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Flashcards in Trauma Deck (31):
1

At what hemorrhage class will blood pressure start to drop?

class III

2

Indication for thoracotomy for massive hemothorax

>1500 ml initial output
>200 ml/hr x 4 hrs

3

Zone II neck injury, (+) signs/symptoms

urgent exploration without imaging

4

Which cardiac injury has a higher chance of survival: stab wound or gun shot wound?

stab wound

5

After EDT, patient must have a systolic blood pressure of at least __ to be considered resuscitable and hence transported to OR

70 mmHg

6

A patient with blunt trauma and had pre-hospital CPR for at most __ minutes can undergo EDT.

5 minutes

7

A patient with penetrating trauma and had pre-hospital CPR for at most __ minutes can undergo EDT.

15 minutes

8

management for hemodynamically stable anterior abdominal gunshot wound

immediate laparotomy without imaging

9

Hangman fracture

C2

10

Jefferson fracture

C1

11

Which odontoid fracture is stable?
A. tip of dens
B. base of dens
C. body of C2

tip of dens

12

flail chest

3 more contiguous ribs are fractured in 2 or more locations

13

cardiac tamponade: volume

>100 ml

14

Massive hemothorax in pediatric patients

> 1/3 of blood volume

15

How much of blood must be lost before patient becomes hypotensive?

1500 ml or 30%

16

Target hemoglobin

10 g/dl

17

Target bleeding paramaters

INR < 1.5
PTT < 45 sec
Platelt > 100,000

18

Cervical zone II gun shot wound, asymptomatic

imaging + OR

19

Cervical zone II injury, not gun shot wound, asymptomatic

observe

20

DPL: RBC cut-off for anterior abdominal stab wound

>100,000/ml

21

DPL: RBC cut-off for thoracoabdominal stab wound

>10,000/mo

22

DPL: WBC

>500/ml

23

DPL: amylase

>19 IU/l

24

DPL: bilirubin

> 0.01 mg/dl

25

contraindication to cricothyroidotomy

< 8 years old

26

blood loss per 1 rib fracture

~100-200 ml

27

blood loss for tibial fracture

300-500 ml

28

blood loss for femoral fracture

800-1000 ml

29

blood loss for pelvic fracture

>1000 ml

30

Hypotension in trauma

<110 mmHg SBP

31

Cut-off of gradient for fasciotomy

35 mmHg