Trauma

Question 1

Generally, why is a NGT placed?

Answer 1

To reduce risk of aspiration by decompressing the stomach

Question 2

What are the ABCs of trauma

Answer 2

Airway
Breathing
Circulation (control of hemorrhage)

Disability (glasgow coma scale)
Exposure
Foley

Question 3

What is adequate urinary output for an adult?

Answer 3

0.5cc/kg/hr

Question 4

What is the Parkland Formula used for?

Answer 4

Fluid replacement for burn victims in first 24 hrs

Question 5

What is the term used to describe over replacing fluid in a burn patient?

Answer 5

“fluid creep”

Question 6

Hemorrhagic Shock: Class I

Answer 6

<15% blood loss

-No abnormal changes to HR, BP or urine output

Tx: crystalloids

Question 7

Hemorrhagic Shock: Class II

Answer 7

15-30% blood loss

Tx: crystalloids, monitor for blood product need (can wait for type-specific blood)

Question 8

Hemorrhagic Shock: Class III

Answer 8

30-40% blood loss

+Altered mental status

Tx: Crystalloids followed by type-specific blood product

Question 9

Hemorrhagic Shock: Class IV

Answer 9

> 40% blood loss

+Altered mental status

Tx: 2L crystalloid bolus followed by uncrossed (type O neg) blood

Question 10

Max score for Glasgow coma scale

Answer 10

15

Question 11

Min score for Glasgow coma scale

Answer 11

3

Question 12

What are the 3 areas assessed for Glasgow coma scale

Answer 12

• Eyes
• Motor
• Verbal

Question 13

What is Ranson’s Criteria: On Admission (5)

Answer 13

1. WBC >16,000
2. Age >55
3. Glucose >200mg/dL
4. AST >250
5. LDH >350

Question 14

What does Ranson’s Criteria tell us

Answer 14

Predicts mortality from pancreatitis