Trauma Flashcards

1
Q

What does A stand for in ABCDE (for trauma).

A

Airways. Anaesthetist. Axial Spine Control.

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2
Q

What does B stand for in ABCDE (for trauma).

A

Breathing (ventilation). Oxygen.

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3
Q

What does C stand for in ABCDE (for trauma).

A

Circulation. Haemorrhage control.

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4
Q

State a type of cuffed oro-endotracheal tube (COETT) used.

A

Orotracheal airway. Nasotracheal airway. Combitube.

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5
Q

State a type of surgical airway.

A

Cricothyroidotomy - incision made through skin to establish. Tracheostomy.

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6
Q

State a symptom of airway obstruction (laryngeal injury).

A

Hoarseness. Subcutaneous emphysema.

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7
Q

State a treatment of airway obstruction.

A

Intubate cautiously. Tracheostomy.

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8
Q

State a feature of a tension pneumothorax.

A

Respiratory distress. Distended neck veins. Unilateral breath sounds. Falling blood pressure. Hyperresonance (due to overinflation of lung). Displace trachea. Cyanosis.

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9
Q

State a feature of cardiac tamponade.

A

Reduced arterial pressure. Reduced ventricular filling. Distended neck veins. Muffled heart sounds. Pulseless electrical activity.

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10
Q

State a treatment of a cardiac tamponade.

A

Pericardiocentesis - doctor drains fluid from the pericardial sac.
Thoracotomy (more invasion) - to drain blood/remove blood clots if you have penetrating wound.

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11
Q

Define a cardiac tamponade.

A

When extra fluid builds up in the space around the heart.

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12
Q

State 2 causes of a cardiogenic shock.

A

Haemorrhagic (blood loss). Non-haemorrhagic (tension pneumothorax, cardiac tamponade, cardiogenic, neurogenic, septic).

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13
Q

State how to recognise a shock.

A

Anxiety. Hypotension. Cold. Tachypnea/shallow respirations. Tachycardia. Reduced urinary output.

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14
Q

State the 4 stages to circulation/haemorrhagic control.

A

Identify the site of the bleed. Stop the bleeding. Replace volume +/- RBC. Volume replacement.

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15
Q

State 2 examinations under Disability.

A

Primary state examination (5P’s). Glasglow coma score.

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16
Q

State the 5P’s.

A

Pernicketiness (Glasglow Coma Score). Pupils (papilloedema) - optic disc swelling due to increased intracranial pressure. Plantars (heel pain). Power. Protruded tongue.

17
Q

Define the elements of a Glasglow Coma Score.

A

Eyes. Voice. Movement.

18
Q

State an aspect of exposure.

A

Temperature.

19
Q

Give an example of how to warm the patient.

A

Warm environment. Warm fluids. Blankets. Warming devices.

20
Q

What does the Primary Survey involve?

A

Airways. Breathing. Circulation. Disability. Exposure.

21
Q

What does the Secondary Survey involve?

A

Allergies. Medications. Past medical history. Last meal. Events (mechanism of injury).