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EMERGENCY MED > Trauma > Flashcards

Trauma Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

GCS(Glasgow Coma Scale) predicts Prognosis of what 4 things?

The 3 components are EVM (Eyes/Verbal/Motor)

Describe the [Verbal Response] component (5)

A

Coma / Bacterial meningitis / Brain Trauma / SubArachnoid Hemorrhage

EVM = Eyes / Verbal / Motor

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2
Q

GCS(Glasgow Coma Scale) predicts Prognosis of what 4 things?

The 3 components are EVM (Eyes/Verbal/Motor)

Describe the [Eye Opening] component (4)

A

Coma / Bacterial meningitis / Brain Trauma / SubArachnoid Hemorrhage

EVM = Eyes / Verbal / Motor

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3
Q

GCS(Glasgow Coma Scale) predicts Prognosis of what 4 things?

The 3 components are EVM (Eyes/Verbal/Motor)

Describe the [Motor Response] component (6)

A

Coma / Bacterial meningitis / Brain Trauma / SubArachnoid Hemorrhage

EVM = Eyes / Verbal / Motor

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4
Q

GCS(Glasgow Coma Scale) predicts Prognosis of what 4 things?

The 3 components are EVM (Eyes/Verbal/Motor)

What is the interpretation for the GCS results?

A

Coma / Bacterial meningitis / Brain Trauma / SubArachnoid Hemorrhage

EVM = Eyes / Verbal / Motor

SEVERE < (Moderate 8 - 12) > minor

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5
Q

When interviewing a sexual assualt victim, what are the questions that should be asked? - 7

A
  1. Who did it (if they know)?
  2. What what happened (what kind of assault)?
  3. When was last menstrual period, last consensual intercourse, last OCP usage?
  4. When did this happen?
  5. Where are your areas of pain?
  6. Where did this happen?
  7. How many people were involved?

Semen can be found with Wood’s fluorescent lamp

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6
Q

what is the management for a sexual assult victim - 8

A
  1. Address all physical injuries (admit prn)
  2. Tetanus px
  3. HepB px
  4. GC/Chlamydia px
  5. HIV counseling and px if elected
  6. STD and pregnancy testing
  7. Med and Psych f/u within 2 weeks
  8. Social worker f/u to ensure safe place to discharge
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7
Q

What are the reversible causes of cardiac arrest? - 10

A

5 H’s and 5 T’s

  1. HypO/hyperKALEMIA
  2. HypOthermia
  3. HypOvolemia
  4. HypOxia
  5. Hydrogen ions (acidosis)
  6. Tension PTX
  7. Tamponade cardiac
  8. Toxins (OD)
  9. Thrombosis pulmonary
  10. Thrombosis corornary

Also check for hypOglycermia

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8
Q

How should you manage Bradycardia with a pulse?

A
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9
Q

How should you manage Tachycardia with a pulse?

A
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10
Q

During CPR at what rate should compressions be delivered? ; how deep should compressions be?

A

≥100/min ; ≥2 inches (or 5 cm) deep

Rotate compressor q2 min

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11
Q

If IV or IO access has not been successfully established, some meds can be given via the Endotracheal tube!

What is the dose adjustment for the ET tube? ; Which drugs are these? - 5

A

original dose x 2

NAVEL

  1. Naloxone
  2. Atropine
  3. Vasopressin
  4. Epinephrine
  5. Lidocaine
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12
Q

When should you STOP giving combined BLS and ACLS resuscitation efforts?

A

after 20 minutes

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13
Q

Initating hypothermia after a pt has returned to spontaneous circulation involves cooling down to ___ °C for ___ hours helps out-of-hospital cardiac arrest when dysrhythmia is ____ only

A

32C (89.6F) ; 12-24 hrs ; VTach/VFib

Must be Adult, mechanically ventilated, ≤60 min needed to return spontaneous circulation

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14
Q

How do you convert Farenheit to Celsius? - 2

A

F to C = MD (Minus, and then Division)

  1. F - 32 = x
  2. x ÷ 1.8 = Celsius
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15
Q

How do you convert Celsius to Farenheit? - 2

A

C to F = XF (x as multiplication and Farenheit needs 32)

  1. C x 1.8 = o
  2. o + 32 = Farenheit
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EMERGENCY MED (12 decks)

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