Trauma Case based discussion Flashcards
1
Q
Trauma the disease (UK)
A
Leading cause of death <50
18000 deaths/year
Care could be better
1/3 of deaths preventable
2
Q
Airway
A
Airway injury or secondary compromised Simple manoeuvres Adjuncts COETT Surgical Airway
3
Q
Breathing
A
Chest wall, lung, heart, vessels
Rate
Effort
Air hunger
4
Q
Circulation
A
Colour, sweaty HR, pulse strength BP Cap refill, distal perfusion AVPU
5
Q
Disability
A
AVPU
GCS (3-15/15)- eyes, verbal, motor
6
Q
Secondary survey
A
Disability (GCS or AVPU) Exposure and environment Radiographs CT Tertiary survey
7
Q
Imaging
A
Plain radiographs (chest, pelvis, limbs)
eFAST
CT (A)
8
Q
Bloods
A
FBC
U+Es
G&S, XM
ABG (BD, lactate, pH)
9
Q
Handover
A
ATMIST Age Time Mechanism Injuries Signs and symptoms Treatment
10
Q
DCS
A
Early decision
Anatomy/physiology
Pack, remove, divert
11
Q
pelvis
A
Open book Vertical sheer Lateral compression Binder Fix Embolisation Theatre
12
Q
Exsanguinating haemorrhage
A
MT protocol
REBOA