B6-072 Trauma Flashcards
primary survey ABCDE
A-airway
B- breathing
C- circulation, is it shock?
D- deficit deformity, neuro status
E- exposure: where all the injuries are
most important part of secondary survey
reassessment
what is considered a definitive airway?
tube in trachea
what is an important consideration in trauma when establishing an airway?
C-spine stabilization
paradoxical movement of the chest indicates
flail chest
treatment for flail chest
positive pressure ventilation
in field treatment for open pneumothorax
three sided dressing
what is this?
tension pneumothorax
what is this?
tension hemothorax
treatment for pneum/hemothorax?
chest tube
bubbling in the fluid chamber of a chest tube when the patient coughs/breathes deeply indicates
air leak
Beck’s triad (hypotension, JVD, muffled heart sounds) indicates
pericardial tamponade
establish […] IVs to resuscitate with blood
2 large bore
most common cause of shock in trauma patient is
hemorrhage
define massive blood loss
loss of entire blood volume over 24 hours OR
50% acute loss within minutes of injury
define massive transfusion
> 10 unit PRBC OR
equivalent to blood volume has been given in 24 hours
by the time changes in the blood pressure are occurring, what stage of shock is the patient in?
class 3- need blood
triad of death
hemorrhage causing hypothermia, acidosis, coagulopathy
GCS < 8 means the patient is
in a coma, may need intubation but check ABC first
high spinal cord injury that affects the vagus nerve causes […] shock
neurogenic
what two broken bones pose an immediate danger to the patient?
pelvis
femur
the […] response of GCS is the most important predictor of outcome
motor