Initial Assessment

Question 1

3 vitals criteria for immediate trauma center transport

Answer 1

Dypnea/tachypnea, BP<90, GCS <13

Question 2

motor cycle speed for transfer

Answer 2

20

Question 3

fall height for adult transfer

Answer 3

20ft 6 m

Question 4

What important vital may be misleading in adults over 55? What number may indicate shock

Answer 4

BP<110

Question 5

what is primary survey?
Secondary?

Answer 5

ABCDE
Head to toe

Question 6

1.5 L infusion of crystalloid for trauma patients is and independent indicator of increase in _____

Answer 6

mortality

Question 7

Within what time should TXA be given? repeat when

Answer 7

3 hours; 8 hours

Question 8

Blood at meatus, next move?

Answer 8

RUG

Question 9

Good EMS hand over mnemonic

Answer 9

MIST

Question 10

MC site of spinal fracture

Answer 10

C5

Question 11

If tourniquet is up for one hour prior to operative availabilitiy, what can be attempted?

Answer 11

tourniquet release

Question 12

What is an MSK adjunct in the TB?

Answer 12

splint

Question 13

The most significant differnce between burns and other injuries is that the consequence of burn are directly related to ….

Answer 13

inflammatory response

Question 14

4 unique early intubation considerations for burns

Answer 14

Severe burns for patient pending transfer
40-50s TBSA
Facial burns
mouth burns

Question 15

Half life of CO association with oxygen? Treatment?

Answer 15

4 hours, high flow non rebreather to red to 40

Question 16

Parkland formula Adults vs kids

Answer 16

2ml LR x kg x TBSA

3ml LR x kg x TBSA

Question 17

Target burn uops adults v kids

Answer 17

30-50ml/h or 0.5ml/kg/h

1ml/kg/h

Question 18

Electrical burn parkland

Answer 18

4ml

Question 19

adult burn % v babies

Answer 19

Head 9 v 4.5
legs 7 v 9

rule of 9s for adults

Question 20

Hand trick for burns

Answer 20

1% for a palm

Question 21

what degree is a superficial burn? what kind of common burn does this equate to ?

Answer 21

first
sunburn

Question 22

partial superficial v partial deep characteristics

Answer 22

moist, hyper sens

dry, less painful, DO NOT BLANCH

Question 23

full thickness burn appearance

Answer 23

leathery

Question 24

how to clean burn wound?

Answer 24

room temp saline

Question 25

dry chemical on skin, first step?

Answer 25

brush off then lots of warm saline

Question 26

what metabolic disorder is associated with electrical burn

Answer 26

rhabdo

Question 27

4 non obvious transfer criteria for burns

Answer 27

TBSA >10% face, perineum, genitals 3rd degree electrical burns

Question 28

what to do for frost bite

Answer 28

warm in 40 C or 104 F

Question 29

Where do the main fluid losses occur for burns

Answer 29

Interstitial losses from inflammatory response

Question 29

Where do the main fluid losses occur for burns

Answer 29

Interstitial losses from inflammatory response

Question 30

urine goals for electric burns, why

Answer 30

100ml/h to combat rhabdo

Question 31

important position for babies concerning airway patency

Answer 31

sniffing position

Question 32

Childrens ETT size trick

Answer 32

nares or little finger

Question 33

Always do this prior to attempting intubation for children

Answer 33

pre ox

Question 34

equation for childrens sbp

Answer 34

90 + (2x age)

Question 35

Severe ped blood loss percent

Answer 35

45

Question 36

At what age to heart rate norms catch up to adults?

Answer 36

13

Question 37

Infant normal HR? school age?

Answer 37

160 120

Question 38

Normal UOP for infant v 13y In between?

Answer 38

2 v .5 1-1.5

Question 39

Peds hemorrhage resuscitation protocol

Answer 39

20 ml/kg crystalloid bolus then 10-20 ml/kg blood then 10-20 ml/kg ffp

Question 40

MC life threatening injury in kids? why?

Answer 40

Tension Ptx very mobile mediastinal structures

Question 41

ALARA?

Answer 41

As low as reasonably achievable

Question 42

Fatal cancer rate in children who have CT scans

Answer 42

1 in 1000

Question 43

Normal pCO2 in pregnancy?

Answer 43

normal low

Question 44

acute blood loss effect on fetus initially

Answer 44

uterine blood supply constriction

Question 45

effects of pregnancy on fibrinogen? wbc? plasma? crit?

Answer 45

up up up down

Question 46

pa co2 in preg? why?

Answer 46

25-30; progesterone sensitizes central co2 receptors leading to increase in TV

Question 47

First line treatment for eclampsia seizures?

Answer 47

Mg

Question 48

Pregnant patient positioning in TB?

Answer 48

left tilt

Question 49

Main cause of traumatic fetal death

Answer 49

Maternal shock and death