Trauma Flashcards

1
Q

Which intracranial hemorrhage is associated with a LOC, followed by a lucid interval, then a rapid decline in mental status?

A

Epidural Hematoma

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2
Q

Which intracranial hemorrhage is the most common and is associated with slower onset of symptoms and be classified as acute (14 days)?

A

Subdural Hematoma

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3
Q

Which intracranial hemorrhage is associated with bleeding within the brain tissue itself and signs/symptoms depend on which area of the brain is affected, often manifests like a stroke?

A

Intracerebral Hematoma

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4
Q

Which intracranial hemorrhage is associated with pupil dilation on side of injury, severe headache, decreasing LOC, and a stiff neck?

A

Subarachnoid Hemorrhage

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5
Q

What is the most important factor for Newton’s law of kinetic energy?

A

Velocity

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6
Q

What is the difference between compensated and decompensated shock?

A

Drop in blood pressure

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7
Q

What is the most prominent symptom of compartment syndrome?

A

Pain out of proportion

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8
Q

How does neurogenic shock disrupt the brains ability to compensate?

A

Interruptions in CNS limits vasoconstriction allowing dilation.

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9
Q

What is it called when there is a 10-15 Hg drop in BP during inhalation?

A

Pulsus Paradoxus

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10
Q

What is the Parkland Formula?

A

4mL x TBSA x weight in kg, 1st half in 1st 8 hrs

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11
Q

How much crystalloid solution do you need to replace each mL of blood lost?

A

3mL for every mL

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12
Q

How much blood does the average adult have?

A

5mL

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13
Q

What are the 4 classes of hemorrhagic shock?

A

Class I- 30% (1500mL)

Class IV- >40% (2000mL)

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14
Q

What is another name for Class II shock and what are the signs?

A

Compensated Shock

HR>100, BP maintained, tachypnic at 20-30, anxiety, narrowing pulse pressure

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15
Q

What is another name for Class III shock and what are the signs?

A

Decompensated Shock

HR>120, hypotension, tachypnic at 30-40, anxiety/confusion

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16
Q

What is another name for Class IV shock and what are the signs?

A

Irreversible Shock

HR>120, tachypnic >40, hypotensive, lethargic

17
Q

How do you figure cerebral perfusion pressure?

A

MAP - ICP

18
Q

When is a patient categorized as immediate?

A

ABC compromise, signs of shock, severe underlying medical problem, open chest or abdominal injuries.