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Flashcards in Trauma Deck (35):
1

Management of small pneumothorax

supplemental oxygen, serial CXRs

2

Management of large pneumothorax

Tube thoracotomy until 48 hours after resolution

3

Indications for surgery in hemothorax

>1500ml or >200ml/hr for 4 hours

4

Leading cause of death in blunt trauma

Blunt cardiac injury

5

Which diagnosis? widened mediastinum, downward deviation of left bronchus, right deviation of NG tube

Traumatic Rupture of the Aorta

6

Management of TRA

Controlled Hypotension (systolic 100), TEVAR or open aortic repair

7

Which diagnosis? subcutaneous emphysema and air leak from chest tube

Bronchus rupture

8

Diagnosis of bronchus rupture

CXR, fiberoptic bronchoscopy

9

Lethal triad of trauma

Hypothermia, coagulopathy, acidosis

10

Management of skull fracture

operative if comminuted or depressed

11

Management of epidural hematoma

Craniotomy

12

Management of acute subdural hematoma

ICP monitoring, hyperventilation and other measures to reduce ICP, craniotomy if midline shift

13

Management of blunt neck trauma

CT neck

14

Which zone of the neck requires the most workup for penetrating trauma?

Lower

15

Common cause of anterior cord syndrome in trauma

Burst fractures of vertebral body

16

Which diagnosis? caused by forced hyperextension of the spine in trauma (e.g. rear end collision)

Central cord syndrome

17

Which diagnosis? Respiratory distress in context of long bone fracture

Fat embolus

18

Management of fat embolism

respiratory support

19

Management of pelvic fractures with significant bleeding

external fixation, IR embolization of internal iliac vessels

20

Which diagnosis?

High riding prostate

21

Diagnosis of urethral injury

Retrograde urethrogram

22

Diagnosis of bladder injury

retrograde cystogram, including post-void films

23

Diagnosis of renal injuries

CT

24

Management of scrotal hematoma

Expectant unless testicular rupture

25

Management of penile fracture

Emergent surgical repair

26

Evaluation of vascular injuries to extremities

Doppler, CTA

27

Management of obvious vascular injuries

surgical exploration and repair

28

Management if low likelihood of vascular injury to extremity

Tetanus ppx

29

Complications of crush injuries (4)

Hyperkalemia, myoglobinemia, renal failure, compartment syndrome

30

Parkland Formula

4ml*weight(kg)*%TBSA

31

Burn agent for superficial burns (does not penetrate eschars)

Sulfur sulfadiazine

32

Burn agent for deep burns

Mafenide

33

Side effect of mafenide (sulfamylon)

Metabolic acidosis

34

Burn agent applied near the eyes

Triple Antibiotic Ointment

35

CV complications of severe burns

myocardial depression, VTE