output should trigger operative management?
Immediate return of 1500mL or 10-15ml/kg
>200ml/hr or 2-4ml/kg/hr of bloody drainage
GCS E
4 - spontaneous
3 - speech
2 - pain
1 - none
GCS M
6 - commands 5 - localizes pain 4 - normal flexion 3 - abnml flexion - decorticate 2 - extension - decerebrate 1 - flaccid/none
GCS V
5 - oriented 4 - confused 3 - inappropriate 2 - incomprehensible 1 - none
