Trauma

Question 0

After primary survey, get?

Answer 0

radiographs
1. AP/lateral cervical spine; odontoid view
2. CXR
3. AP pelvis
IV, urine monitor, ABG/ECG/pulse ox

Question 1

Primary survey

Answer 1

Airway
Breathing
Circulation (shock, bleeding, cardiac, pulse, skin temp, consciouness)
Disability (neuro)
Exposure (remove clothes)

Question 2

Crush injury- main concern, treat

Answer 2

• renal failure from hyperkalemia and myoglobinuria
• metabolic acidosis from hypotension and hypocalcemia (can cause cardiiac failure)
• bicarb to treat, dialysis, fluids

Question 3

Open fx- antibiotic courses?

Answer 3

I/II- cephalosporin
III- +aminoglycoside
High contamination- + PCN

Question 4

Bite wounds- most common? (location and organism)

Answer 4

MCP

staph

Question 5

Cat bite organism?

Answer 5

Pasteurella multocida

Question 6

pelvic fx main concern

Answer 6

hemorrhage/hypotension (abdominal viscera)

Question 7

Acetabular fx- main concern-

Answer 7

abdominal viscera (but less hemorrhage risk than pelvic fx, but still a risk)

Question 8

Flexor tenosynovitis- cause, signs, treatment

Answer 8

• usu puncture wound w staph
• kaneval’s cardial signs- symmetric swelling (of entire finger), tenderness, semi-flexed digit, pain with passive extension
• IV antibiotis, surgery if no improvement within 24 hours