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Emergency Medicine > Surgical Instruments > Flashcards

Surgical Instruments Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

2 types of needle drivers…

A

mayo

webster

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2
Q

which size blade?

used for skin incisions

A

10 blade, 20 blade (larger)

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3
Q

which size blade?

used to open vessels, make stab incisions

A

11 blade

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4
Q

which size blade?

small, precise incisions

A

15 blade

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5
Q

3 most widely used scissors…

A

mayo
metzenbaum
bandage

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6
Q

Which scissors?

multipurpose workhorse, blunt rounded tips

used as suture scissors

cuts suture, superficial tissue, fascia

A

straight mayo scissors

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7
Q

Which scissors?

multipurpose workhorse, blunt rounded tips

cuts tendons, ligament, muscle, heavy tissue

A

curved mayo scissors

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8
Q

Which scissors?

straight or curved with variety of lengths

not used for suture usually

blunt dissection or cutting delicate tissue

A

metzenbaum scissors

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9
Q

2 types of forceps

A

pickups

clamps

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10
Q

4 types of tumb forceps

A

debakey
adson
tissue with teeth
russian

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11
Q

Which thumb forceps?

grasp fine tissue, vessels

soft tissue dissection

A

debakey

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12
Q

Which thumb forceps?

grasp skin edges when suturing/stapling

A

adson with teeth

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13
Q

Which thumb forceps?

grasp delicate tissue

A

adson without teeth

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14
Q

Which thumb forceps?

grasp delicate tissue or during skin closure

A

adson-brown

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15
Q

Which thumb forceps?

grasp heavier tissue for manipulation/retraction

A

tissue forceps w/ teeth (rat tooth forceps)

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16
Q

Which thumb forceps?

hold tissue during wound debridement and closure

grasp dense tissue

A

russian forceps

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17
Q

are debakey forceps traumatic or atraumatic?

A

atraumatic

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18
Q

Which type of locking forcep? (2)

clamp vessels
grasp bleeding tissue
suture-ligate vessels

A

mosquito or hemostats

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19
Q

which has a finer tip, mosquito forceps or hemostats?

A

mosquito

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20
Q

this is a larger version of a hemostat…

A

kelly forceps

21
Q

Which type of locking forcep?

clamp large blood vessels
manipulate heavy tissue
soft-tissue dissection

A

kelly forceps

22
Q

Which type of locking forcep?

passing ties

dissector when adding sponge ball to tips

tunneling for drain placement

A

tonsil forceps

23
Q

Which type of locking forcep?

clamp hard-to-reach vessels, suture behind or around a vessel

A

right angle

24
Q

this is a right angle forcep with tie clamped on the tip

A

tie on a passer

25
Q

aka sponge forceps or sponge stick

A

ring forceps

26
Q

Which type of locking forcep?

folded sponge in jauws to retract tissue and absorb fluids in surgical field

tissue removal

A

ring forceps

27
Q

aka tissue holding forceps

A

babcock forceps

28
Q

Which type of locking forcep?

used to hold tubular organs

A

babcock forcep

29
Q

Which type of locking forcep?

Traumatic

used for hemostasis, hold tough cartilage, ribs during resection

A

kocher forceps

30
Q

large, traumatic kelly clamp

A

rochester peon clamp

31
Q

2 uses for rochester peon clamps

A

mesenteric hemostasis

chest tube insertion

32
Q

Which type of locking forcep?

traumatic

hold tough structures

grasp tissue that will be removed

A

allis forceps

33
Q

Which type of locking forcep?

penetrating/traumatic

clamp towels together

clamp tissue for manipulation and removal

A

penetrating towel clips

34
Q

a towel clip will pierce… (3)

A

drapes, gloves, fingers

35
Q

Which type of locking forcep?

clamp towels, drapes together

clamp items to drapes

A

non-penetrating towel clips

36
Q

2 types of self-retaining retractors

A

weitlaner

gelpi

37
Q

which self-retaining retractor can have sharp or dull tips?

A

weitlaner

38
Q

which manual retractor? (2)

shallow, superficial retraction

A

army navy retractor, goulet retractor

39
Q

which manual retractor?

common in most specialties

come in large and small

retracts many tissues

A

richardson retractor (baby rich, big rich)

40
Q

which manual retractor?

many widths
bend to shape
used in abd and chest

A

melleable/ribbon retractor

41
Q

which manual retractor?

used in deep incisions
variety of widths

A

dever

42
Q

which manual retractor?

elevates subq tissue, broad surfaces and edges

A

rakes

43
Q

What surgical tool?

cut, coagulate, desicate, destroy tissue

can be monopolar or bipolar

A

bovie

44
Q

which suction cath for general multi-purpose suction?

A

yankauer

45
Q

Which suction cath for large volume?

A

poole

46
Q

which suction cath has a very fine suction tip?

A

frazier

47
Q

this allows for suction and irrigation from the same instrument

A

suction irrigator

48
Q

what 5 items are counted prior to procedure start?

A 
instruments
needles
blades
sponges
retractors

Emergency Medicine (12 decks)

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