Resuscitation in Major Trauma

Question 1

What are some causes of tachycardia in a major trauma?

Answer 1

Pressure on heart - pericardial tamponade, tension pneumothorax

Occult blood loss

Stimulant drugs

Myocardial contusion

Neurogenic

Pain

Question 2

How are blood products given?

Answer 2

Platelets

FFP (includes clotting factors)

Wash RBCs

Question 3

What do you worry about in a deceleration injury?

Answer 3

Aortic dissection

Question 4

Which fluids are used in major trauma?

Answer 4

Hartmanns up to 2L max

Then blood products

(1:1:1)

Question 5

What does FAST stand for? What is it used for?

Answer 5

Focused abdominal scan in trauma

Looking for fluid (blood) in the abdomen

Question 6

Why don’t you want to use a nasal gastric tube in trauma?

Answer 6

In case of a base of skull fracture

Question 7

How do you assess B in trauma?

Answer 7

Listen

CXR

FAST scan

Question 8

What are pulmonary contusions?

Answer 8

Bleeding into the alveolar airspaces

Question 9

How can you tell a haemopneumothorax cf to a haemothorax only?

Answer 9

Loss of menicus

Question 10

What is the function of a pelvic binder?

Answer 10

Compression of a pelvic fracture to reduce bleeding in the short term