SESAP- Trauma Flashcards Preview

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Flashcards in SESAP- Trauma Deck (7)
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1
Q

Open fracture types

A

Type I: clean lacs <1cm
Type II: lacs >1cm, minimal soft tissue damage
Type III: lacs >10cm, exposed bone, or missing soft tissue
IIIa: adequate soft tissue coverage
IIIb: requires soft tissue transfer to achieve coverage
IIIc: asstd vascular injury requiring repair

2
Q

Abx for open fx

A

Type I & II: gram + coverage, dc 24hrs after wound closure
Type III: Gram + and - coverage, dc 72hrs after closure, add high dose PCN in presence of fecal or clostridial contamination

3
Q

Blunt aortic injury grades

A

Grade I: intimal tear <10mm, no external contour abnormality
Grade II: intimal tear >10mm
Grade III: pseudoaneurysm
Grade IV: evidence of rupture w contrast extrav or hemothorax

4
Q

Blunt aortic injury (BAI) treatment

A

Grade I: BP control w Bblocker and antiplt agents
Grade II: BBlocker, antiplt, repeat imaging in 7 days
Grade III and IV: intervention

5
Q

Blunt cerebrovascular injury/carotid injury (BCVI) stroke rate

A

20%; tx usually hep gtt as inpt w PTT 40-50 and aspirin as outpt

6
Q

Exposure for subclavian injuries

A

anterolateral thoracotomy and clavicular incision; endovascular repair has similar results

7
Q

tx to reduce hypermetabolic response in burn injury

A

propranolol, early excision of burn wound and grafting