Trauma & Burn 2

Question 1

Tension pneumothorax: S/Sx

Answer 1

*Clinical Dx not by CXR

Resp. distress, shock, distended neck veins, unilateral decrease in breath sounds, hyperresonance, cyanosis (late sign)

Question 2

Flail chest and pulmonary contusion: management

Answer 2

O2, reexpand lung, intubate as indicated, judicious fluids, analgesia

Question 3

Massive hemothorax: Definition, S/Sx

Answer 3

Systemic/pulmonary vessel disruption

> 1500 mL blood loss; flat v distended neck veins; shock w/ no breath sounds and/or percussion dullness

Question 4

Indications for laparotomy (blunt trauma)

Answer 4

Hemodynamically abnormal w/ suspected abdominal injury (FAST)
Free air; diaphragmatic rupture; peritonitis; positive CT

Question 5

Pelvic fx assessment

Answer 5

Leg length discrepancy, external rotation
Rectal/GU/vaginal exam
Palpation of pelvic ring, stability

Question 6

ICP ranges: normal v. abnormal v. severe

Answer 6

Normal = 10 mm Hg
Abnormal > 20 mm Hg
Severe > 40 mm HG