Trauma Life Support + Flashcards by Frankie Aguinot

Q

major cause of long term morbidity

and mortality in developing nations

A

Road Traffic Accidents

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Q

what is importance of gold hour in trauma

A

Golden Hour = 80% of trauma

deaths in first hour after injury

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Q

Which is the high level of trauma center?

1 or 4?

A

1

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Q

Provides definitive care in wide range of complex traumatic patients

Level 1
Level 2
Level 3
Level 4

A

Level 2

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Q

Provides initial stabilization and treatment. May care for uncomplicated trauma patients

Level 1
Level 2
Level 3
Level 4

A

Level 3

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Q

Acceleration/Deceleration Injury

compression
shear
overpressure

A

shear

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Q

diaphragmatic rupture, bladder injury

compression
shear
overpressure

A

overpressure

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Q

spleen

compression
shear
overpressure

A

compression

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Q

trauma teams composed of

A

team leader
anesthetist
general surgeon
orthopedic surgeon
er physician
anesthetic assistant
nurse 1
nurse 2
radiographer
scribe

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Q

Hoarse or weak voice may indicate

A

a subtle tracheal or

laryngeal injury

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Q

2nd Intercostal space, Midclavicular line

Needle Decompression
Tube Thoracostomy
Needle Thoracostomy
Pericardiocentesis

A

Needle Decompression

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Q

5th Intercostal space, Anterior axillary line

Needle Decompression
Tube Thoracostomy
Needle Thoracostomy
Pericardiocentesis

A

Tube Thoracostomy

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Q

Midclavicular line, Over the 2nd rib

Needle Decompression
Tube Thoracostomy
Needle Thoracostomy
Pericardiocentesis

A

Needle Thoracostomy

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Q

most common sign of shock

A

Tachycardia (HR > 100)

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Q

arterial hypotension SBP

A

SBP < 120

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Q

first to disappear

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Radial Pulse

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Q

disappears at 80 SBP

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Femoral Pulse

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Q

disappears at 90 SBP

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Radial Pulse

Q

disappears at 60 SBP

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Carotid Pulse

Q

last to disappear

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Carotid Pulse

Q

Beck’s Triad

A

Distended jugular veins
Hypotension
Muffled heart sounds

Q

Beck’s Triad is diagnostic for

A

Pericardial Tamponade

Q

Tx for Pericardial Tamponade

A

pericardiocentesis

Q

1-2 cm inferior to xiphoid process

Needle Decompression
Tube Thoracostomy
Needle Thoracostomy
Pericardiocentesis

A

Pericardiocentesis

45/45/45 degree angle - Needle Decompression - Tube Thoracostomy - Needle Thoracostomy - Pericardiocentesis

Pericardiocentesis

what GCS score do we intubate at?

less than or equal to 8

bruise at back of ear Battle Sign Raccoon's Eyes Cullen’s Sign Grey-Turner’s Sign

Battle Sign

bruise around eye Battle Sign Raccoon's Eyes Cullen’s Sign Grey-Turner’s Sign

Raccoon's Eyes

hemorrhagic discoloration of the umbilical area due to intraperitoneal hemorrhage from any cause Battle Sign Raccoon's Eyes Cullen’s Sign Grey-Turner’s Sign

Cullen’s Sign

discoloration of the left flank Battle Sign Raccoon's Eyes Cullen’s Sign Grey-Turner’s Sign

Grey-Turner’s Sign

What does FAST stand for?

Focused Abdominal Sonography in Trauma

4 views in FAST

1. RUQ/Morrison’s pouch 2. Sub-xiphoid – view of heart 3. LUQ – view of spleno-renal junction 4. Bladder – view of pelvis

Between the liver and kidney 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

RUQ/Morrison’s pouch

First place that fluid collects in supine patient 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

RUQ/Morrison’s pouch

Evaluate for pericardial fluid 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

2. Sub-xiphoid

View through liver 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

2. Sub-xiphoid

between the spleen and kidney 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

LUQ

see diaphragm in this view 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

LUQ

Evaluates for fluid in the pouch of Douglas 1. RUQ/Morrison’s pouch 2. Sub-xiphoid 3. LUQ 4. Bladder

4. Bladder

why are children more susceptible to head injury, abdominal injury

Differences in head to body ratio and relative size and location of anatomic features

Middle Meningeal Artery Epidural Hematoma Subdural Hematoma

Epidural Hematoma

lentiform Epidural Hematoma Subdural Hematoma

Epidural Hematoma

bridging veins Epidural Hematoma Subdural Hematoma

Subdural Hematoma

crescent shaped Epidural Hematoma Subdural Hematoma

Subdural Hematoma