Trauma Flashcards
When should TxA be given?
What dosing?
Significant hemorrhage or shock
1g bolus in hour 1 followed by 1g infusion over 8 hours
Transfusion should be done at what ration?
1:1:2
Plasma to Plts to PRBCs
When to do permissive HoTN?
What goal MAP?
When is it contraindicated?
Contained hemorrhage, not actively hemorrhaging
> 50
Associated TBI
What CPP level is auto regulation lost?
What is the recommended target?
40
60-70
ICP occurs at what pressure?
ICP > what pressure requires treatment?
15
> 22
Why isn’t hyperventilation recommended anymore?
Dec CO2 leads to CBF (Cerebral blood flow) which leads to cerebral ischemia
What Abx to give for penetrating brain injury?
Vancomycin 1g bid
Gentamycin 80mg tie
Metronidazole 500mg qid
What size suture to close scalp lacs?
3-0 nylon or polypropylene
What are surgical indications for subdural hematoma evacuation?
Thickness > 10mm Midline shift > 5mm worsening GCS Fixed, dilated pupils Persistent elevation in ICP
What is the MC cardiac dysrhythmia after TBI?
SVT
How do you define Severe TBI?
Moderate?
Mild?
Postresuscutation GCS of 8 or lower
GCS 9-12
GCS 13-15
Injured brain ischemia seen w/partial pressure of CO2 below what level?
20 mmHg
Related CBF, MAP, and ICP?
CPP = MAP - ICP
When can player return to sports after a sports-related concussion?
Minimum 1 week after they are asymptomatic
If the maximal incisor opening is less than ___, a mandibular fracture may be present.
5 cm
Describe Ellis class I fracture
Only involves the enamel, not painful, can await outpt referral
Describe Ellis class II fracture
Expose yellow dentin, may be painful
Cover with CaOH and aluminum foil
Describe Ellis class III fracture
Expose dental pulp (red line) and are V painful
Require dental eval immediately
Where does Stenson’s duck enter the mouth?
2nd upper molar
B/l fractures through the maxilla above the roots of the teeth is called what?
Le Fort I
