Critical Care Procedures Flashcards
1
Q
Concepts of ATLS
A
- Treat greatest threat to life first
- Lack of a definitive diagnosis should never impede application of an indicated treatment
- Detailed history is not essential to begin evaluation of a patient with acute injuries
2
Q
How to differentiate PTX from cardiac tamponade?
A
- Hyperresonance
- Deviated trachea
- Absent breath sounds over affected hemithorax
3
Q
ABCDEs of trauma
A
Airway w/C-spine protection Breathing Circulation (stop the bleeding) Disability or neuro status Exposure and environmental
4
Q
ATLS primary survey
A
ABCDEs
5
Q
ATLS secondary survey
A
- Head to toe exam and history
- AMPLE (Allergies, Meds, Previous history, Last meal, Events/Environment)
6
Q
Define simple PTX
A
Non-expanding collection of air around the lung
7
Q
Diagnosis of simple PTX
A
- X ray typically needed
- Classic s/s are often difficult to appreciate
8
Q
Define tension PTX
A
- One way valve leak
- EMERGENCY
9
Q
Indications for needle decompression
A
Tension PTX leading to unstable patient
10
Q
Complications of needle decompression
A
- Kinking of catheter
- Large body habitus
- Subsequent PTX
- Clot in catheter
- Lung laceration
11
Q
ABCDs of chest x-ray
A
Airway Bone Cardiac Diaphragm Equal lung Fields Gastric bubble Hium
12
Q
Possible complications of a chest injury
A
- ARDS
- Pulm contusion
- Aortic injury
- Bronchial tree injury
- Pericardial effusion
13
Q
Indications for chest tube placement
A
- Post needle decompression
- Hemothorax
- Fluid
- Pus (empyema)
- Air
14
Q
What is a large 30-40 French chest tube used for?
A
Evacuation of a hemothorax
15
Q
What is a small 12-22 French chest tube used for?
A
Treatment of PTX
