Trauma/Hemo Flashcards
In a tension pneumothorax a tracheal shift is a ________ sign on external exam and a _______ sign on radiographic.
- Late
2. Early
Cyanosis is only visible with a HGB greater than _____
5
Needle Thoracostomy can be done at:
- 2nd Intercostal Space mid calvicular.
2. 4th or 5th Intercostal Space, anterior or mid-axillary line.
Tube Thoracostomy is done at:
4th Intercostal Space Anterior Axillary Line.
For purpose of the Exam
Hold off on ______ and _______ on tension pneumo as long as possible.
Positive Pressure Ventilation
Intubation
Trachea is ______ with a hemothorax
Midline
Open Pneumothorax treatment:
- Occlusive Dressing placed upon EXHALATION taped on 3 side only until a chest tube is placed
- Seal 4th side post chest tube.
Flail Chest treatment
Consider Intubation with PEEP
Injured Side Down
Limit Fluids as able
Beck’s Triad
Muffled Heart Tone
JVD
Narrowed Pulse Pressure
Pulsus Paradoxus
Pulse Quality changes with respiration when palpating
Early Tamponade S/S
Sinus Tach
Pulsus Paradoxus
Late Tamponade S/S
Severe Hypotension
Beck’s Triad
Aortic Rupture
Harsh Systolic Murmur
Aortic Ruptur CXR finding
Widening Mediastiunum
Diaphragmatic Rupture S/S
- Dyspnea
- Bowel Sound in Chest
- Cyanosis
- Scaphoid Abdomen
Diaphragmatic Rupture
NGT/OGT
Strict NPO
Tracheobronchioal Disruption S/S
- Continuous Air Leak or persistent pneumothorax
- Rapidly progressing subcutaneous emphysema
- Pneumomediastinum
Newton’s First Law
An object in motion will remain in motion and an object at rest will remain at rest, unless acted on by an outside force
Newton’s Second Law
F=ma
Newton’s Third Law
For every action there is an equal and opposite reaction.
Rear End Collision Predictable Inj
**T12-L1 Back Injury
**C2 Fx of Neck
** Evaluate for 2nd Impact Injury Patters
Femur Fx
Tib/Fib Fx
Ankle Fx
Rollovers cause the _______
Most lethal injury
If you suspect a liver lac or caval lac you should:
Establish an IV above and below the diaphragm
Falls occurs in primarily _____ and ______
Adults and children under the Age 5
High Velocity bullets travel at ______
*****> 2000 feet per second