Trauma

Question 1

Most Dangerous GSW

Answer 1

RIFLE- highest velocity/most important dynamic variable then Trajectory, then MASS

Question 2

PMSC

Answer 2

Pulse-most important-lose pulse everything goes else goes to shit
Motor Function
Sensory
Cap Refill

Question 3

Dislocated Knee

Answer 3

Pulse distall to the injury? No pulse-manipulate/rotate to regain pulse

Question 4

Angle Fracture

Answer 4

with a pulse- splint in place

Question 5

Tension Pneumothorax

Answer 5

severe blunt forced to chest, difficulty breathing-BIG S/S-diminished/absent LS
pos-hypotension, JVD, Trake Deviation to opposite side of injury (don’t rely on this sign as its a late sign)

Question 6

Pleural Decompression
Needle Thoracostamy
needle decompression

Answer 6

All the same thing-

Decompress 2nd intercostal space superior to the 3rd rib mid clavicular or 5-6 intercostal space mid axillary

Question 7

Cushings Triad (3 elements)

Answer 7

HIB
HYPERTENSION-with widening pulse pressures- systolic & diastolic get further apart
BRADYCARDIA
IRREGULAR RESPIRATION

Question 8

COUP

Answer 8

Direct injury from blunt trauma-ie getting hit in the head with a bat

Question 9

CONTRA COUP

Answer 9

Injury behind the initial blunt trauma- being slammed up against a wall after explosion

Question 10

Epidural Bleed

Answer 10

Worst bleed:buildup of blood occurs between the dura mater (the tough outer membrane of the central nervous system) and the skull

Question 11

Layers of the Head

Answer 11

SPBDAP

Skin, Periosteum, Bone, Dura Mater, Arachnoid, Pia Mater

Question 12

Subdural Bleed

Answer 12

Slowest onset, headache that gets progressively worse, slow venous bleed

Question 13

Concussion s/s

Answer 13

confused ALOC, n/V, photophobia, Repetitive Questioning(Dead Giveaway), need eval to make sure

Question 14

Pneumatic Anti S.G. Indications/Contra

Answer 14

Indication Abdominal Bleed or pelvic fracture stabilization. Contra-impaled object to abdomen or chest, 3rd trimester (ABSOLUTE)
or suspect cardiogenic shock or P.E.

Question 15

Primary Blast Injury

Answer 15

Primary-Hollow organs-initial blast, collapses hollow organs

Question 16

Secondary Blast Injury

Answer 16

Shrapnel and fling objects

Question 17

Tertiary Blast Injury

Answer 17

Injury from being thrown or hitting the ground and wall or objects

Question 18

Burns

Answer 18

Rule of Nines and Palms, Parkland Formula

Question 19

When do you use a dry sterile dressing?

Answer 19

Large % burns use a dry sterile. Usually over 25% BSA

Question 20

Parkland Formula
First 8 Hours?
First Hour?

Answer 20

BSA burned % x KG x 4mL /2 gives you the first 8 hours. Divide that by 8 will give you the first hour. Don’t divide the original number by 2 and you get the first 24 hours

Question 21

Superficial Burns

Answer 21

1st degree - sunburn

Question 22

Partial Thickness Burn

Answer 22

2nd degree- the moment blisters form its a 2nd degree

Question 23

Full Thickness Burn

Answer 23

3rd degree burns

Question 24

Brown Sequard Syndrome

Answer 24

Incomplete spinal cord lesion often in the cervical region. Ipsilateral-deficits occur on the same side as the injury. Hemispherical. Contralateral loss of pain, and temperature sensation.

Question 25

Burn Worries and Order of oh Shit!

Answer 25

Airway
Infection
Hypothermia
Hypovolemia

Question 26

Medulla Controls

Answer 26

Bodies Respirator

Question 27

Any break in cervical cord region…

Answer 27

expect respiratory compromise

Question 28

C7 means…

Answer 28

marks beginning of the Thorasic Region. Bony bone sticking out on back of neck above shoulders

Question 29

Nipple is

Answer 29

T3-T4

Question 30

Umbilical is

Answer 30

t10-t12

Question 31

Leforte Fracture I

Answer 31

Just below the nose and affects the pallete. Most dangerous because of airway implications.

Question 32

Le Forte fracture II

Answer 32

Top of the nose with a downward arch ending in the mouth

Question 33

Le Forte Fracture III

Answer 33

Top of the nose and extends around eyes ending in the jaw area by the ear

Question 34

Crush Injury

Answer 34

Rhabdomyalisis -breakdown of the muscle fibers cause a release of myoglobin into blood stream causing metabolic acidosis aka lactic acid buildup causing an THROMBIS of EMBOLIS, TX is sodium bicarb.

Question 35

Compartment Sydrome

Answer 35

if a pt has a 360 degree circumferential burn blister put pressure on muscles and tissue. Definitive TX is a FASHIOTEMY by a DR ONLY. My TX is PUHA

Question 36

WHEN TO C-SPINE

Answer 36

Any patient with a loss of conciousness, and of head, neck or back pain

Question 37

PNEUMO, BURNS, PARK, SPINAL CORD, HEAD BLEED

Answer 37

DON’T KNOW WHAT THIS NOTE IN MY NOTES WAS ABOUT