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Mrcs > Trauma > Flashcards

Trauma Flashcards

1
Q

Icp

A

10mmhg

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2
Q

CPP

A

> 70mmhg

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3
Q

Neuropraxia

A

Temp loss weeks

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4
Q

Axonotemesis

A

Wallerians degenerations months

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5
Q

Neurotemesis

A

Complete loss all function

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6
Q

Best for skin prep to reduce infection

A

Alcoholic chorhexidine

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7
Q

Parkland formula

A

3ml x weight x % burn

First half in 8hrs rest in 16hrs

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8
Q

When to fluid resus in burns

A

Adult > 15%

Child > 10%

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9
Q

Transfer to burns centre

A 
> 10% adult 
> 5 % child
Extreme ages
FulL thickness/ deep partial
Electrical/chemical 
Face, hands, perineum
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10
Q

Cold injuries

A

1st frost nip- oedema and redness
2nd frostbite- pain, paracesthesia, blister
3rd necrosis - D’Ark
4th to bone

Treat with 40degrees h20 with analgesia

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11
Q

Hypo and hyper thermos definitions

A

Mild <35
Mod < 32
Severe < 28
Profound < 20

Can not pronounce dead if temp < 33

Hyperthermia > 41

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12
Q

Nerve close to bladder

A

Obturator

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13
Q

Cushing vs curlings ulcer

A

Cushings - raised ICP

Curlings - burns

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14
Q

Doses of local anaesthetics

A

Lidocaine 3/7mgkg
Bupivacaine 2mg
Prilocaine 6mg - methylene blue

Intralipid
Not with tricyclics

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15
Q

Glutaraldehyde

A

Endoscope cleansing

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16
Q

Fat embolism

A

Rash
Neuro
Reap

17
Q

When to given platelet transfusion in splenectomy

A

Lighting the splenic artery

18
Q

Adam kiewicz

A

T8-l2

Can cause paraplegia

19
Q

Choronotropic

A

Rate

20
Q

Detruser muscle

A

Parastmparhetic S2-4 contract

Sympathetic t10-l2 relaxes

21
Q

Thy3 a & f

A

A = atypical - repeat

F follicular - partial thyroidectomy

22
Q

Warfarin

A

2, 7, 9, 10,

23
Q

Low fibrinogen

A

Cryocypitate

24
Q

Neoadjuvant chemo for breast cancer

A

Large and mets
To downstage
Triple negative
Her 2 positive

25
Q

When to not use NO

A

Sbo/ pneumothorax

26
Q

Halothane

A

Hepatitis

27
Q

Isoflurane

A

No affect on ICP

28
Q

Pro profit

A

Egg allergies

Increases metabolic acidosis

29
Q

Ethomidate

A

Adrenal suppression’s

30
Q

Amides

A

Less chance toxicity
Lidocain
Bupivican

Esters procaine

Mrcs (11 decks)

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