ENPC 6th Ed Chap 9 Child with Injury

Question 1

What is the trauma “Triad of Death”?

Answer 1

Hypothermia, Acidosis, Coagulopathy (133)

Question 2

What is the INITIAL infusion of LR for a burn patient 5 years old or less prior to TBSA calculation?

Answer 2

125ml/hr (137)

Question 3

What is the INITIAL infusion of LR for a burn patient 6-13 years old prior to TBSA calculation?

Answer 3

250ml/hr (137)

Question 4

What is the INITIAL infusion of LR for a burn patient 14 years or older prior to TBSA calculation?

Answer 4

500ml/hr

Question 5

What is the calculated volume of fluid for a flame or scald burn victim less than14 years old?

Answer 5

3ml/kg/TBSA
One half given over first 8 hours since the burn, the other half over the next 16 hours (137)

Question 6

What is the calculated volume of fluid for a flame or scald burn victim 14 years old or older?

Answer 6

2ML/HR/TBSA
One half given over first 8 hours since the burn, the other half over the next 16 hours (137)

Question 7

What is the volume of fluid used for an electrical burn victim?

Answer 7

4ml/kg/TBSA (137)

Question 8

What is the ideal urine output based on weight during fluid resuscitation?

Answer 8

30kg of less– 1ml/kg/hr
>30kg–0.5ml/kg/hr
(137)

Question 9

What criteria warrant referral to a burn center? (10 )

Answer 9

1. burns on the face, hands, feet , genitalia, perineum, major joints
2. partial -thickness burns covering >10% TBSA
3. full thickness burns
4. electrical burns or lightning
5. chemical burns
6. inhalation injury
7. prexisting conditions that complicate recovery or affect mortality
8. concomitant trauma in which the burn is more serious
9. lack of qualified personnel
10. nedd for rehab
    (139 B)

Question 10

Where does trauma as a cause of mortality rank in children 1-18 years old?

Answer 10

ranks number one (129)

Question 11

Trauma accounts for how many pedi deaths a year?

Answer 11

100,000 (129)

Question 12

Out of the total number of traumatic deaths, what percent are caused by MVCs?

Answer 12

40% (129)

Question 13

What is “Waddels Triad”?

Answer 13

Injury pattern of a child struck by a motor vehicle inpacting head, chest/abdomen and lower body (137)

Question 14

What is the definition of a large burn?

Answer 14

15% or more of BSA in a “young child”
20% or more in “older children” (136)

Question 15

What is one thing to remember when evaluating the damage down by an electrical burn?

Answer 15

The damage is more extensive than the skin injury implies (136)

Question 16

When using the “rule of palms” what percent of the BSA is covered by one palm?

Answer 16

1% (137)

Question 17

Over what time frame can Post-Concussive syndrome manifest?

Answer 17

days to weeks (140)

Question 18

What is second impact syndrome?

Answer 18

When a second brain injury occurs prior to the complete resolution of the first injury (141)

Question 19

What symptoms are present with a complete spinal cord injury?

Answer 19

Flaccid paralysis and loss of sensation below the level of the injury (141)