Trauma Flashcards
Is the principle of performing the minimum necessary interventions to save life and limb, leaving further reconstructive procedures to a later time, after the patient has obtained hemodynamic stability.
Damage control
Lethal triad of trauma
Acidosis
Hypothermia
Coagulopathy
Beck’s triad
Hypotension
Muffled heart sounds
Distended neck veins
Abdominal compartment syndrome diagnosis is by clinical suspicion and confirmed by measuring bladder pressure (>____ cm H2O is suspicious).
25
Some degree of neurogenic shock should be expected with cervical injuries above the ____ level.
T6
SCh may be administered in the first ____-hour period after cord injury but not thereafter to avoid the
potential for life-threatening hyperkalemia.
24
Sympathetic tone eventually returns after injury, and sympathetic responses to stimuli distal to the injury may be exaggerated. Despite a loss of sensation, any surgical procedure or distention of a hollow viscus below the injury may produce life-threatening hypertension, termed?
Autonomic hyperreflexia
Should succinylcholine be used in patients with spinal cord injury?
Within 48 to 72 hours after acute SCI, the denervated muscles respond with proliferation of extrajunctional acetylcholine receptors along the muscle cell membrane. Large release of potassium.
Trauma patients may also sustain injury to valves or papillary muscles and sustain thrombosis to coronary arteries, most commonly the ____________
(presenting with ischemic changes in inferior ECG leads).
Right coronary artery
Transfusions of over ____ units of red blood cells require administration of plasma or platelets to address dilutional coagulopathy.
5
In the setting of massive transfusion, it is the current
practice to transfuse 1 unit of plasma with each unit of packed red blood cells.
