Initial mgmt of Trauma in adults

Question 1

What is the order of the primary survey for trauma pts?

Answer 1

Airway
Breathing
Circulation
Disability
Exposure

Question 2

What is the LEMON mnemonic for preintubation assessment?

Answer 2

LOOK (for facial/neck injuries)
EVALUATE 3-3-2
MALLAMPATI (retropharynx)
OBSTRUCTION/OBESITY
NECK MOBILITY (remove ant. cervical collar)

Question 3

What is the evaluate 3-3-2 rule?

Answer 3

There should be: 3 fingers-width oral opening
3 fingers-width from tip of chin to hyoid bone
2 (pt) finger-widths from hyoid to thyroid notch

Question 4

What 2 locations are acceptable for needle thoracotomy?

Answer 4

2nd intercostal space, mid-clavicular line

5th intercostal space, mid-axillary line

Question 5

What kind of needle should be used for needle thoracotomy?

Answer 5

Large-bore angiocatheter (at least 14-gauge)

Question 6

What are 5 sites in which significant hemorrhage can occur?

Answer 6

External
Intrathoracic
Intraperitoneal
Retroperitoneal
Pelvic/Long bone fracture

Question 7

Why are the 3 parts of the Glasgow Coma Scale?

Answer 7

Eyes
Verbal
Motor

Question 8

What are the possible points for Eyes on the GCS?

Answer 8

1. Does not open eyes
2. Open eyes in response to pain
3. In response to voice
4. Spontaneously

Question 9

What are the possible points for verbal on the GCS?

Answer 9

1. No sounds
2. Incomprehensible sounds
3. Utters inappropriate words
4. Confused
5. Converses normally

Question 10

What are the possible points for Motor on the GCS?

Answer 10

1. No movement
2. Extensor (decerebrate) posturing to painful stimuli
3. Flexor (decorticate) posturing
4. Withdraws from pain
5. Localized pain
6. Obeys commands