Trauma/Musculoskeletal Flashcards
What’s the dichroic notch represent on an arterial line tracing?
Aortic valve closure
In what order do hypotension bradycardia and tachycardia occur when during hypovolemic shock from loss of blood volume?
Tachycardia, hypotension, bradycardia
What percentage of the body surface area in a child is the chest arms head? Adult?
Just 18 in both, arms nine in both, head 18% in kids 9% in adults increase surface area in the legs and adults
What does a pulmonary contusion look like on a chest x-ray?
Consolidation that is non-specific can look like aspiration or atelectasis as well as subcutaneous emphysema
Two unique points of rib fractured in children?
Race suspicion of maltreatment, less common in children
What is the most common cause of post burn morbidlity and mortality?
Infection
Grade 6 liver injury?
Avulsion of liver where the holdover is free floating in the abdomen
What does abdominal compartment syndrome cause?
Coagulopathies, acidosis, hypothermia, bowel edema
What complication of chest trauma results in the accumulation of blood in the pleural space between lung and chest wall?
Hemothorax
What unique phenomenon can occur as a result of spinal fusion or scoliosis repair?
S i a d h due to the volume replacement and spinal manipulation
What is the treatment for toxic synovitis?
NSAIDs
What does pulses paradoxes look like on an arterial waveform?
Flattening of dicrotic notch, exclamation rises inhalation lowers overall
What are the three A’s that proceed the three P’s?
Anxiety, agitation, analgesic requirement
What is the most common cause of death in children with a blunt abdominal trauma?
Liver laceration
What is a capillary leak in the context of burns?
Fluid shifts that occur over 12 to 48 hours causing electrolyte instability. Proteins escape into the interstitial space and potassium may be released from injured cells
What is the parkland formula?
Fluid replacement strategy. First half of loss fluid in first 8 hours second half over the following 16 hours
What is the most common organism causing osteomyelitis?
Staph aureus
What unique phenomenon can occur as a result of spinal fusion or scoliosis repair?
S i a d h due to the volume replacement and spinal manipulation