Trauma Flashcards
resp. concerns in the pediatric pt (2)
faster RR, smaller airways
cardiovascular concerns in the pediatric pt? (2)
incr. HR, not SV
hypotension is a late sign
temperature concerns in the pediatric pt (4)
immature regulatory system
increased surface area/mass ratio
thinner skin
hypoxia inhibits resuscitation
anatomical/other concerns in the pediatric pt (5)
large head with thinner cranium,
protuberant abd
sigmoid & ascending colon not fully attached
flexible rib cage
uses glycogen stores- watch blood glucose
pulm. concerns in the geriatric pt (2)
decreased functional reserve
stiffer thoracic cage
CV concerns in the geriatric pt (4)
myocardial degeneration - inelastic, decreased CO
altered conduction system- max HR decreased
decreased B-receptor function
CAD, HTN
special concerns for pregnancy 34-36 weeks
uterine fundus is pushing on lungs- supplement O2
changes in pregnant people? (6)
increased plasma vol., RBC mass, CO, minute ventilation, WBCs, coag factors
when do you intubate? (GCS)
8
most common etiology of compartment syndrome
fractures
usu. a grade III open injury to a pedestrian
signs of compartment syndrome (6)
Pain (with and without passive stretch), palpable, paresthesia, paralysis, pulselessness, pallor
which diagnostic is most specific for injury?
CT
FAST checks for?
free fluid
diagnostics for unstable blunt trauma or penetrating trauma
DPL
FAST diagnoses which trauma
unstable blunt trauma
