Trauma Flashcards

1
Q

At what hemorrhage class will blood pressure start to drop?

A

class III

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2
Q

Indication for thoracotomy for massive hemothorax

A

> 1500 ml initial output

>200 ml/hr x 4 hrs

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3
Q

Zone II neck injury, (+) signs/symptoms

A

urgent exploration without imaging

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4
Q

Which cardiac injury has a higher chance of survival: stab wound or gun shot wound?

A

stab wound

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5
Q

After EDT, patient must have a systolic blood pressure of at least __ to be considered resuscitable and hence transported to OR

A

70 mmHg

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6
Q

A patient with blunt trauma and had pre-hospital CPR for at most __ minutes can undergo EDT.

A

5 minutes

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7
Q

A patient with penetrating trauma and had pre-hospital CPR for at most __ minutes can undergo EDT.

A

15 minutes

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8
Q

management for hemodynamically stable anterior abdominal gunshot wound

A

immediate laparotomy without imaging

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9
Q

Hangman fracture

A

C2

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10
Q

Jefferson fracture

A

C1

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11
Q

Which odontoid fracture is stable?
A. tip of dens
B. base of dens
C. body of C2

A

tip of dens

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12
Q

flail chest

A

3 more contiguous ribs are fractured in 2 or more locations

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13
Q

cardiac tamponade: volume

A

> 100 ml

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14
Q

Massive hemothorax in pediatric patients

A

> 1/3 of blood volume

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15
Q

How much of blood must be lost before patient becomes hypotensive?

A

1500 ml or 30%

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16
Q

Target hemoglobin

A

10 g/dl

17
Q

Target bleeding paramaters

A

INR < 1.5
PTT < 45 sec
Platelt > 100,000

18
Q

Cervical zone II gun shot wound, asymptomatic

A

imaging + OR

19
Q

Cervical zone II injury, not gun shot wound, asymptomatic

A

observe

20
Q

DPL: RBC cut-off for anterior abdominal stab wound

A

> 100,000/ml

21
Q

DPL: RBC cut-off for thoracoabdominal stab wound

A

> 10,000/mo

22
Q

DPL: WBC

A

> 500/ml

23
Q

DPL: amylase

A

> 19 IU/l

24
Q

DPL: bilirubin

A

> 0.01 mg/dl

25
Q

contraindication to cricothyroidotomy

A

< 8 years old

26
Q

blood loss per 1 rib fracture

A

~100-200 ml

27
Q

blood loss for tibial fracture

A

300-500 ml

28
Q

blood loss for femoral fracture

A

800-1000 ml

29
Q

blood loss for pelvic fracture

A

> 1000 ml

30
Q

Hypotension in trauma

A

<110 mmHg SBP

31
Q

Cut-off of gradient for fasciotomy

A

35 mmHg