Trauma Flashcards
little bullet or big bullet
big because little bounces around and causes more shock and heat waves
FFP replaces
clotting factors
platelets replace
fibrin
cryoprecipitate replaces
fibrinogen
PRBC replace
hbg
what solution most closely resembles the plasma composition
LR
example of colloids
albumin
what do colloids do
draw fluid into intravascular
ABCDEFGH
airway
breathing
circulation
DA NEURO
EXPSORUE (REMOVE CLOTHING)
fahrenheit control
get VS and tubes
history
if there is suspected neck damage what do we do to intubate
jaw thrust or chin lift
decrease in number
increase in size
more secondary issues
more likely to die
triad
coagulopathy
met acid
hypothermia
if ___ part of the spleen is intact it will function normally
1/3
spleen is injured by
blunt trauma
liver is injured by
penetrating trauma
admoninal compartment syndrome does what to CO
decrease
what type of blood loss with pelvic and long bone fractures
occultre
rectal exam is important for males because to look for bladder rupture
high riding prostade
blood at urethral meatus
perineal hematoma
compartment syndrome hallmark sign
unrelenting pain
treatment of compartment syndrome
fasciotomy
s/s of fat embolism
resp failure
cereal dysfunction
skin petechiae does not blanchw
where is the most common location of rupture of the aorta
ligamentum arteriosum
70% of injurt
MVC
30% of injury
stabbing
fracture of 10-12 rib
spleen
rib and sternal fractures s/s
dyspnea
flail chest
fracture of two or more sits on three or more adjacent ribs and are no longer attached to thoracic cage
flail chest apperence
breath in go in
exhale go out
pneumo percusion
hyperresonace
tension tracheal deviation
to unaffected side
fluctuation in chest tube stops
blocked
hemothorax s/s
shock
decreased breath sounds on injured side
dullness on percusion
kehrs sign
sharp epigastric or chest pain radiating to the left shoulder
ruptured diaphragm auscultation
bowel sounds in lower to middle chest
pericardial tamponade s/s
results in impaired diastolic filling
decrease SV
decrease CO
narrowing pulse pressure
muffled heard sounds
pericardial tamponade
- becks triad
JVD
muffled heart sounds
hypotension
pulses paradoxus seen in
asthma and tamponade
how to find lbs of force
lbs times mph
upper motor neuron level
t12 and above
what innervates diaphragm
phrenic
when should we be cautious of phrenic nerves
c1-c3 for sure
can be down to c6
teardrop fracture caused from
severe flexion
compression fracture will need assistance with
most adl
c7
can do most their own ads
brown sequard
loss of motor, position and vibration on one side
hallmark sign of neurogenic shock
hypotension
vasodilation
Bradycardia
autonomic dysreflexia
sudden nd severe hypertension
life threatining
response to noxious stimuli- full bladder, fecal impaction
