principles of resuscitation

Question 1

what is resuscitation

Answer 1

the process of correcting physiological disorders in an acutely unwell or injured patient

Question 2

common cause for trauma

Answer 2

RTC / falls

Question 3

who is most likely to have trauma

Answer 3

men age 18-40

Question 4

what is involved in primary survey

Answer 4

general impression
ABCDE

Question 4

what is involved in primary survey

Answer 4

general impression
ABCDE

Question 5

ATMIST

Answer 5

Age
Time of incident
Mechanism of injury
Injuries sustained
signs n symptoms
Treatment

Question 6

AMPLE history

Answer 6

allergies
medication
PMH
last ate
events leading up to presentation

Question 7

AMPLE history

Answer 7

allergies
medication
PMH
last ate
events leading up to presentation

Question 8

What does airway cover

Answer 8

C-spine control
exsanguanating haemorrhage

open or closed
action required
adjuncts

Question 9

what allergies/medications are relevant to know about in trauma

Answer 9

warfarin
DOACs
if theyre on beta blockers
allergy to analgesia

Question 10

opening airways in trauma ?

Answer 10

jaw thrust - not head tilt (fracture)

Question 11

T/F not all trauma patients receive high flow oxygen

Answer 11

F
all patients do

Question 12

managemen of tension pneumothorax

Answer 12

oxygen
thoracocentesis
chest drain

Question 13

what is this

Question 14

management of massive haemothorax

Answer 14

oxygen
chest drain and circulatory resuscitation

Question 15

what types of people have very good compensatory mechanism for blood loss and so may not present with haemorrhagic shock

Answer 15

pregnant women
children

Question 16

what is the resuscitations fluid of choice

Answer 16

blood

O-ve / type specific / cross match
ratio = 1 RCC : 1FFP

Question 17

what is the resuscitations fluid of choice

Answer 17

blood

O-ve / type specific / cross match
ratio = 1 RCC : 1FFP

Question 18

what is tranexamic acid

Answer 18

used to prevent excessive blood loss in trauma / post partum bleeding etc

(clotting)

Question 19

other than IV fluids what other acute interventions are there

Answer 19

tranexamic acid
direct pressire
tourniquet
splint long bones
pelvic binder

Question 20

things to check in disability

Answer 20

head trauma ?
AVPU
GCS
Pupils
lateralising signs

Question 21

do always give COPD patients oxygen

Answer 21

yes

hypercapnia (?) can be corrected

Question 22

how would a patient sustain a secondary head injury

Answer 22

hypoxia

Question 23

how can we prevent secondary injury in C-spine

Answer 23

MILS - manual in line stabilisation
three point fixation - hard collar, blocks and tape

Question 24

clearing C-spine for minor trauma

Answer 24

NEXUS criteria

Question 25

clearing C-spine for major trauma

Answer 25

can’t do much without CT scan

Question 26

further investigation in trauma (beyond ABCDE)

Answer 26

aim for a whole body CT scan within 30 minutes
plain film
ECG
ABG
liaise with family police