Multiply Injured Patient Flashcards

1
Q

What is a trauma network?

A

Includes all providers needed for trauma cases: pre-hospital services, smaller local trauma units and larger trauma centres, and rehabilitation services

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2
Q

What is a major trauma centre?

A

Provide multi-specialty hospital care to seriously injured patients, optimised for the provision of trauma care

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3
Q

What is a pre-alert team made up of?

A

ED,
Anaesthetics,
Radiology,
Surgical specialities

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4
Q

What does the paramedic mention at point of handover?

A
Time of injury, 
Mechanism of injury, 
Suspected serious injuries, 
Viral signs,
Interventions carried out
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5
Q

In a trauma assessment what is a primary survey?

A

ABC

- detects and treats immediate threats to life

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6
Q

In a trauma assessment what is a secondary survey?

A

Identification of all injuries and more detailed history

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7
Q

ABCDE stands for in primary surgery of trauma patient?

A
Airway with C-spine control 
Breathing with O2,
Circulation with haemorrhage control,
Disability, 
Expose and Environement
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8
Q

when should ABC in trauma be used?

A

In a catastrophic haemorrhage control

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9
Q

A C spine is needed in injuries with?

A

There was a dangerous mechanism,
Reduced conscious levels,
Injury above clavicle,
Neurological signs

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10
Q

Blood tests for circulation assessment?

A

Blood gas,
Lactate,
Haemoglobin

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11
Q

Circulation 5 sites for blood loss?

Clue- on the floor and 4 more

A
Floor, 
Chest, 
Abdomen,
Pelvis, 
Long bones
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12
Q

How to monitor volume replacement?

A

Viral signs,
Urine output,
Lactate

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13
Q

Lethal triad in blood loss patients?

A

Coagulopathy,
Acidosis,
Hypothermia

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14
Q

Assessment of Disability in a trauma patient

A
AVPU, 
GCS, 
Pupils,
Tone and reflexes, 
Log roll
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15
Q

DEFG in trauma assessment?

A

DONT
EVER
FORGET
GLUCOSE

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16
Q

Bed side tests that are useful in trauma assessment?

A

ECG,
arterial blood gas,
Urine dipstick

17
Q

Modern scans used initially in a trauma patient?

A
FAST scan (Focused Abdominal Scan in Trauma),
CT
18
Q

Common transfers made in a trauma patient?

A
Theatre (operative management),
Interventional radiology (control of bleeding),
ITU (intracranial pressure monitoring)