Flashcards in Accidents and Injuries Deck (18):
Rule of 9's
Head is 9, front of torso is 2 9's, front of each leg is 9, arm is 9, back of each leg is 9, back of torso is 2 9's
What do you do for electrical burns?
EXTRA FLUIDS to prevent myoglobinurea, then watch for COMPARTMENT syndrome b/c that could happen, and EKG for arrhythmia
Inpatient for burn if:
second degree taking up more than 10%
3rd degree more than 2%
Burn of ace, hands, genitalia or major skin crease
Parkland formula for burns?
4 X wt in kg X Body surface area burned (%).
Half of it given in first 8 hours,second half in next 16 hours
Use bacitracin or silver sulfadiazine
Child with sudden gagging, wheezing, stridor you do what?
Supplemental O2, measure O2, CXR, Bronchoscopy may be definitive DX and treatment.
Heimlich if not breathing
IV corticosteroids may reduce inflammation
Lung damage from salt water drowning?
From fresh water?
Salt water: High electrolytes causing pulm edema
Fresh water? Hypovotonic water is in, so RBC lysis
heat stroke vs heat exhaustion
Stroke is like a stroke! you are confused with possible vision changes. Might not be sweating. COOL THE PATIENT and bentos to relax muscles
(heat exhaustion you just gotta give fluids)
What causes a J wave? (positive deflection after QRS)
Hypothermia!!! Like Jeff wave! Like i'm cold right now
EKG in hypothermia?
Can have ventricular tachycardia and J WAVES!!!!
Snake bite tx?
Mobilize joint, clean the wound and antivenin
Complicaiton is it can cause anticoag
Scorpion sting symptoms?
Pain and swelling at bite
CHOLINERGIC: sweating, vomiting, diarrhea
Atropine and antivenin is tx
Black widow symptoms and tx?
ALL ACETYLCHOLINE OUT
Muscle pain and spasm, diaphoresis
Give benzos and antivenin
Brown recluse symptoms and tx?
Incerasing pain at site and necrosis. Give dapsone to prevent necrosis
GIVE erythromycin if sign of infection
Rule out G6PD deficiency before giving dapsone after brown recluse
Cat bites should be left open b/c more likely to be infected than dog. Dog bites you can close face b/c well perfused
STILL antibiotics and tetanus
Td shot if dirty wound and been 5 years.
When do you give immunoglobulin?
If dirty tetanus risk wound and uncertain vaccination