Trauma Flashcards
What is the leading cause of death in people <45 years old?
Trauma
What were the 3 most common causes of death in 2020?
- Heart disease
- Cancer
- Trauma
What is the trimodal death distribution for trauma?
- the first peak = death in seconds to minutes of injury
- the second peak = death in minutes to several hours following injury
- the third peak = death several days to weeks after the initial injury
How many trauma centers are in Boston?
6
In the setting of a trauma what should you do first?
treat the greatest threat to life first
What is the primary survey for trauma? (ABCDE)
- airway (FIRST)
- breathing
- circulation
- disability (neurological status)
- exposure/environmental
In trauma, a GCS of < ____ you want to intubate.
<8
Paradoxical movement of the chest wall segment with respiration secondary to a fractured rib is called what
flail chest
What is the immediate vs. definitive treatment for an open pneumothorax?
- immediate = occlusive dressing
- definitive = thoracostomy and surgical repair
Hypotension in the setting of trauma is presumed to be what type of shock until proven otherwise?
hemorrhagic shock
What does the secondary survey consist of?
- head to toe evaluation and AMPLE history
What is the most commonly injured organ in blunt trauma?
spleen
The finding of _____________ has a nearly 10x higher chance to require intervention including embolization or splenectomy in the setting of a splenic injury.
active extravasation
contrast blush on CT
What is the second most injured organ in blunt trauma?
liver
If you suspect a bladder injury what imaging test do you want to get?
CT cystography to look for filling in space of retzius (tooth sign)
