Trauma Flashcards
(20 cards)
Pulmonary contusion
Develops over 12-24 hours
Hazy appearance on XR
Borders for cricothyrotomy
Thyroid cartilage superiorly
Cricoid cartilage inferiorly
Treat sternal fx
(Need a lateral)
If no cardiac issues (EKG/trops): pain control and home
Incision in cric
Longitudinal 3-5 cm thorugh skin over the cricothyroid membrane
Horizontal through the membrane
Size of tube for a cric
5-0 or 6-0
Which structure runs along heart that needs to be identified before a pericardiotomy?
Phrenic nerve
Inaccurate labs with IO
WBC, platelets, AST/ALT, potassium
IO contraindications
Fx, previous penetration, vascular disruption
Most common solid organ injury in blunt trauma
SPLEEN
Pseudosubluxation in peds
Usually C2 on C3
Normal and common
C2 should be within 2mm
Hangman’s fx
C2 displaced anterior due to fx of C2 pedicles
Age ped spinal injury follow adult patterns
8 years
Jefferson fx
C1 burst
Axial compression
Most common site of pediatric linear skull fx
Parietal bone
Blast injuries
Primary: direct cause of the shockwave (TMs etc)
Secondary: Debris into person
Tertiary: Person into object
Quat: chronic
Flexion teardrop fx
Severe flexion -> anterior displacement of wedge-shaped fragment of anterioinferior vertebral body
Disruption of ligamentous structures
Always unstable
Most common symptoms of basilar skull fx
Hemotympanum
Most common fx bone in basilar skull fx
Temporal
Unstable fractures
Jefferson burst C1 burst Bilateral facet; flexion ant displacement Odontoid; flexion Atlanto-occipital; flex/ext - dead Hangmans; extension C2 pedicles Tear drop; flex/ext - antinf vert body
Bone most commonly fx in basal skull fx
Temporal
