Emergency War Surgery (Revision US version) Flashcards

1
Q

What is the correct position to place a patient until a formal airway is established?

A

In the lateral or prone position (rescue position).

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2
Q

Making more than 3 attempts at direct laryngoscopy may result in?

A

Airway trauma and swelling.

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3
Q

In a surgical cricothyrotomy what kind of incision must you make in the skin?

A

Vertical skin incision.

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4
Q

In a surgical cricothyrotomy what kind of incision must you make in the membrane?

A

Horizontal membrane incision.

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5
Q

What areas are over looked in head injuries?

A

Subocciput, occiput, and retroauricular regions.

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6
Q

Injuries to the subocciput, occiput, and retroauricular regions indicate underlying injury to the?

A

Posterior fossa, major venous sinus, or carotid artery.

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7
Q

What are the two most acute and easily treatable mechanisms of secondary injury.

A

Hypotension and hypoxia.

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8
Q

During patient assessment and triage the most important assessment is the?

A

Vital signs.

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9
Q

The second most important assessment is the?

A

Level of consciousness.

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10
Q

Level of consciousness, is best measured and recorded by what scale?

A

Glasgow Coma Scale (GCS).

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11
Q

The vascular supply of the spinal cord is most vulnerable between?

A

The T-4 and T-6 where the canal is most narrow.

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12
Q

Where is the most common place for compression injuries?

A

The thoracolumbar junction between T-10 and L-2.

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13
Q

Triage CAT are Immediate, Delayed, minimal, and expectant.

A

Immediate - attention within 2 hours to avoid death or disability.

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14
Q

Delayed - in need or surgery but can be delayed fractures, torso injuries without shock, burns, soft tissue injuries without bleeding

A

Minimal - minor injuries abrasions, fractures of small bones. these patients can assist with other critical patients.

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15
Q

Expectant - should be out of sight of others. overwhelming injuries and intermittently reassessed.

A

Ideal initial triage are - proximity, one-way flow, well-lit, covered, climate-controled, and dedicated casualty recoreders.

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16
Q

Sufficient litter beares for continuous casualty flow.

A

REverse patient flow in any treatment area is highly discouraged.

17
Q

All casualties should flow through a single triage areas

A

Rapid evaluation by the initial triage officer.

18
Q

Separate treatment areas from emergent, nonemergent, and expectant with it own triage team leader.

A

After the first 24 hours of a mass casualty ordeal the activities of care providers must be decreased by 50%. for recovery

19
Q

Head injuries are Open, closed, scalp, skull fractures

A

Mechanisms of injury are primary and secondary injuries.

20
Q

BW - prevention with IMMS: anthrax and in specific scenarios, smallpox and plague.

A

Bio agents are 4 toxins likely to be used are botulinum toxins, ricin, staphylococcal enteroxin B and T-2 mycotoxins

21
Q

Plague treatment si Streptomycin

A

Cholera treatment is ciprofloxacin, doxy, tetracycline.

22
Q

Q fever

A

Tetracyccline