Trauma FISDAP Flashcards
subcutaneous Emphysema
caused by tears in lungs or airway. Rice Krispy Skin
Disseminating intravascular Coagulation
Microthrombi, irregular clotting/excess palettes, internal/orifice bleeding, Acidotic Sepsis is most common cause. End stage reaction.
Transected aorta
Intense chest pain, Trauma can cause aortic bleeding big deceleration, blunt force trauma.
Pleural decompression
Let air escape lung cavity. S&S;low blood pressure, AMS, unilateral chest rise, JVD, difficulty breathing.
Rhabdomyalysis
abnormal muscle breakdown
Acidodic-metabolicly unstable
Tied to crush syndrom
S&S-high heart rate, low blood pressure, lethargic, high heart rate, kidney failure, flank pain, dark urine.
Referred pain/kehrs pain
abdominal pain, left shoulder pain (sharp and constant), retroperitoneal organs (back pain)
Toxic substance exposure
Treatment: Decon, fluid. Meds. Airway is priority.
Amputated extremity.
TQ, Control bleeding. limb Wrap in wet Sterile gauze, around ice.
Open neck /sucking chest wound.
Chest Seal
Parklands formula
4ML X BSA % X Weight kg).1/2 first 8hours 1/2 second 16 hours.
Rule Of 9’s Adults
Head-9% Back 18% Chest-18% Arm- 4.5% [one side] Palms / Junk 1%
Rule of 9’s (child]
Head-18 % Arm-9% legs-13.5%
Tension Pneumo
Unilateral Chest rise, Absent or diminished lung Sounds. Blood pressure High Heart rate, increased respirations’, JVD, AMS, SB, Painful, tracheal deviation.
Hemopneumothorax
flat Jugular Veins, Pale hypovolemic appearance
Pericardial tamponade
Muffled heart sounds, Narrowed pulse pressure, low blood pressure, high heart rate, increased respiration rate, AMS, JVD. pulses paradoxis, irregular amplitude , irregular amplitude
increased ICP
Elevate head, Cushing’s triad: Cheyne-stokes breathing, high blood pressure, low heart rate.
subdural hematoma
slow, usually venous/mostly common with Geriatrics’ and Chronic alcoholics’
Epidural hematoma
fast, arterial, middle meningeal, posturing, loc, lucid interval, fast decomp.
Subarachnoid hematoma
Severe headache
Supine hypotensive Syndrome
fetus pressing against inferior Vena Cava. lay in left lateral recumbent position.
hypotensive w/traumatic injury
LR, Levophed
penetrating wound
stabilization of object
Organs in the RUQ
spleen,liver,
Visceral pain
pin point pain.
Partial pain
Pain all over the abdomen.
Flail chest
paradoxical segment when breathing Crepitus and tenderness.
Compensated shock
Agitation, Anxiety, restlessness, sense of impending doom.
Decompensated shock.
AMS, Hypotension, irregular breathing, thready or absent pulses.
Cardiogenic shock
low Blood pressure, low HR, pale, Cool, moist, crackles.
obstructive shock
pulmonary embolism, tension pneumothorax, and cardiac tamponade.
pericardial tamponade
muffled heart tones, hypotension, JVD
pulmonary embolus
Sudden onset dyspnea, Pleuritic chest pain.
Beck’s triad
muffled heart tones, JVD, and hypotension
Open pneumothorax
tachycardia, tachypnea, restlessness, breath sounds diminished on affected side.
treatment of a sucking chest wound.
place gloved hand Over the injury.
Tension pneumothorax
Absence of breath Sounds on the affected Side. unequal chest rise. pulsus paradoxus. JVD, tracheal deviation.
indications for a pleural decompression
Signs of respiratory failure or shock and has diminished or absent breath Sounds on one side of the chest. tension pneumothorax.
left upper Quadrant
spleen, stomach, left lobe of live, body of pancrease, left Kidney and adrenal gland,
Right Upper Quadrant
liver,part of the diaphragm, head of parcrease, gallbladder
Left lower quadrant
Sigmoid colon, left ureter.
Right lower quadrant
appendix, right ovary and tube, right ureter
s&s of a ruptured diaphragm
abdominal pain, acute respiratory distress, decreased breath sounds. Abdominal sounds in the chest, subcutaneous emphysema.
superficial Burn
Basically a Sunburn.
Lefort I
Horizontal Fracture of the maxilla that involves the hard palate and inferior Maxilla, separating them from the rest of the Skull.
Lefort II
pyramidal Shape fracture involving the nasal bone and inferior maxilla
le fort III
fracture of all midfacial bones, separating the entire midface from the cranium.
