Major Trauma Resus

Question 1

Trauma Bloods

Answer 1

FBE, UEC, Lipase, Coags (risk of DIC), Group and Hold, LFT,

Question 2

don’t clot well when?

Answer 2

cold

acidotic

Question 3

why don’t use NGT in trauma?

Answer 3

base of skull fracture, could get stuck

use orogastric tube

Question 4

how can you tell on pneumothorax x-ray if haemothorax?

Answer 4

no meniscus on CXR

Question 5

patchy opacities in lung fields major trauma is probably?

Answer 5

pulmonary contusions

Question 6

aortic dissection looks like in CXR?

Answer 6

widened mediastinum

Question 7

point of CXR initially?

Answer 7

rule out tension pneumo

Question 8

how to assess blood loss if you can’t see it lost?

Answer 8

ask ambos if there was blood at scene, how much?

Question 9

tachycardia causes?

Answer 9

pericardial effusion/tamponade
tension pneumo
tamponade
drugs
sepsis
anxiety

Question 10

if pelvic fracture and they are stable, waiting for CT, what to do?

Answer 10

pelvic binder

Question 11

FAST scan for what?

Answer 11

blood in abdo (spleen/liver) dark space

pericardial effusion

Question 12

after 2 L of fluid, switch over to what?

Answer 12

blood

Question 13

blood replacement is what?

Answer 13

Plasma/Fresh frozen plasma

Question 14

what is 1:1:1 for massive trauma?

Answer 14

platelets:Fresh Frozen Plasma:blood product (RBCs)

Question 15

MAP of at least what for trauma prior to surgery?

Answer 15

55

Question 16

pre-hospital important triage to know if send to trauma centre?

Answer 16

vital signs
injuries
high risk mechanism (least predictive)

Question 17

How to assess breathing in trauma

Answer 17

CXR
listen to chest
FBE - lactate
ABG