Multitraumatized Patient

Question 1

What is trauma

Answer 1

Injury to living tissue caused by extrinsic agent

Question 2

Type of trauma.

Answer 2

Blunt trauma
Penetrating
Thermal
Chemical
Ionizing
Nuclear

Question 3

What is multi-trauma or polytrauma

Answer 3

Two or more severe injuries in at least two body areas

Question 4

Causes of death within 1 hour of trauma

Answer 4

Massive hemorrhage / crush injuries
Massive CNS trauma
Airway obstruction

Question 5

Cause of death 1-4h after trauma

Answer 5

Hemorrhage effect
Hypoxia

Question 6

Causes of late death after trauma

Answer 6

Sepsis
Multiple organ failure

Question 7

Management of trauma

Answer 7

ATLS protocol- ABC

Question 8

Airway and c spine - concept

Answer 8

Maintain c spine
Look for airway obstruction
Maintain airway patent ->oral airway, nasal airway, et tube, cricothyroidotomy, tracheotomy

Question 9

Breathing -concept

Answer 9

Inspection of chest
RR measurement
Tracheal deviation
Palpation
Percussion
Auscultation
Pulse oximetry
High flow oxygen 6-8L non rebreather mask or ambulance bag, or et tube after RSI with cricoid pressure

Question 10

Circulation concept

Answer 10

Identify shock (tachycardia, low CRT and hypothermia, increasedRR). and causes (hemorrhage, compressive, cardiogenic, neurogenic, sepsis)