Major Trauma Flashcards
1
Q
In Major trauma what are is required for “Airway”
A
- Manoeuvres and positioning
- NPA only if airway is not patent
- OPA if NPA unsuccessful
- SGA if no gag reflex and prolonged ventilation is required
2
Q
In Major trauma what is required for “breathing”?
A
- Oxygen as per Oxygen guideline
- ventilation if required
- consider chest decompression
3
Q
What is the Vt, Rate, Sp02% and EtCO2 required for Major trauma?
A
- 6-8mL/kg
- 12-16 initially, then adjusting for EtCO2 target
- 94%
- 30-35mmHg
4
Q
In major trauma what is required for “circulation”?
A
- Fluid resuscitation
- 70 - 90 Shock W/O TBI
- > 120 Shock w/ TBI
- Normal saline 250mL as required (MAX 2L)
- Pelvic splint
- Consider other causes of shock
5
Q
In Major trauma what is required in “supportive care”
A
- WARM the patient
- Pain relief
- Spinal Immobilisation
- Mx wounds/fractures
- Seizures
- Hypoglycaemia
- Pressure care
6
Q
When should tranexamic acid be considered?
A
- Severe injuries with BP <90 Or coast score >= 3
AND - <2hours since injury
7
Q
What are the care objectives for Major Trauma
A
- Immediate control of major haemorrhage
- Ensure A,B,C
- Prioritise Tx
- Supportive care as required
8
Q
In major trauma what is the targeted blood pressure?
A
70 - 90
9
Q
When is it appropriate to aim for the Low BP target?
A
- Radial pulse present
- Normal mentation
- Penetrating trunchal trauma
- Young and healthy
- Active massive bleeding
- Shorter transport time
10
Q
When is it appropriate to targe higher BP?
A
- No radial pulse present
- Abnormal mentation
- Blunt Truncal trauma
- Older, comorbid
- Controlled bleeding
- Longer Tx times
11
Q
What is the target blood pressure for TBI
A
120mmHg
12
Q
What are the three components of the Trauma Triad
A
- Hypothermia
- Coagulopathy
- Acidosis
13
Q
A
