Trauma & Burns Flashcards
Most common joint dislocation
hip
Most common joint dislocation recurrence
anterior shoulder
Normal blood volume
Adult - 70ml/kg
Pedi - 80ml/kg
Normal urine output
Adult - 30-50ml/hr
Pedi - 1-2ml/kg/hr
Death from crush injury caused by
renal failure (rhabdomyolysis)
Complications from crush injury
DIC, compartment syndrome, renal failure, hyperkalemia
high velocity projectile
>2000 ft/sec
medium velocity projectile
1000-2000 ft/sec
low velocity projectile
<1000 ft/sec
Chest tube locaiton
4th ICS, anterior axillary line
Needle thoracostomy location
2nd ICS, mid-axillary line
4th ICS, anterior axillary line
5th ICS, mid-clavcular line
What should you suspect with fracture of the first three ribs?
Aorta injury
What is a scaphoid abdomen? What does it indicate?
Sunken appearance to abdomen
Diaphragmatic rupture
What is the Parkland formula?
% BSA * 4ml/kg * wt(kg)
What is the Brooks formula?
% BSA * 2ml/kg * wt(kg)
Burn formulas give fluid resuscitation requirements for what time frame?
First 24 hours.
What is the Consensus formula?
% BSA * 2-4ml/kg * wt(kg)
What is diffuse axonal injury? What causes it?
Leading cause of death from TBI, results from the brain moving back and forth in the skull as a result of rapid acceleration or deceleration. Usual presentation is prolonged unconsciousness.
Trauma patients with a pneumothorax will probabaly require what intervention before air transport?
Chest tube
A chest tube inserted for hemothorax should be clamped after how much blood is removed?
1000mL (or 20% total blood volume)
Abnormal breath sounds in the lower (often left) chest that sound like bowel sounds indicate
Diaphragmatic rupture
The most common location of spinal injury from a rear end MVC where PT was wearing seatbelt and had head rest adjusted correctly is
T12-L1
The most common location of spinal injury from a rear end MVC where PT was wearing seatbelt and had head rest adjusted incorrectly is
C1-C3
The extrinsic clotting pathway is triggered by what chemical?
Tissue thromboplastin