Trauma

Question 1

Tympanic membrane

Answer 1

Eardrum

Question 2

Pinna

Answer 2

Outer part of ear. Little blood flow

Question 3

If csf drainage is noted in the ear

Answer 3

Apply loose dressing over the ear do not stop the flow and asses for other signs of basilar skull fracture

Question 4

Open neck wounds

Answer 4

Can lead to air embolism and should be seal with an occlusive dressing immediately

Question 5

Neurogenic shock signs

Answer 5

Hypotension, normal or slow pulse, lack of diaphoresis

Question 6

Free floating feel of maxilla and clear fluid coming from pt nose.

Answer 6

Le fort fracture. Unstable facial fracture leads to poor bvm seal, ET intubation is necessary

Question 7

In Pt with severe bleeding, bleeding control takes priority over airway

Question 8

Basilar skull fracture signs

Answer 8

CSF drainage from nose and/or ears most often the nose, bruising around or under the eyes (raccoon eyes), bruising behind the ear (battle sign)

Question 9

The phrenic nerve (c3 through c5) innervates the diaphragm

Question 10

Hyperventilating is only indicated for pt with signs of cerebral herniation Etco2 target 30-35