Trauma Flashcards Preview

Anesthesiology > Trauma > Flashcards

Flashcards in Trauma Deck (11):
1

Describe the Primary Survey

ABC's. Life threatening conditions are identified and treated.

2

Primary Survey: A

Airway. With cervical spine control. If patient is speaking, it is patent. Assess for blood, obstruction, noisy breathing, secretions. Treat as needed. Jaw thrust, LMA, ETT, Surgical airway

3

Primary Survey: B. Life threatening conditions?

Breathing. Aspiration, tension pneumothorax, open pneumothorax, flail chest, spinal cord injury, head injury,

4

Primary Survey. C. 3 elements of observation.

Circulation.
1. Level of consciousness. IMparied when blood volume reduced by half
2. Skin color
3. Pulse

5

Primary Survey. D.

Disability. Neurological status. (AVPU)
A: Alert?
V: Responds to vocal stimuli?
P: Responds to painful stimuli?
U: Unresponsive

Assess movement of all extemities

6

Primary Survey: E.

Exposure.

7

Standard Resuscitation during primary survey

1. Supplemental O2
2. Two large bore IV
3. 2 Liters crystalloid then PRBCs. MTP prn
4. ECG
5. Urinary and gastric catheters.

8

Secondary Survey: Head and neck

Eyes: Pupils
Scalp
Maxilla/Mandible
Nares and oropharynx.
TM and external auditory canal

Neck/C-Spine: JVD. tracheal deviation, subQ air. Palpate C-spine.

9

Glascow Coma Scale Scoring

Eye Opening:
Spontaneous: 4
Speech: 3
Pain: 2
None: 1

Motor Response
Verbal: 6
Pain Localizes: 5
Withdraws: 4
Decorticate flexion: 3
Extensor: 2
None: 1

Verbal Response
Oriented: 5
Confused: 4
Innapropriate: 3
Incomprehensible: 2
None: 1

10

Estimated Fluid and Blood Requirements. Class 1-4. Class 3 criteria?

Blood Loss: 1500-2000
Pulse: >120
BP: Decreased
Respiratory Rate: 30-40
Urine Output: 5-15 ml/hr
Mental Status: Anxious and Confused
Fluid Replacement: PRBC

11

Described 9% rule for body surface in burn

Head and neck = 9%
Upper Trunk = 9%
Posterior Upper Trunk = 9%
Entire Arm = 9% (18%)
Lower Trunk = 9%
Posterior Lower Trunk = 9%
Leg = 18% x2