Major Trauma Resus Flashcards Preview

Jason's MD2 ED/Amb Rotation > Major Trauma Resus > Flashcards

Flashcards in Major Trauma Resus Deck (17):
1

Trauma Bloods

FBE, UEC, Lipase, Coags (risk of DIC), Group and Hold, LFT,

2

don't clot well when?

cold
acidotic

3

why don't use NGT in trauma?

base of skull fracture, could get stuck
use orogastric tube

4

how can you tell on pneumothorax x-ray if haemothorax?

no meniscus on CXR

5

patchy opacities in lung fields major trauma is probably?

pulmonary contusions

6

aortic dissection looks like in CXR?

widened mediastinum

7

point of CXR initially?

rule out tension pneumo

8

how to assess blood loss if you can't see it lost?

ask ambos if there was blood at scene, how much?

9

tachycardia causes?

pericardial effusion/tamponade
tension pneumo
tamponade
drugs
sepsis
anxiety

10

if pelvic fracture and they are stable, waiting for CT, what to do?

pelvic binder

11

FAST scan for what?

blood in abdo (spleen/liver) dark space
pericardial effusion

12

after 2 L of fluid, switch over to what?

blood

13

blood replacement is what?

Plasma/Fresh frozen plasma

14

what is 1:1:1 for massive trauma?

platelets:Fresh Frozen Plasma:blood product (RBCs)

15

MAP of at least what for trauma prior to surgery?

55

16

pre-hospital important triage to know if send to trauma centre?

vital signs
injuries
high risk mechanism (least predictive)

17

How to assess breathing in trauma

CXR
listen to chest
FBE - lactate
ABG