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Trauma > Primary and Secondary Survey > Flashcards

Primary and Secondary Survey Flashcards

1
Q

What airway is used for a trapped patient?

A

Combitube

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2
Q

What does JTTS stand for

A

Joint theater trauma systems

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3
Q

Who wrote JTTS and what year?

A

National Defense Authorization Act of 2017

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4
Q

Primary for TCCC?

A 
M-A-R-C-H
M- hemorrhage
A- airway
R - respirations
C- circulations
H - head/hypothermia
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5
Q

ATLS uses?

A

A-B-C

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6
Q

What echelon of care uses ATLS algorithm?

A

Echelon 3

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7
Q

What does echelon 2 consist of?

A

CRTS (casualty receiving and treatment ships)

  • LHD
  • LHA
  • CVN

Med Batallion
Shock trauma platoon
FRSS (Forward resuscitative surgical suite)

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8
Q

What amount of blood can be loss and tolerated well in healthy patients?

A

Class 1 Hemorrhage

15% or 750mL

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9
Q

How does Class 2 Hemorrhage present and how much blood is lost?

A

15-30% or 750 - 1500mL

  • Tachy
  • Narrow pulse
  • Mental status
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10
Q

How is class 2 hemorrhage treated?

A

With fluids

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11
Q

Blood loss for Class 3 hemorrhage?

A

> 30% or 1500mL

peripheral hypoperfusion
Declining vitals, still tachy

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12
Q

Blood loss for Class 4 hemorrhage?

A

> 40% or 2L

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13
Q

What are the 2 categories for circulation assessment?

A

Hemodynamic and Hemorrhage

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14
Q

How is hemodynamic status assessed?

A
  • Skin color
  • Mental status
  • Peripheral pulses
  • Cap refill
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15
Q

Do you perform a standard BP check during primary survey?

A

No

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16
Q

What is Systolic pressure minimum at radial pulse?

A

> 80

17
Q

Systolic pressure at carotid?

A

> 60

18
Q

Systolic at femur?

A

> 70

19
Q

How to remember systolic pressures?

A

60-70-80

Carotid - 60
Femur - 70
Radial - 80

20
Q

How is mental status and neuro assessed?

A

LOC
Pupillary response
Motor function
GCS

21
Q

GCS for intubation?

A

<8

22
Q

Lowest score on GCS

A

3 (No response)

23
Q

Know GCS scores

A

Ok

24
Q

What is AMPLE?

A 
Allergies
Medications
Past med hx
Last meal
Events leading up
25
Q

What is secondary survey?

A

Head to Toe evaluation

26
Q

What findings around the head suggests basilar skull fracture?

A
  • Hemotympanum and/or disruption of the auditory canal on otoscopic exam
  • Racoon eyes
  • Brusing behind ears
27
Q

What is the most commonly injured organ in blunt trauma?

A

Splene

28
Q

Penetrating injury causes?

A

Small bowel and colon injuries

** Hollow viscous injuries

29
Q

What also is injured from blunt trauma?

A

Liver

30
Q

What do deceleration injuries cause?

A

Bucket handle tears of mesentery

31
Q

Free fluid without solid organ injury is?

A

hollow viscous injury

32
Q

How high can the diaphragm rise?

A

4th intercostal space

33
Q

What must be considered for crush injuries?

A

Rhabdomyolysis

34
Q

IV antibiotics?

A

Ertapenem

Oxyfloxacin

Trauma (18 decks)

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