Surgery- Trauma Flashcards
Seen in anaphylactic reactions and high spinal cord transection or high spinal anesthetic. Flushed, pink & warm, low CVP
Vasomotor shock
Linear skull fractures tx
- left alone if they are closed
- if depressed treated in OR
Anyone with head trauma who have become unconscious gets a
CT
The 3 components of neurologic damage from trauma are
- Initial blow
- development of hematoma(displaces the midline structure)
- increased ICP
Acute Subdural hematoma with no deviation, tx?
ICP monitoring elevate head hyperventilate avoid fluid overload give mannitol or furosemide
Acute Subdural hematoma with deviation, tx?
-Craniotomy (prognosis is bad)
rib fracture can be deadly in the elderly, tx
local nerve block and epidural catheter
untreated sucking chest wounds can lead to __ & Tx?
deadly tension pneumothorax
occlusive dressing with air out but not in
Can be seen right after chest trauma, in ABG and “white out” of the lung or in 48hr, Dx? Tx?
- Pulmonary Contusion
- fluid restriction and diuretics
Stab wound with clear penetration has occurred, NSIM?
Exploratory laparotomy
Gunshot wounds to the abdomen with low caliber gunshot wounds in RUQ, NSIM
-conservative therapy with proper monitored with close follow up
Gunshot wounds to the abdomen with entrance or exit wound
exploratory laparotomy
Blunt trauma to the abd with peritoneal irritation sign
exploratory laparotomy
After 3rd degree burn in extremities, monitoring is needed to
peripheral pulses and capillary filling
Limited burn <20% can have wound care with
immediate excision and grafting
