Trauma Flashcards
Level 2 trauma care
Same as level one except does not participate in education and research
Level 3 trauma care
Stabilize and transfer
Level 4 trauma care
Resuscitate and stabilize and arrange for transfer
First peak of death
Instantaneous death on the spot
Only help is prevention and teaching
Second peak of death
The golden hour
What happens in trauma bay to rapidly determine injuries that could cause death
First hour of emergent care
Rapid fluid resuscitation important
Third peak of death
Death due to SIRS, sepsis, ARDS, ICP, MODS
Fluid resuscitation in trauma
60-80ml/kg/hr massive 20-30ml/kg/hr normal Make sure you get weight immediately Base off if BP and map Changes in hgb, k+, and Na+ Third spacing
Intraosseous access
Infiltration risk look for signs and symptoms of infection
Infiltration fluid dependently below needle
Minor trauma
Single system injury
No threat to life or limb
Major trauma
Multiple system injuries
Blunt trauma- most common mechanism of injury
Shearing and crush injuries
MVCs, falls, sports related injuries, fragmentation and rupture
Level one trauma care
Regional resource center Providers immediately available Participate on research and education Trauma bay and at least 2 ORs Comprehensive trauma care
Penetrating trauma
Implement of foreign objects
Exit wounds can be bigger and more severe than entrance wounds
Blast trauma
Primarily associated with burn More difficult to manage More systemic response More end organ damage Compartment syndrome
Primary survey- emergency care phases
Very quick 1-2 mins ABCDE Airway Breathing Circulation Disability Expose patient
