Surgical Tutorial #1

Question 1

what to listen for in airways?

Answer 1

stridor
gurgling
blood

Question 2

burns, look for what in airways?

Answer 2

nostril hair, eyebrows singed hairs
may develop oedema
may prophylactically intubate

Question 3

assessing breathing in trauma looks at what?

Answer 3

RR
Sats
Lungs - Air Entry reduced?
Assymmetry in chest breathing

Question 4

how to assess Circulation

Answer 4

Temp
HR
BP
Cap refill

Question 5

what need to know what in circulation?

Answer 5

Is BP supported?

peripheries cold?

Question 6

Disability assess what?

Answer 6

GCS
Pupils (PEARLS)
Neuro screen

Question 7

Exposure is what?

Answer 7

Temp
BSL
Alcohol
Check skin for abnormalities

Question 8

what happens after ABCDE?

Answer 8

feel abdo

feel pelvis

Question 9

What imaging after trauma in secondary survey?

Answer 9

CXR
PXR
C-sp (but now get CT scan)

Question 10

where is morrison’s pouch?

Answer 10

under liver

Question 11

FAST scan looks at what?

Answer 11

MOrrison's Pouch
Spleen
Pouch of Douglas
Infraxephoid
between ribs

Question 12

log roll to do what?

Answer 12

check for spine tenderness
PR
anal tone
perineal injury

Question 13

ABG gives info about?

Answer 13

haemoglobin
LDH
AA-gradient

Question 14

adjunct trauma investigations

Answer 14

ABG
Urine
Catheter

Question 15

IV access in trauma?

Answer 15

2 arms, 16G

Question 16

What is secondary survey?

Answer 16

More detailed assessment, draw the

Head
Nose, Ear, mouth
C-spine
Chest
Abdo/Pelvis
Upper Limb
Lower Limb
Log Roll

Question 17

what to watch out for in head injuries

Answer 17

hidden scalp lacerations

Question 18

what to check in C-sp 2ndary survey?

Answer 18

midline tenderness on spinous processes?

Alignment?

Question 19

2ndary chest survey?

Answer 19

Flail chest
tenderness?
clavicles
sternum
equal air entry?

Question 20

2ndary abdo exam?

Answer 20

tenderness?

hard?

Question 21

SNT stands for?

Answer 21

soft non-tender

Question 22

2ndary pelvis survey?

Answer 22

spring pelvis to assess tenderness and mobility

Question 23

when is tertiary survey?

Answer 23

done at 24 hours

Question 24

What is tertiary survey?

Answer 24

document the investigations

patient should be awake and can give you info

Question 25

tertiary survey, PTA means?

Answer 25

post traumatic amnesia

Question 26

Trauma history from patient?

Answer 26

AMPLE

Allergies
Meds
PHx
Last Meal
ETOH/Drugs

Question 27

Pan scan is?

Answer 27

Non contrast HEad C-sp
Chest Contrast
portal venous pelvis/abdo

Question 28

aortic transection/dissection risks?

Answer 28

fall from over 3m
MVA 80km/h vs. car
MVA 60km/h vs. motorbike
MVA 40km/h vs. pedestrian

Question 29

Levels of Trauma

Answer 29

OPSTAT: peri-arrest - straight to theatre (penetrating)
Trauma Call:
Trauma Alert:
High risk mechanism (HRM):

Question 30

what is trauma call?

Answer 30

HR - >125, BP

Question 31

what is trauma alert?

Answer 31

mechanism: blunt injuries

Question 32

ICC goes where?

Answer 32

5th intercostal mid-axillary line

2nd intercostal mid-clavicular

Question 33

when take out ICC?

Answer 33

no leak

no swing

Question 34

how much fluid do you normally make a day in pleural space

Answer 34

200ml

Question 35

what to consider with Airways?

Answer 35

C-spine and airways

Tracheal deviation?