Miscellaneous Trauma Facts

Question 1

How much blood can be lost into the thigh with a closed femur fracture?

Answer 1

1.5L

Question 2

Signs of laryngeal fracture

Answer 2

Subcutaneous emphysema in neck
Altered voice
Palpable laryngeal fracture

Question 3

Intra abdominal injury associated with seatbelt use

Answer 3

Small bowel.(L2, pancreatic)

Question 4

Pelvic fracture bleeding. Venous? or Arterial?

Answer 4

Venous (85%)

Question 5

Most common intra abdominal organ injured with penetrating trauma.

Answer 5

Small bowel

Question 6

How high up do the diaphragms go?

Answer 6

nipple. T4

Question 7

Most common injured abdominal organ with blunt trauma?

Answer 7

Liver

Question 8

Treatment for duodenal injury

Answer 8

Pyloric exlusion

Question 9

Damage control surgery.

Answer 9

Stop major hemorrhage and GI spoilage
Pack and get out the OR ASAP. Bring patient to ICU to warm, correct coags, and resuscitate
Return patient to O.R. when stable, warm, and not acidotic

Question 10

What is the “lethal triad?”

Answer 10

“ACH”
Acidosis
Coagulopathy
Hypothermia