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Molly > FOEM Trauma > Flashcards

FOEM Trauma Flashcards

(74 cards)

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1
Q

hemorrhagic shock classes

A

I: Normal vitals (<15%, 750cc)
II: tachycardia with no hypotension (15-30%, 750-1.5L)
III: tachycardia and hypotension (30-40%, 1.5-2L)
IV: AMS (>40%, >2L)

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2
Q

cushing reflex

A

bradycardia, hypotension, irreg resp

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3
Q

uncal herniation

A

temporal lobe; CN3 palsy

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4
Q

subfalcine herniation

A

frontal lobe

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5
Q

traumatic injuries CT can commonly miss

A

diaphragmatic injury, pancreas injury, basilar skull fx, hollow viscus injuries

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6
Q

Next step for a patient with a high suspicion of diaphragmatic injury and neg CT

A

or for diagnostic lap and direct visualization

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7
Q

Facial bone with lowest rate of infxn

A

zygomatic

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8
Q

Tx orbital fx

A

consult optho/ENT, decongestants, augmentin

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9
Q

TX of penetrating neck injury with soft signs

A

CT angio, if unstable OR

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10
Q

MC location for traumatic aortic dissection

A

aortic isthmus

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11
Q

Tx for traumatic aortic dissection

A

OR on BB for BP control

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12
Q

DX traumatic aortic dissection

A

CXR - mediastinal widening, obscured aortic knob, L apical pleural cap, R tracheal deviation, decreased L bronchus/increased R bronchus, loss of AP window, R displaced NGT

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13
Q

Hard signs of penetrating neck trauma

A

hypotension, arterial bleeding, rapid expanding , deficits, bruit

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14
Q

sternal fx imaging

A

lateral cxr,

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15
Q

high risk rib fx

A

1-2: vascular adn bronchial injuries
9-11: liver and spleen lacs
4-9: MC location

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16
Q

OR thoracotomy with hemothorax

A

initial CT output >1.5L (20cc/kg) OR >200/hr over 3-4h (3cc/kg)
persistent bleeding >7cc/kg/hr

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17
Q

management of traumatic ptx

A

small: O2 adn repeat CXR
large: chest tube
**chest tube first then intubate or can cause tension ptx

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18
Q

traumatic abdominal injury tx

A

unstable: OR
stable: CT

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19
Q

MC injury sites for ab GSW, ab stab, blunt trauma

A

ab GSW: small bowel
stab: liver
blunt: spleen > liver

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20
Q

Ssx of diaphragm injuries

A

SOB, chest/ab pain, N/V, kehr sign

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21
Q

dx diaphragm injuries

A

CXR with coiled NGT in chest
blurred hemidiaphragm, air/fluid level in chest

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22
Q

definite dx/tx for diaphragm injuries

A

laparoscopy/otomy in OR

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23
Q

bike handle injury

A

duodenal/pancreas hematoma/injury

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24
Q

lap belt injury

A

small bowel injury
transverse abdominal wall contusion, chance fx, ab visceral trauma

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25
volume required for + FAST
250cc
26
injuries not identified on FAST
solid organ injury, hollow viscus injury, retroperitoneal injury
27
+ DPL
10ml initial if nothing then infuse 1000cc then aspirate: + if >10,000 RBCs (penetrating) or >100,000 RBCs (blunt)
28
dx retroperitoneal injuries
CT with IV contrast FAST neg
29
dx scrotal/testicular injuries
doppler US, CT AP
30
tx scrotal/testicular injuries
urology consult
31
time limit to reimplant amputated penis
8-12h
32
bladder/urethral injuries dx
RUG > CT cystogram (bladder injuries)
33
tx complete urethral lacs
surgery
34
partial urethral lac tx
foley
35
anterior urethral injury on RUG
distal to UG diaphragm, external signs of trauma, small extravasation with bladder filling
36
posterior urethral injury on RUG
prox to UG diaphragm, normal external exam, large extravasation into pelvis
37
bladder rupture dx and tx
dx: retrograde cystogram TX: intraperitoneal = OR; extraperitoneal = Foley
38
normal cervical prevertebral space
6mm at C2 and 22mm at C6
39
classification for thoracolumbar fx
anterior column: anterior half of vertebral body middle column: posterior half of vertebral body posterior column: posterior to vertebral body
40
MC location for spinal fx
T11-L2
41
chance fx
fx through all columns assoc with lap belt injuries
42
burst fx
crush multiple fragments involving anterior and middle columns
43
wedge fx
compression of anterior column
44
central cord
hyperextension elderly UE>LE
45
Anterior cord
hyperflexion, b/l motor paralysis, loss of pain/temp, intact vibration, & proprioception worst prognosis
46
brown sequard
penetrating trauma to spinal cord ipsilat loss of motor, vibration, and proprioception contralat loss of pain/temp
47
c6 dermatome
1st dorsal web space
48
c7 dermatome
middle finger
49
C8 dermatome
pinky
50
t4 dermatome
nipple
51
T10 dermatome
umbilicus
52
L1 dermatome
inguinal ligament
53
L4 dermatome
patella
54
L5 dermatome
big toe
55
S1 dermatome
5th toe
56
S3 dermatome
anus
57
neurogenic shock
loss of sympathetic tone; hypotension (vasodilation), bradycardia (unopposed vagal tone), poikilothermia (peripheral vasodilation) Tx: IVF, pressors, atropine
58
spinal shock
no circulatory involvement S/sx: areflexia, flaccid paralysis **first reflex to return is bulbocavernosus
59
blast injury types
1: hollow viscous injury; blast shock wave 2: projectiles; penetrating trauma 3: individual thrown by explosion; crush and blunt injuries 4: environmental contamination
60
MC blast related injuries
TM rupture and blast lung
61
MCC of in-hospital death following near hanging
pul edema
62
galeal laceration complications
loss of frontalis muscle function (asym forehead)
63
fat embolism puts you at high risk for
DIC
64
fat protruding through an eyelid laceration
globe injury
65
what injury should you expect in ped trauma pt with paralysis on scene that resolves on arrival to ED
SCIWORA Dx: MRI spine Tx: spine immobilization for 12 weeks
66
patellar tendon rupture
inability to extend knee, superior patellar displa cement, TTP inf. to patella
67
what lab test, if positive, raises suspicion for basilar skull fx
beta transferrin
68
tooth evulsion with extraoral time <20 min
rinse and replace
69
tooth evulsion with extraoral time > 60 min
soak in citric acid and consult oral surgery
70
best medium for avulsed tooth
hanks solution milk > saliva > saline
71
tetanus vaccine administration
clean and fully vax: only if >10years ago dirty and fully vax: only if >5 years ago clean and unvax: vaccine dirty and unvax: vaccine + TIG
72
trauma pt receiving MTP that has tetany, prolonged QTc
hypocalcemia
73
MTP
1:1:1 pRBC:FFP:platelets
74

Molly (6 decks)

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