TRAUMA & BURNS

Question 1

Most common –>

Answer 1

Hemorrhage

Question 2

Primary survery

Answer 2

ABCDE
Airway, breathing, Circulation,Neurologic deficits, Examination of undressed patient 
A – Airway with C-spine
B – Breathing
C – circulation with hemorrhage control
D--- Disability
E – Exposure / Environment

Question 3

Secondary surgery

Answer 3

Detailed systematic evaluation

Question 4

Airway easy to harder

Answer 4

Chin lift < jaw thrust < clearance of oropharynx <

oro/nasopharyngeal airway < AMBU

Question 5

Most common cause of obstruction is

Answer 5

Trauma

Question 6

Chin lift and jaw thrust

Answer 6

Will help with C-spine

Question 7

Manual in-line stabilization –

Answer 7

2 people (2 expendable people)
* No TRACTION
 1st person stabilizes and aligns head in neutral position
WITHOUT cephalad traction
 2nd person will stabilize both shoulders
 Remove anterior C-collar

Question 8

If basal skull fracture what is contraindicated

Answer 8

Fracture

Question 9

Cricothyrotomy

Answer 9

Scarring when left in for too long,

LARYNGEAL TRAUMA is relative contraindications.

Question 10

 RSI if no contraindications

Answer 10

 LMA – does not protect trachea
 Limited mandibular movement
 Don’t forget suction
 Bleeding, debris, secretions

Question 11

Awake intubation?

Answer 11

possible

Question 12

Limited

Answer 12

jaw movement

Question 13

SPEED BOMB

Answer 13

Supine
Position
Equipment for intubation
End tidal CO2
Drugs and IV access

Back up Airway
Oxygen
Monitoring
Briefing

Question 14

Opioids only can

Answer 14

make go to sleep

Question 15

CPP

Answer 15

MAP - ICP

Question 16

Ketamine increase both

Answer 16

ICP and IOP (avoid in open globe injury)

Question 17

Problem with collar

Answer 17

Increase ICP causes it squeezes the venous

Question 18

Always keep neck in

Answer 18

Neutral position before airway management

Question 19

MRI takes at least

Answer 19

one hour

Question 20

MRI takes at least

Answer 20

one hour, CT head is the best