initial assessment and management for truma

Question 1

if the patient is able to communicate verbally, the airway is not likely to be in immediate risk

Answer 1

true

Question 2

Tension Pneumothorax

Answer 2

hyperresonant note on
percussion
◈ deviated trachea
◈ distended neck veins ◈ absent breath sounds

Question 3

massive hemothorax

Answer 3

> 1500 mL of blood or
≥1/3 of the patient’s blood
volume ◈ continuing blood loss
(200 mL/hr for 2-4 hours) ◈ persistent need for blood
transfusion

Question 4

open pneumothorax

Answer 4

opening in the chest wall
is approximately ≥2/3 the
diameter of the trachea

Question 5

Blind clampin

Answer 5

damage to nerves and vein

Question 6

If a patient is unresponsive to initial crystalloid
therapy, he or she should receive a blood transfusion.

Answer 6

true

Question 7

do not insert a urinary catheter before examining the
perineum and genitalia

Question 8

when in is the C/I of urinary catheter?

Answer 8

urethral injury

Question 9

when is the C/I of gastric catheter?

Answer 9

fracture of the cribriform plate

Question 10

AMPLE

Answer 10

secondary survey

Question 11

Needle decompression

Answer 11

Second intercostal space midclavicular line (2ICS MCL), just above the third rib

Question 12

Principles of Spine Immobilization and Logrolling

Answer 12

4 people
○ restrict cervical motion
○ restrict motion of the torso (including the pelvis and hips)
○ pelvis and legs
○ direct the procedure and insert the spine board