Trauma

Question 1

What is the maximum amount of fluid that can be given without consultation in a burn patient?

Answer 1

2,000 mL

Question 2

What amount of fluid bolus can be given in a hypotensive burn or trauma patient?

Answer 2

20 mL/kg LR, titrate to a systolic BP of 90 mmHg

Question 3

According to the rule of 9s, what percentage is given to the entire anterior torso of an adult patient?

Answer 3

18%

Question 4

According to the rule of 9s, what percentage is given to the entire arm of an infant patient?

Answer 4

9%

Question 5

According to the rule of 9s, what percentage is given to an entire leg of a child patient?

Answer 5

16.5%

Question 6

According to the rule of 9s, what percentage is given to the head of an adult patient?

Answer 6

9%

Question 7

The surface of the patient’s palm equals how much % of their body surface area?

Answer 7

1%

Question 8

What age limit constitutes taking an isolated hand injured patient to a pediatric trauma center versus a hand center?

Answer 8

Patients who have not yet reached their 15th birthday must be taken to a pediatric trauma center instead of the hand center.

Question 9

Are toe injuries from lawn mowers candidates for reimplantation?

Answer 9

No

Question 10

What age must a patient be transported to a pediatric trauma center versus an adult trauma center?

Answer 10

Patients who have not yet reached their 15th birthday

Question 11

What is the IV dose for Ketamine in the Pain Management protocol?

Answer 11

0.2 mg/kg IV

Question 12

What is the IM dose for Ketamine in the Pain Management protocol?

Answer 12

0.5 mg/kg IM

Question 13

GCS - What are the 4 indicators for Eye Opening?

Answer 13

4 - Spontaneously
3 - To Voice
2 - To Pain
1 - No response

Question 14

GCS - What are the 6 indicators for Motor Response?

Answer 14

6 - Obeys verbal commands
5 - Localizes Pain
4 - Flexion - Withdraw
3 - Flexion - Abnormal (Decorticate)
2 - Extension (Decerebrate)
1 - No response

Question 15

GCS - What are the 5 indicators for Verbal Response?

Answer 15

5 - Oriented and Converses
4 - Disoriented and Converses
3 - Inappropriate Words
2 - Incomprehensible Sounds
1 - No response

Question 16

Is Epinephrine indicated in the treatment of Traumatic Cardiac Arrest?

Answer 16

No

Question 17

What 3 things constitute a category Alpha patient?

Answer 17

GCS less than or equal to 13
Systolic BP less than 90 (less than 60 in peds)
Respiratory Rate less than 10 or greater than 29 (<20 for infants)

Question 18

What 8 things constitute a category Bravo patient?

Answer 18

2 or more proximal long-bone fractures
Amputation proximal to wrist/ankle
Chest wall instability/deformity (flail chest)
Crushed, degloved, mangled, pulseless extremity
Open or depressed skull fracture
Penetrating injuries proximal to elbow/knee
Pelvic Fracture
Paralysis

Question 19

What is the dose for Fentanyl in the pain management protocol?

Answer 19

1 mcg/kg, max dose of 200 mcg, can be repeated once without consult