Trauma Flashcards

1
Q

what is the #1 cause of death in 1-37 year olds in the US?

A

trauma

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2
Q

what is used in a trauma patient with significant bleeding without increasing thromboembolic events?

A

tranexamic acid

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3
Q

what is the first and only drug to decrease trauma mortality rates if given within 3 hours?

A

tranexamic acid

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4
Q

rapid sequence intubation with the use of medications to assist with intubation of a patient with intact gag reflexes

A

drug-assisted intubation

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5
Q

for severe head trauma, what should we consider using when accessing airway in a C-spine injury? (2)

A

lidocaine or fentanyl

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6
Q

what are 2 recommended locations for needle decompression in adult patients?

A

4th/5th intercostal space mid-axillary line
2nd ICS in mid-clavicular line

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7
Q

what can ensure adequate decompression of the chest and eliminate tension pneumothorax as the cause of decompression?

A

performing a finger thoracostomy

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8
Q

focused abdominal sonography for trauma that has been modified to include evaluation of the thoracic cavity for the presence of air

A

FAST

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9
Q

what has infusion of more than 1.5 liters of crystalloid fluid been associated with?

A

increased mortality

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10
Q

the transfusion of more than 10 units of blood in 24 hours or more than 4 units in 1 hour.

A

massive transfusion

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11
Q

what is the treatment for areas of injury in uncontrolled extremity hemorrhage?

A

tourniquets above injury

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12
Q

what history mnemonic is used for trauma?

A

AMPLE

Allergies
Medications
Past Med Hx
Last meal
Events leading to trauma

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13
Q

what can be done if there isn’t enough time to do the glasgow coma scale?

A

Rapid Neurological Assessment
“AVPU”

Awake
Verbal response
Painful response
Unresponsible

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14
Q

what should be administered for opioid intoxication?

A

IV naloxone

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15
Q

what should be administered for Wernicke’s encaphalopathy?

A

100mg IV thiamine

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16
Q

what is the key to Exposure/Environment?

A

prevent hypothermia

17
Q

what is the rule for mass casualty events?

A

provide greatest good for those who have the highest chance of survival

(loudest is often the least injured)

18
Q

what are the priorities in trauma?

A

“MARCH”

Massive hemorrhage (control it)
Airway
Respiration (decompress, seal open chest wounds)
Circulation (IV access + fluids)
Head injury/Hypothermia

19
Q

what is the mnemonic for secondary survey?

A

HNSCASPER

Head
Neck
Shoulders
Chest
Abdomen
Spine
Pelvis
Extremities
Reassess