Trauma Flashcards
Management of small pneumothorax
supplemental oxygen, serial CXRs
Management of large pneumothorax
Tube thoracotomy until 48 hours after resolution
Indications for surgery in hemothorax
> 1500ml or >200ml/hr for 4 hours
Leading cause of death in blunt trauma
Blunt cardiac injury
Which diagnosis? widened mediastinum, downward deviation of left bronchus, right deviation of NG tube
Traumatic Rupture of the Aorta
Management of TRA
Controlled Hypotension (systolic 100), TEVAR or open aortic repair
Which diagnosis? subcutaneous emphysema and air leak from chest tube
Bronchus rupture
Diagnosis of bronchus rupture
CXR, fiberoptic bronchoscopy
Lethal triad of trauma
Hypothermia, coagulopathy, acidosis
Management of skull fracture
operative if comminuted or depressed
Management of epidural hematoma
Craniotomy
Management of acute subdural hematoma
ICP monitoring, hyperventilation and other measures to reduce ICP, craniotomy if midline shift
Management of blunt neck trauma
CT neck
Which zone of the neck requires the most workup for penetrating trauma?
Lower
Common cause of anterior cord syndrome in trauma
Burst fractures of vertebral body
Which diagnosis? caused by forced hyperextension of the spine in trauma (e.g. rear end collision)
Central cord syndrome
Which diagnosis? Respiratory distress in context of long bone fracture
Fat embolus
Management of fat embolism
respiratory support
Management of pelvic fractures with significant bleeding
external fixation, IR embolization of internal iliac vessels
Which diagnosis?
High riding prostate
Diagnosis of urethral injury
Retrograde urethrogram
Diagnosis of bladder injury
retrograde cystogram, including post-void films
Diagnosis of renal injuries
CT
Management of scrotal hematoma
Expectant unless testicular rupture
