Trauma intro Flashcards
1
Q
epi of trauma
A
- low and middle income countries more
- M>F
- young ppl
- 2/3 unintentional, 1/3 murder suicide
- 30% of life years lost
2
Q
2 genreal types of trauma
A
- blunt vs. penetrating
2. high vs. low E
3
Q
2 ways to assess severity
A
- abbreviated Injusry Scale (AIS)
2. Injury severity scale (ISS)
4
Q
what is AIS
A
- 6 regions of body
- each region gets 1(mild) to 6 (unsurvivable)
5
Q
what is ISS
A
sum of the squares of 3 most injured parts
6
Q
what are 3 levels of ISS severity
A
related to MandM
minor
7
Q
3 major time periods of trauma
A
- minutes to seconds - prevention
- golden hour - where we do most stuff
- days-weeks - sepsis etc
8
Q
2 main causes of early death
A
- massive hemmorage
- large vessel
- heart - neuro
- high spinal cord
- brainstem
- brain
9
Q
what is ATLS
A
an organized approach to the trauma patient
10
Q
what is approach to and acute pt
A
Airway - patency, aspiration Breathing - oxygen and ventilation Circulation - shock, BP, HR, CO Disability - neuro - GCS, pupils Exposure
11
Q
what is added to ABC of trauma Pt
A
A -C-spine protection
C- hemmorrhage control
E - env. control
12
Q
2 keys to ABC model
A
- deal with each cat. before moving on
2. don’t need a diagnosis before the OR
13
Q
what are 3 goals of secondary survey
A
- detect non-life threatening injuries
- head-to-toe
- radiologic interventions
14
Q
trauma options in TO
A
- sunnybrook/St. mike
- sick kids
- transfer from reffering center
15
Q
what are trauma team MDs
A
- Team leader - (surg, ana, ER)
- ana resident
- gen surg resident
- ortho resident
