Trauma Emergencies

Question 1

Fluid challenge for trauma pt

Answer 1

1-2 L (BP remains below 90: 1L, max. 3L)

Question 2

A pregnant female trauma pt should be transported in what position

Answer 2

On her left side

Question 3

If pt. has head injury: Transport position

Answer 3

If not hypotensive: elevate head 30* (12-18 inches)

Question 4

Penetrating chest injuries: what type of dressing

Answer 4

Occlusive dressing secured on 3-sides to “burp” (prevent tension pneumo)

Question 5

Eviscerations: Cover organs with

Answer 5

Saline-soaked dressing and occlusive dressing

Question 6

Apply WaterGel dressing to burns with

Answer 6

Greater than 20% 2nd* or 5% 3rd*

Question 7

Burns with less than 20% 2nd* or 5% 3rd*, apply

Answer 7

Wet sterile dressing to burn area for 15 mins

Question 8

Tx for Crush injury or compartment syndrome:

Answer 8

NS 1L
Morphine - 5 mg repeat after 5-10 mins (titrate to BP 90)
Release compression

Question 9

Crush syndrome:

Answer 9

Entrapment w/ compression for 4 hrs or 20 mins on thorax

Question 10

Tx for crush syndrome

Answer 10

Calcium chloride - 1 g in 50 mL NS slow IV over 10 mins (flush w/ 20mL)
Sodium Bicarb - 50 mEq in 1L or 25 mEq in 500 mL (run wide open just prior to extrication) Total dose: 1 L
Cont. IV fluids: 500 mL/hr
Albuterol - 2.5mg/2.5mL

Question 11

What two drugs should not be administered in same line

Answer 11

Calcium Chloride & Sodium Bicarb