Trauma

Question 1

What are all abdominal injuries categorized as?

Answer 1

Possible chest injuries

Question 2

Special considerations for pregnant pts with abdominal injuries?

Answer 2

• Max O2
• Warm LR
• 15° left tilt if >20 weeks

Question 3

Seatbelt sign

Answer 3

Lateral contusions

Question 4

Keep what in mind when dealing with chest injuries?

Answer 4

A high index of suspicion for intraabdominal and retroperitoneal bleeding

Question 5

First step in pneumo/hemo thorax

Answer 5

Burp the chest seal and consider a controlled descent

Question 6

Consider what with flail chest?

Answer 6

• ETT
• PPV

Question 7

What to do with amputated parts?

Answer 7

• Clean
• Wrap in sterile dressing with NS
• Put in bag
• Ice slurry

Question 8

Criteria for TQ conversion

Answer 8

• Not in shock
• Can observe for bleeding
• TQ not being used to control bleeding from amputated extremity

Question 9

SBP targets

Answer 9

100 w/o TBI
110 w/ TBI

Question 10

How much blood can the pelvis hold?

Answer 10

4-6L

Question 11

TXA when for peds?

Answer 11

Increased heart rate or lowered BP

Question 12

Blood dose peds

Answer 12

10 mL/kg <20min

Question 13

IVF dose peds

Answer 13

20 mL bolus

Question 14

Resus target, peds

Answer 14

70 + (2*yr)

Question 15

Normotension, peds

Answer 15

90 + (2*yr)

Question 16

Narrowed pulse pressure, peds

Answer 16

Begin resusitation

Question 17

GCS <12, consider what?

Answer 17

TXA, pg 19

Question 18

ETCO2 target for TBI w/herniation

Answer 18

30-35

Question 19

When not to use mannitol?

Answer 19

HYPOtension, dehydrated, under-resuscitated pts

Question 20

3% dose

Answer 20

250 over 15 min, following by 50-100/hr

Question 21

Mannitol dose

Answer 21

1g/kg bolus, then .25g/kg every 4 hrs

Question 22

Keppra dose

Answer 22

20mg/kg over 60 min, nearest 250mL

Question 23

What should be removed from burn pts

Answer 23

Rings, bracelets, constricting items

Question 24

> 40% TBSA, comatose, inhalation burn, deep facial burn

Answer 24

8 mm ETT

Question 25

Hydrofluric Acid for burns

Answer 25

Arterial infusion over 4hr(40 mL of D5W with 10 mL of 10% CaCl)

Question 26

Alkali burns

Answer 26

1-2L NS per eye, 30 min

Question 27

UO adult

Answer 27

0.5 or 100/hr if electrical

Question 28

UO Ped

Answer 28

<40kg, 1

Question 29

AC injury

Answer 29

V-fib

Question 30

DC injury

Answer 30

Asystole

Question 31

Injuries incompatible with life

Answer 31

Decapitation, massively deformed head/chest, hemi-corpectomy, total body disruption, incineration, lividity/rigor mortis

Question 32

Ped cardiac IVF dose

Answer 32

5-10 ml/kg over 5-10

Question 33

Pressor for ped hypotenstion

Answer 33

Epi 1mcg/kg/min for cardiac or trauma
OR

Norepi 0.05-0.1 mcg/kg/min

Question 34

Albuterol for crush

Answer 34

10 mg Neb

Question 35

Chemical exposure eyes

Answer 35

30 min NS irrigation

Question 36

Penetrating eye injury abx

Answer 36

Moxifloxacin 400 mg PO/IV

Question 37

What is critical in prevent IOP

Answer 37

Antiemetics