Severe trauma Flashcards
1
Q
Mechanism of Injury
A
2
Q
Primary Survey
A
Airway
Breathing
- Chest movement ,breath sound
- SpO2, ABG
Circulation
- IV access
Disability
Exposure
3
Q
Needle thoracostomy
A
2nd ICS, MCL
Gush of air confirms diagnosis
Insert chest tube afterwards
5th ICS, anterior to MAL
4
Q
Haemodynamic resuscitation
A
Aim for SBP 80-100 in patients without head or spinal injury
5
Q
Intubation
A
Modified jaw thrust
Rapid sequence induction
- Preoxygenate for 3-5 minutes, 100% oxygen
- Cricoid pressure
- Gum elastic bougie
Anticipate failed intubation
