Surgical Tutorial #1 Flashcards Preview

Jason's MD2 Surgery Rotation > Surgical Tutorial #1 > Flashcards

Flashcards in Surgical Tutorial #1 Deck (35):
1

what to listen for in airways?

stridor
gurgling
blood

2

burns, look for what in airways?

nostril hair, eyebrows singed hairs
may develop oedema
may prophylactically intubate

3

assessing breathing in trauma looks at what?

RR
Sats
Lungs - Air Entry reduced?
Assymmetry in chest breathing

4

how to assess Circulation

Temp
HR
BP
Cap refill

5

what need to know what in circulation?

Is BP supported?
peripheries cold?

6

Disability assess what?

GCS
Pupils (PEARLS)
Neuro screen

7

Exposure is what?

Temp
BSL
Alcohol
Check skin for abnormalities

8

what happens after ABCDE?

feel abdo
feel pelvis

9

What imaging after trauma in secondary survey?

CXR
PXR
C-sp (but now get CT scan)

10

where is morrison's pouch?

under liver

11

FAST scan looks at what?

MOrrison's Pouch
Spleen
Pouch of Douglas
Infraxephoid
between ribs

12

log roll to do what?

check for spine tenderness
PR
anal tone
perineal injury

13

ABG gives info about?

haemoglobin
LDH
AA-gradient

14

adjunct trauma investigations

ABG
Urine
Catheter

15

IV access in trauma?

2 arms, 16G

16

What is secondary survey?

More detailed assessment, draw the

Head
Nose, Ear, mouth
C-spine
Chest
Abdo/Pelvis
Upper Limb
Lower Limb
Log Roll

17

what to watch out for in head injuries

hidden scalp lacerations

18

what to check in C-sp 2ndary survey?

midline tenderness on spinous processes?
Alignment?

19

2ndary chest survey?

Flail chest
tenderness?
clavicles
sternum
equal air entry?

20

2ndary abdo exam?

tenderness?
hard?

21

SNT stands for?

soft non-tender

22

2ndary pelvis survey?

spring pelvis to assess tenderness and mobility

23

when is tertiary survey?

done at 24 hours

24

What is tertiary survey?

document the investigations
patient should be awake and can give you info

25

tertiary survey, PTA means?

post traumatic amnesia

26

Trauma history from patient?

AMPLE

Allergies
Meds
PHx
Last Meal
ETOH/Drugs

27

Pan scan is?

Non contrast HEad C-sp
Chest Contrast
portal venous pelvis/abdo

28

aortic transection/dissection risks?

fall from over 3m
MVA 80km/h vs. car
MVA 60km/h vs. motorbike
MVA 40km/h vs. pedestrian

29

Levels of Trauma

OPSTAT: peri-arrest - straight to theatre (penetrating)
Trauma Call:
Trauma Alert:
High risk mechanism (HRM):

30

what is trauma call?

HR - >125, BP

31

what is trauma alert?

mechanism: blunt injuries

32

ICC goes where?

5th intercostal mid-axillary line
2nd intercostal mid-clavicular

33

when take out ICC?

no leak
no swing

34

how much fluid do you normally make a day in pleural space

200ml

35

what to consider with Airways?

C-spine and airways
Tracheal deviation?

Decks in Jason's MD2 Surgery Rotation Class (62):