ABC Flashcards
Any Trauma patient your priority is […]
ABC
Airway, Breathing, Circulation
Airway coms first 😵
من تشوفين تراما دوري على ABC اول و قبل كل شي !!
Pleaseee dont be fooled :)
Securing airway post trauma / RTA in
- conscious patient: […]
- unconscious patient: […]
- face fracture: […]
🔹Oxygen mask
🔹Orotracheal Intubation « face laceration
🔹Cricothyrotomy (adults) / Tracheothyrotomy (pediatrics)
Indications of intubation:
- Unconsciousness
- GCS <8
- O2 sat <88%
In cases of pneumothorax ALWAYS choose needle decompression before intubation !
ABC 🥶
Vomiting causes
[…] metabolic derangement
Best management with […]
Metabolic alkalosis
Hypokalemic (🔻K) Hypochloremic (🔻Cl)
Tx: Normal saline
Diarrhea causes
[…] metabolic derangement
Best management with […]
Metabolic acidosis
(🔻K & 🔻HCO3)
Tx: Ringer lactate
The algorithm for Feeding option choice:
- GI function ❌ ABSENT = TPN
✅ PRESENT = enteral - <4-6 wk » Aspiration risk 🔻: NGT
Aspiration risk 🔺: NJT - > 4-6 wk » Aspiration risk 🔻: gastrostomy
Aspiration risk 🔺: jejunostomy
A case of basal ganglia stroke with difficulty swallowing and absent gag reflex. History of weight loss. How to provide nutrition?
[…]
Jejunostomy
“Chronic 🗝️keys: stroke, wt loss”
A case of basal ganglia bleed and dec gag reflex. Most appropriate way to initiate nutrition:
[…]
NJT
“Acute 🗝️Keys: bleed, initiate”
Case of anterior thigh deep laceration with heavy bleeding and unstable patient. Best next step in management:
A. Direct pressure on the wound
B. Pressure above the wound on femoral a
C. Apply tourniquet
Direct pressure on the wound
Open scalp wound management:
Primary closure (within 24 hrs window)
Injury reached tendons & nerves wound management:
Primary repair of injured structures indicated
Exposed necrotic tissue / bed sores wound management:
Debridement & secondary closure
Postoperative infected wound after debridement is an indication of […] regarding wound management
Vacuum-assisted closure (VAC)
Blood transfusion is associated with what electrolyte disturbance?
HypoCa
