New in 10th Edition Flashcards
1
Q
Initial assessment
A
only 1L of fluid, judicious approach until bleeding is controlled
20ml/kg for children
if unresponsive, blood products
2
Q
Schock class I
A
< 15% of blood loss
HR, BP, PP, GCS stable
Base deficit 0-2 mEq/L
3
Q
Schock class II
A
15-30% of blood loss HR starts to rise PP starts to fall Base deficit -2 to -6 mEq/L Consider blood products
4
Q
Schock class III
A
31-40% of blood loss HR is high BP starts to fall RR starts to rise Urine output starts to fall GCS starts to fall Base deficit -6 to -10 mEq/L Give blood products
5
Q
Schock class IV
A
>40% blood loss HR high BP low RR high Urine output low GCS low - 10 mEq/L or less Massive transfusion protocol
6
Q
TXA
A
1g on site
1g over 8 hours as perfusion in hospital
7
Q
Life threatening injuries
A
A :
Airway obstruction
Tracheobronchial injury
B :
Tension pneumothorax
Open pneumothorax
C :
Massive hemothorax
Cardiac tamponade
Traumatic circulatory arrest
8
Q
Traumatic circulatory arrest
A
Bilateral chest decompression Anterolateral or Clamschell thoracotomy - if cardiac injury, suture - if severe hypovolemia - thorax : clamp - abdomen : clamp descending aorta
9
Q
Aortic rupture
A
Beta Blocker (Esmolol)
Goal :
- Heart rate < 80 bpm
- BP : MAP 60-70
