Trauma - online med ed

Question 1

Kehrs sign

Answer 1

-shoulder pain from diaphragmatic irritation following trauma

Question 2

1st, 2nd, 3rd degree burns

Answer 2

-1st - epidermis, erythema, no blister
-2nd - dermis, erythema, blister
3rd - demris, painless, white or chared around edges, surrounded by 2nd degree burn

Question 3

1st, 2nd, 3rd degree burns

Answer 3

-1st - epidermis, erythema, no blister
-2nd - dermis, erythema, blister
3rd - dermis, painless, white or charred around edges, surrounded by 2nd degree burn

Question 4

Fluid - rule of nines

Answer 4

• Parland formula - how much fluid to give
• first half - give in 8hrs
• second half - 16hrs
• support urine output
• pain management, nutrition, electrolytes, rehab
• silver sulfadiazine and mafenide as prophylax against infection. In paediatric patient - take one of the 9s

Wallace’s Rule of Nines: head + neck = 9%, each arm = 9%, each anterior part of leg = 9%, each posterior part of leg = 9%, anterior chest = 9%, posterior chest = 9%, anterior abdomen = 9%, posterior abdomen = 9%

(kg x % burned, x 4) = fluid requirements

Question 5

Burn categories

Answer 5

Superficial epidermal First degree Red and painful

Partial thickness (superficial dermal) Second degree Pale pink, painful, blistered

Partial thickness (deep dermal)	Second degree	Typically white but may have 
patches of non-blanching erythema. Reduced sensation

Full thickness Third degree White/brown/black in colour, no blisters, no pain

Question 6

GCS

Answer 6

Eye opening (4)
-spontaneous, speech, pain, none

Motor response (6)
-obesy comands, localiszes pain, normal flexion, abnormal flexion, extension, none

Verbal response (5)
-orientated, confused, inapporpiate words, incomprehensible sounds, none

Question 7

Battles sign

Answer 7

• haemotypmpanum

- basel skull fracture- bleeding behind the ear