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E Med > Trauma Life Support + > Flashcards

Trauma Life Support + Flashcards

1
Q

major cause of long term morbidity

and mortality in developing nations

A

Road Traffic Accidents

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2
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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3
Q

Which is the high level of trauma center?

1 or 4?

A

1

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4
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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5
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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6
Q

Acceleration/Deceleration Injury

  • compression
  • shear
  • overpressure
A
  • shear
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7
Q

diaphragmatic rupture, bladder injury

  • compression
  • shear
  • overpressure
A
  • overpressure
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8
Q

spleen

  • compression
  • shear
  • overpressure
A
  • compression
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9
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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10
Q

Hoarse or weak voice may indicate

A

a subtle tracheal or

laryngeal injury

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11
Q

2nd Intercostal space, Midclavicular line

  • Needle Decompression
  • Tube Thoracostomy
  • Needle Thoracostomy
  • Pericardiocentesis
A

Needle Decompression

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12
Q

5th Intercostal space, Anterior axillary line

  • Needle Decompression
  • Tube Thoracostomy
  • Needle Thoracostomy
  • Pericardiocentesis
A
  • Tube Thoracostomy
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13
Q

Midclavicular line, Over the 2nd rib

  • Needle Decompression
  • Tube Thoracostomy
  • Needle Thoracostomy
  • Pericardiocentesis
A
  • Needle Thoracostomy
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14
Q

most common sign of shock

A

Tachycardia (HR > 100)

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15
Q

arterial hypotension SBP

A

SBP < 120

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16
Q

first to disappear

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Radial Pulse

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17
Q

disappears at 80 SBP

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Femoral Pulse

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18
Q

disappears at 90 SBP

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Radial Pulse

19
Q

disappears at 60 SBP

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Carotid Pulse

20
Q

last to disappear

Femoral Pulse
Radial Pulse
Carotid Pulse

A

Carotid Pulse

21
Q

Beck’s Triad

A
  • Distended jugular veins
  • Hypotension
  • Muffled heart sounds
22
Q

Beck’s Triad is diagnostic for

A

Pericardial Tamponade

23
Q

Tx for Pericardial Tamponade

A

pericardiocentesis

24
Q

1-2 cm inferior to xiphoid process

  • Needle Decompression
  • Tube Thoracostomy
  • Needle Thoracostomy
  • Pericardiocentesis
A

Pericardiocentesis

25
Q

45/45/45 degree angle

  • Needle Decompression
  • Tube Thoracostomy
  • Needle Thoracostomy
  • Pericardiocentesis
A

Pericardiocentesis

26
Q

what GCS score do we intubate at?

A

less than or equal to 8

27
Q

bruise at back of ear

Battle Sign
Raccoon’s Eyes
Cullen’s Sign
Grey-Turner’s Sign

A

Battle Sign

28
Q

bruise around eye

Battle Sign
Raccoon’s Eyes
Cullen’s Sign
Grey-Turner’s Sign

A

Raccoon’s Eyes

29
Q

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

A

Cullen’s Sign

30
Q

discoloration of the left flank

Battle Sign
Raccoon’s Eyes
Cullen’s Sign
Grey-Turner’s Sign

A

Grey-Turner’s Sign

31
Q

What does FAST stand for?

A

Focused Abdominal Sonography in Trauma

32
Q

4 views in FAST

A
  1. RUQ/Morrison’s pouch
  2. Sub-xiphoid – view of heart
  3. LUQ – view of spleno-renal junction
  4. Bladder – view of pelvis
33
Q

Between the liver and kidney

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

RUQ/Morrison’s pouch

34
Q

First place that fluid collects in supine
patient

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

RUQ/Morrison’s pouch

35
Q

Evaluate for pericardial fluid

  1. RUQ/Morrison’s pouch
  2. Sub-xiphoid
  3. LUQ
  4. Bladder
A
  1. Sub-xiphoid
36
Q

View through liver

  1. RUQ/Morrison’s pouch
  2. Sub-xiphoid
  3. LUQ
  4. Bladder
A
  1. Sub-xiphoid
37
Q

between the spleen and kidney

  1. RUQ/Morrison’s pouch
  2. Sub-xiphoid
  3. LUQ
  4. Bladder
38
Q

see diaphragm in this view

  1. RUQ/Morrison’s pouch
  2. Sub-xiphoid
  3. LUQ
  4. Bladder
39
Q

Evaluates for fluid in the pouch of Douglas

  1. RUQ/Morrison’s pouch
  2. Sub-xiphoid
  3. LUQ
  4. Bladder
40
Q

why are children
more susceptible to head injury,
abdominal injury

A

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

41
Q

Middle Meningeal Artery

Epidural Hematoma
Subdural Hematoma

A

Epidural Hematoma

42
Q

lentiform

Epidural Hematoma
Subdural Hematoma

A

Epidural Hematoma

43
Q

bridging veins

Epidural Hematoma
Subdural Hematoma

A

Subdural Hematoma

44
Q

crescent shaped

Epidural Hematoma
Subdural Hematoma

A

Subdural Hematoma

E Med (13 decks)

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