Trauma Flashcards
Intubate patients with
Apnea, significantly depressed mental status (GCS <8), impending airway compromise
Suspect .. or … injury to the airway in patients with singed nasal hair, facial burns, hoarseness, wheezing, soot in the posterior oropharynx, or carbonaceous sputum
Thermal or inhalational
Massive hemothorax is diagnosed trough … and is defined as … of immediate blood return
Chest tube placement
> 1500 cc
If a previously stable chest trauma patient suddenly dies, suspect
Air embolism
A new diastolic murmur after chest trauma suggest
Aortic dissection
… , syphillis and Ehlers Danlos syndrome all predispose to a weak aortic wall
Marfan’s syndrome
Bleeds from … cannot cross the suture lines vs bleeds from subdural hematoma that can cross suture lines
Epidural hematomas
… is the gold standard for evaluation of aortic disruption
Aortography
Possible cause of pulseless electrical activity
5 H 5 T Hypovolemia Hypoxia Hydrogen ion : acidosis Hyper / Hypo : K+ , other Hypothermia Tablets : drug OD ingestion Tamponnade :cardiac Tension pneumothorax Thrombosis : coronary Thrombosis : pulmonary embolism
A positive B HCG in the setting of shock is a … until proven otherwise
Ruptured ectopic pregnancy
Abdominal pain plus syncope or shock in an older patient is a … until proven otherwise
Ruptured abdominal aortic aneurysm
Nearly all female patients with an acure abdomen require a … and a … to look for PID, ectopic pregnancy and ovarian torsion
Pelvic exam Pregnancy test
Parkland formula
Fluids for the first 24 hours = 4 x patient’s weight in kg x % BSA. Give 50 % of fluids over the first 8 hours and the remaining 50 % over the following 16 hours
The 6’s “W” of postoperative fever
Wind : atelectasis, pneumonia Water : UTI Wounds : wound infection, abcess Walking : DVT Wonder drugs: drug reaction Womb : endometritis
Fevers before post operative day 3 are unlikely to be infectious unless … or B hemolytic streptococci are involved
Clostridium
