Poisoning/ OD Flashcards
Height of fall
3x or 15ft
tibia fx losses how much blood
500ml
lacs to head
rarely go into shock
aerobic vs anaerobic metabolism
O2 vs no O2
Compensating for blood loss
narrowing bp, tachycardia
early vs late signs of shock
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arterial bleeding
squirting bright red blood, direct pressure then tourniquet
Car accident, stabbed or worked up
pulse rate and lung sounds suggest early signs of shock
How does the lactic acid effect spyncters
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baro vs chemoreceptors
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What happens when post capillary sphincters open
Washout
LOC is important to watchout for
decreasing LOC is not compensating or dropping B/P(25-35% loss of blood)
compensated vs decompensated
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What fluid is the best for the trauma patient
Diesel… haul ass
Phases of blood clotting
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Layers of arteries
Which controls the diameter of the vessel?
Arteriolles, ? circulation???
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Type of cut is easier to control
perpendicular easier than parallel
How much blood can be lost in Fx and what stage does that put you in?
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Lots of %’s
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smaller amounts of blood can lead to shock…
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Orthostatic hypotension
sit up Pt and B/P drops
always do BSI and scene safety
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Know effects of epi
beta 1…
different kinds of shock
distributive, obstructive ????
rapid trauma assessment
CAC, hips, long bones, not necessarily the back
Low impact penetrating vs high impact
GSW can cause lots of damage so
Not a PASG
auto transfussion of up to 2000 CC’s in lower extremities
Use of a short catheter with a large internal diameter
lots of fluid, 14, 16 gauge
pneumatic contraindicated with 61yr old man with GI bleed
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Internal bleeding pt ultimately needs
Surgeon
Amputations go to
UCSD…
MOI gears us toward
injuries
MOI gears us toward
injuries
Trauma tree algorythm speeds, rollovers, restrained, unrestrained ejection and golden hour
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