Trauma

Question 1

High Risk Mechanism for CT Head Rule?

Answer 1

Pedestrian Struck
Occupant Ejected from MVC
Fall >3 feet or 5 stairs

Question 2

Major and Minor Criteria for Canadian CT Head Rule?

Answer 2

Major: Age >65yo, GCS 2
Minor: Retrograde amnesia >30min, High Risk Mechanism

Question 3

Describe the Parkland Formula for IV rehydration in burn patients.

Answer 3

4 x TBSA % Burns x Weight in KG

• Half of volume in first 8 hours
• Half of volume in next 16 hours

Question 4

Hard Signs of Neck Trauma

Answer 4

1. Expanding hematoma
2. Shock not responding to fluids
3. Severe active bleeding
4. Decreased or absent radial pulse
5. Vascular bruit/thrill
6. Cerebral ischemia
7. Airway obstruction

Question 5

Soft Signs of neck trauma

Answer 5

1. Hemoptysis
2. ENT blood
3. Dysphagia/dysphonia
4. Dyspnea
5. Subcutaneous/mediastinal air
6. CT air leak
7. Non-expanding hematoma
8. Focal neuro deficits

Question 6

High risk criteria for Cspine injury?

Answer 6

Age >65yo
High risk mechanism - axial load, fall 5 stairs/3 feet, MVC 100km/hr/rollover/ejection, ATV, Bicycle struck
Parasthesias in extremities

Question 7

Low risk factors for Canadian C-spine Rule?

Answer 7

Simple rear-end MVC
Sitting in ED
Delayed neck pain
No midline tenderness
Ambulatory at any time