Trauma Flashcards
(50 cards)
Trauma pt shifted in which position
Supine or Prone
Not lateral when conscious
BP and HR of pt in neurogenic shock
Hypotension
Bradycardia
Give IVF and Vasopressors
Flow rates of
Orange
Grey
Gren
Pink
Blue
Violet
300
150
75
55
30
20
Assessment of
Adequacy of resuscitation
Requirement of fluid
End point resuscitation
Urine output
Pulmonary capillary wedge pressure
MVO2 saturation
Damage control surgery
Phase 0–Pt selection
pH<7.2
Temp<35
PT/APTT>50%
S. Lactate>5mmol/L
Phase 1–Control of bleeding / infection
Phase 2–ICU resuscitation-control triad of death
Phase 3–Definitive surgery
C spine injury if CT not available
Bedside xray c spine
Zones of neck trauma
Zone 1–Thoracic inlet TO Cricoid cartilage
Zone 2–Cricoid cartilage TO Angle of mandible
Zone 3–Angle of mandible TO Base of skull
Lateralising sign in head injury
Ipsilateral pupillary dilation with CL hemoplegia
Kernohn notch sign
Opposite pupillary dilatation with same side weakness
Uncus of temporal bone prolapse and compress 3rd nerve and CST
Cerebral perfusion pressure
MAP— ICP
GCS-PRS
Pupillary reactive score
0–B/L pupil reactive
1–U/L pupil non reactive
2–B/L pupil non reactive
Chest tube placement site
Anterior—Below and lateral to pectoralis major
Posterior—Anterior to mid axillary line
(Lat border of Latismus dorsi)
Inferior—Above the horizontal line of nipple
(At the level of 5th ICS)
Most sensitive sign if aortic injury
Widened mediastinum
e-FAST limitations
<100 ml
Retroperitoneal collection
Extent of injury
Site of injury
e-FAST
Extended Focussed Assessment with Sonography in Trauma
Management of Spleen trauma
<Grade 3 ——SNOM
Grade 3–less severe—SNOM
—severe——Splenic artery embolisation
> Grade3—-Spleenectomy
Grade 3 injury of spleen
Subcapsular hematoma>50% surface area
Ruptured subcapsular or intraparenchymal hematoma>5cm
Parenchymal laceration>3cm depth
Zones of retroperitoneal injury
Zone 1—Centromedial zone—-great vessels
Zone 2—Lateral to zone 1—renal retroperitoneum
Zone 3—Pelvic peritoneum
Presentation of bladder injury
Non passage of urine
No urge
Suprapubic pain
IOC for bladder injury
CT Cystogram
Presentation of Urethral injury
Blood at meatus
Retention of urine
Suprapubic fullness
Butterfly at perineum
Penile swelling
Scrotal swelling
Perineal swelling
Seatbelt injury
Mesentery>Prox jejunum>T ileum>Abd aorta>pancreas
Pancreas presents as pancreatitis
Hormones in Trauma
INCREASE
Catecholamines
Cortisol
Aldosterone
ADH
Glucagon
GH
DECREASE
Insulin
Thyroxine
Triiodothyronine
Testosterone
