Trauma

Question 0

Most common organ injury in penetrating trauma

Answer 0

Small bowel

Question 1

Most common injured organ in blunt trauma

Answer 1

Liver

Some say spleen

Question 2

Most common cause of death in 1st hour

Answer 2

Hemorrhage

BP ok until 30%of total blood volume is lost

Question 3

Most common cause of death in long term

Answer 3

Infection

Question 4

Seat belt injuries

Answer 4

Small bowel perforation
Lumbar spine fx
Sternal fx

Question 5

DPL

Answer 5

Blunt trauma
Positive: >10cc blood, >100,000 RBC, >500WBC, food particles, bile, bacteria
Needs to be superior to umbilicus if pelvic fx
Misses: retroperitoneal bleed, contained hematoma

Question 6

FAST misses

Answer 6

Retroperitoneal bleed

Hollow viscous injury

Question 7

What is the pressure for abdominal compartment syndrome?

Answer 7

Bladder pressure greater than 25-30

Question 8

Abdominal compartment syndrome causes

Answer 8

IVC compression- dec cardiac output
Gut mal perfusion
Renal vein compression->dec urine output
Upward displacement of diaphragm- hard to ventilate

Tx: decompressive laparotomy