Multi trauma

Question 1

What is the ‘Golden Hour’?

Answer 1

The critical trauma patient must be given definitive surgical care within 60min otherwise their chance for survival diminishes rapidly.

Question 2

What is the trimodal distribution of death?

Answer 2

Immediate (within first hour): lacerations to brain, brainstorm, spinal cord, aorta or heart.

Early deaths (2-3 hours): TBI, hemopnueumothorax, pelvic fractures, long bone fractures or abdo injuries.

Late deaths (days to weeks): Sepsis, MOI

Question 3

What part of the aorta is often sheared due to deceleration forces?

Answer 3

At the ligamentum arteriosum

Causes rapid exsanguination

Question 4

What’s is Becks Triad?

Answer 4

Indicates Cardiac Tamponade
• Elevated CVP
• Muffled heart sounds
• Hypotension

Question 5

What does FAST stand for?

Answer 5

Focused Assessment with Sonography for Trauma

Question 6

What are the disadvantages of ultrasound?

Answer 6

It heats the soft tissue and enhances the inflammatory response