Trauma

Question 1

Burns rule of nines

Answer 1

partial & full thickness burns count

head & neck 9%
Ant trunk 18%
post trunk 18%
Arms 9% each
Legs 18% each
Perineum 1%

Question 2

Parklands formula

Answer 2

adults 4ml/kg/%=mls
Children 3-4ml/kg/%=mls

1/2 in first 8hrs
1/2 over further 16hrs

If child <30kg +maintenance fluids

Question 3

4 patterns of degloving injury

Answer 3

-localised
-Single plane non-circumferential
-Single plane cirumferencial
-multiplanar circumferencial

Question 4

World federation od nuerosurgical soc SAH grading

Answer 4

Grade 1- GCS 15, no focal deficit
Grade 2- GCS 13-14, no focal deficit
Grade 3-GCS 13-14 w/ focal deficit
Grade 4- GCS 7-12 +/- focal def
Grade 5 GCS 3-6 +/- focal def

Question 5

Myotomes (ASIA chart)

Answer 5

C5-elbow flexion
C6-wrist extension
C7-Elbow extension
C8-Finger flexors
T1-Finger abduction

L2-hip flexor
L3-knee extensor
L4-ankle dorsiflexor
L5-Great toe extension
S1-Ankle plantar flexion