Trauma

Question 1

<p>Gustillo anderson wound size</p>

Answer 1

<p>I <1cm</p>

<p>II 1-10cm</p>

<p>III >10cm</p>

Question 2

<p>Indications for thoracotomy for massive haemothorax</p>

Answer 2

<p>If <1500mls drained immediately</p>

<p>or</p>

<p>>200mls/h for 2-4 hrs requiring ongoing transfusion</p>

Question 3

<p>Rate of infusion of fluid resus in burns</p>

Answer 3

<p>50% should be given in the first 8 hrs</p>

<p>rest given in 16 hrs</p>

Question 4

<p>Potential blood loss in pelvis</p>

Answer 4

<p>1.5L</p>

Question 5

<p>Potential blood loss from femoral fracture</p>

Answer 5

<p>1-1.25L</p>

Question 6

<p>Potential blood loss from Tibial/humeral fracture</p>

Answer 6

<p>0.5-1.5L</p>

Question 7

<p>Grades of traumatic kidney injury</p>

Answer 7

<p>1- contusion, non-expanding haematoma</p>

<p>2- superficial laceration <1cm</p>

<p>3. laceration >1cm, without involving renal pelvis or collecting system</p>

<p>4. laceration extends into the renal pelvis or causes extravasation</p>

<p>5- shattered kidney, avulsion of renal vessels</p>

Question 8

<p>Criteria for CT head within 1 hr</p>

Answer 8

<p>GCS <13 hrs</p>

<p>GCS <15 after 2 hrs</p>

<p>Open or depressed skull fracture</p>

<p>Suspected basal skull</p>

<p>Post trauma seizure</p>

<p>Focal neurological deficit</p>

<p>More than 1 vomiting</p>

Question 9

<p>Criteria for CTH within 8 hrs for LOC or amnesia post head injury</p>

Answer 9

<p></p>

<p>>65</p>

<p>Bleeding/clotting disorders</p>

<p>Dangerous mechanism of injury</p>

<p>>30mins retrograde amnesia</p>

Question 10

<p>ATLS rx of tension pneumothorax</p>

Answer 10

<p>Needle decompression and chest drain both in 5th intercostal space</p>

Question 11

<p>What is FAST scan used for</p>

Answer 11

<p>LUQ, RUQ and suprapubic region + cardiac</p>

<p>Not very good at visualising kidneys</p>

Question 12

<p>Grades of traumatic liver injury</p>

Answer 12

<p>1. <10% haematoma, <1cm depth</p>

<p>2.10-50% haematoma, <3cm depth</p>

<p>3. >50% haematoma, >3cm depth</p>

<p>4. <75% a single lobe or <4 segments</p>

<p>5. >75% of a single lobe or >3 segments</p>

<p>6. hepatic avulsion</p>

Question 13

<p>Which layer of skin does superficial burn involve</p>

Answer 13

<p>Epidermal</p>

Question 14

<p>What layer of skin does superficial partial thickness burn affect</p>

Answer 14

<p>Papillary</p>

Question 15

<p>What layer of skin does deep partial thickness affect</p>

Answer 15

<p>Reticular dermis</p>

Question 16

<p>What layer of skin does full thickness burn effect</p>

Answer 16

<p>entire dermis as well as hypodermis (subcut fat)</p>

Question 17

<p>How long does it take for various burns to heal</p>

Answer 17

<p>Superficial 10days</p>

<p>Superficial partial 21 days</p>

<p>Deep partial 8 weeks</p>

Question 18

<p>How much irrigation required for various gustillo Anderson classes</p>

Answer 18

<p>3 L for type 1</p>

<p>6 L for type 2</p>

<p>9 L for type 3</p>

Question 19

<p>Splenic injury grades</p>

Answer 19

Question 20

<p>Rx for full-thickness burn</p>

Answer 20

<p>Debridement and split thickness graft (full if on face)</p>

Question 21

<p>Fluid resus in kids</p>

Answer 21

<p>Holliday sugar formula:</p>

<p>1st 10 Kg: 100ml/kg/day</p>

<p>2nd 10Kg: 50ml/kg/day</p>

<p>3rd and more 10 Kgs: 20ml/kg/day</p>

Question 22

<p>Fluid resus in burns indication</p>

Answer 22

<p>15% >total surface in adults</p>

<p>10% > total surface in children</p>

Question 23

<p>Fluid resus regime in scalding burns in adults</p>

Answer 23

<p>2ml * Wt * total surface burn</p>

<p></p>

<p>Aim Urine output of 30-50 ml/hr</p>

Question 24

<p>Fluid resus regimein electrical burns</p>

Answer 24

<p>4ml * Wt * total surface burn</p>

<p></p>

<p>Aim Urine output of 1-1.5ml/kg/hr</p>

Question 25

<p>Wallace's rule of 9</p>

Answer 25

Question 26

<p>Maintenance fluid 24hrs after resus</p>

Answer 26

<p>1.5ml per kg per TBSA %</p>