Trauma Flashcards
what are the ABCDEs of the primary survey?
Airway
Breathing
Circulation
Disability
Exposure and environment
GCS less than […] is indication for intubation
9
if endotracheal intubation fails, what is the next step?
cricothyroidotomy
if the patient is unable to breathe, establish airway with […] control
c-spine
if patient is […], their airway is controlled
talking
when assessing Airway, you should have a low threshold for […]
intubation
(basically if the patient is not talking –> intubate)
where is a chest tube place?
4th or 5th intercostal space mid-axillary
go above the rib, VAN is below
When assessing Circulation, what labs should you get?
CBC, CMP, type and cross
GCS 3 means the patient is…
probably dead
correcting Circulation with fluids should be achieved by establishing […]
2 large bore peripheral IVs
immediate treatment of cardiac tamponade
IVF bolus and pericardiocentesis
(later– surgical exploration)
what are the three categories of GCS?
eye, motor, verbal
Spontaneous eye opening with blinking at baseline is GCS […]
4
eye opening to verbal command, speech, or shout is GCS […]
3
eye opening to pain is GCS […]
2
no eye opening is GCS […]
1
oriented verbal response is GCS […]
5
confused conversation, but able to answer questions is GCS […]
4
inappropriate responses but discernible words is GCS […]
3
incomprehensible speech is GCS […]
2
no speech/verbal response is GCS […]
1