Trauma

Question 1

unstable trauma patient, first thing to do?

Answer 1

FAST

Question 2

if FAST positive in unstable patient, what next?

Answer 2

OR

Question 3

Poor prognosis in trauma patients?

Answer 3

hypothermia, acidosis, coagulopathy

Question 4

increased mortality risk in rib fractures?

Answer 4

age

Question 5

first thing to do for pelvic fractures? if HDU?

Answer 5

external fixation/consider embolization

Question 6

how much, in L, is circulating blood volume? % BW?

Answer 6

5L/7%

Question 7

R time on TEG abnormality, give what?

Answer 7

if increased give FFP, this measure the time to fibrin formation

Question 8

K and alpa angle on TEG abnormality, give what?

Answer 8

inc K time and dec angle signifiy poor clot strength, give FFP and cryo

Question 9

MA on TEG abnormality, give what?

Answer 9

overall clot strength, abnormally low, give plt

Question 10

Ly30 abnormality, give what?

Answer 10

measures the lysis of clot, if inc Ly30 consider giving TXA

Question 11

who to give prophylactic abx to?

Answer 11

perforated viscus for no more than 24h

Question 12

CRASH 2 trial results?

Answer 12

reduction in all cause mortality if TXA given to traumatic shock patient within 3 hours

Question 13

permissible hypotension premise?

Answer 13

allow BP to be lower if patient otherwise stable because driving up pressure can dislodge clot present

Question 14

most common causes of circulatory shoc in trauma?

Answer 14

blood loss, blunt cardiac injury, tension pneumo, tamponade, neurogenic

Question 15

benefits of HBOT in clostridial infection?

Answer 15

dec mortality and limb salvage

Question 16

electrolyte abnormality that portends a worse prognosis in trauma? level?

Answer 16

hypocalcemia, ical <1

Question 17

risk factors for poor outcome in trauma?

Answer 17

ischemic heart disease, COPD