DH Trauma

Question 1

What is unique about level 1 trauma center

Answer 1

• Trauma education to public
• Teaches trauma care
• Researches trauma care
• Provides substance abuse screening/ intervention

Question 2

ATLS Classifications of hemorrhagic shock

Class I

Answer 2

HR- nrml
BP- nrml
Blood Loss- < 15%
Rx: NS

Question 3

ATLS Classifications of hemorrhagic shock

Class II

Answer 3

HR- nrml- fast
BP- nrml- low
Blood Loss- 15%- 30%
Rx: NS

Question 4

ATLS Classifications of hemorrhagic shock

Class III

Answer 4

HR- tachy 
BP- hypo
AMS
Blood Loss- 30-40% 
Rx: NS + blood

Question 5

ATLS Classifications of hemorrhagic shock

Class IV

Answer 5

HR- tachy 
BP- hypo
Obtunded 
Blood Loss- >40% 
Rx: NS + blood

Question 6

In pregnancy, how much blood loss can a woman have w/o changes to vitals

Answer 6

2 Liters

Question 7

Disability in primary survey

Answer 7

Alert , Verbal , Respond to pain, Unconscious

or

GCS
Eye, Verbal, Motor- Best predictor

Question 8

Goal of Disability in primary survey

Answer 8

Concerns for intracranial injury

Spinal cord injury

Question 9

Labs for trauma

Answer 9

*Type and Cross
HCT
CBC,  coags
ABG: Lactate/ Base deficit 
UA

Question 10

Cardiogenic Shock

physiology

Answer 10

HR ↑
CVP ↑
Contractility ↓↓
SVR ↑

Question 11

Hypovolemic

physiology

Answer 11

HR ↑
CVP ↓↓
Contractility ~
SVR

Question 12

Distributive (Sepsis)

physiology

Answer 12

HR ↑
CVP ↓↓
Contractility ~
SVR ↓

Question 13

Obstructive

physiology

Answer 13

HR ↑
CVP ~
Contractility ~
SVR- ↑ (PE) or ↓ (tension PTX)