Emergency Cram Flashcards
Complications of scaphoid fraction?
Avascular necrosis of proximal fragment
Non-union
Indications for: Compression bandage Removable wrist splint Short arm backslab Short arm plaster
Compression bandage - soft tissue injury
Removable wrist splint - buckle fractures
Short arm backslab - older children with non-displaced, swelling, crush injury, or open fractures
Short arm plaster - displaced fractures maintains reduction
Supracondylar fracture classification system, and complications?
Gartland: 1 - non-displaced 2 - angulated 3 - complete displacement Posterior fat pad displacement. Brachial artery and medial nerve damage
Radial head dislocation and proximal ulna fracture?
Monteggia
Jefferson fracture?
Compression fracture of bony ring of C1
Diving injury
Fracture through growth plate and extension into metaphysis?
Salter-Harris type 2
No growth disturbance
Salter-Harris classifications causing growth disturbance?
3-5 (epiphysis disturbed)
Athletic child
Knee pain worse with exercise
Osgood-Schlatter
Osteochondritis of tibial tubercle
Hip or knee pain/limp in otherwise well 4-9yr old?
Perthes
Osteonecrosis of femoral head
Hip or knee pain/limp in overweight but well 10+yr old?
SUFE
When adrenaline and amiodarone are given during CPR with shockable rhythm?
Adrenaline after 2nd shock
Amiodarone after 3rd shock
When is adrenaline given in CPR with NON-SHOCKABLE rhythm?
Immediately then every 2nd cycle thereafter (1,3,5,7 etc)
Sinus rhythm seen on monitor after CPR/shock - what next?
Continue CPR for further 2min after sinus rhythm on monitor
Rhythm may not necessarily be associated with output
When are 3 stacked shocks used?
Removed from guidelines 2010… Only if
- shockable rhythm in monitored situation
- defib immediately available
- well perfused & oxygenated pre-arrest
4Hs and 4Ts for arrest?
Hypotension Hypoxia Hypothermia Hypo/hyperkalaemia Tension pneumothorax Tamponade Thromboembolism Toxins
