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Medic NREG > Trauma > Flashcards

Flashcards in Trauma Deck (37):
1

Most Dangerous GSW

RIFLE- highest velocity/most important dynamic variable then Trajectory, then MASS

2

PMSC

Pulse-most important-lose pulse everything goes else goes to shit
Motor Function
Sensory
Cap Refill

3

Dislocated Knee

Pulse distall to the injury? No pulse-manipulate/rotate to regain pulse

4

Angle Fracture

with a pulse- splint in place

5

Tension Pneumothorax

severe blunt forced to chest, difficulty breathing-BIG S/S-diminished/absent LS
pos-hypotension, JVD, Trake Deviation to opposite side of injury (don't rely on this sign as its a late sign)

6

Pleural Decompression
Needle Thoracostamy
needle decompression

All the same thing-
Decompress 2nd intercostal space superior to the 3rd rib mid clavicular or 5-6 intercostal space mid axillary

7

Cushings Triad (3 elements)

HIB
HYPERTENSION-with widening pulse pressures- systolic & diastolic get further apart
BRADYCARDIA
IRREGULAR RESPIRATION

8

COUP

Direct injury from blunt trauma-ie getting hit in the head with a bat

9

CONTRA COUP

Injury behind the initial blunt trauma- being slammed up against a wall after explosion

10

Epidural Bleed

Worst bleed:buildup of blood occurs between the dura mater (the tough outer membrane of the central nervous system) and the skull

11

Layers of the Head

SPBDAP
Skin, Periosteum, Bone, Dura Mater, Arachnoid, Pia Mater

12

Subdural Bleed

Slowest onset, headache that gets progressively worse, slow venous bleed

13

Concussion s/s

confused ALOC, n/V, photophobia, Repetitive Questioning(Dead Giveaway), need eval to make sure

14

Pneumatic Anti S.G. Indications/Contra

Indication Abdominal Bleed or pelvic fracture stabilization. Contra-impaled object to abdomen or chest, 3rd trimester (ABSOLUTE)
or suspect cardiogenic shock or P.E.

15

Primary Blast Injury

Primary-Hollow organs-initial blast, collapses hollow organs

16

Secondary Blast Injury

Shrapnel and fling objects

17

Tertiary Blast Injury

Injury from being thrown or hitting the ground and wall or objects

18

Burns

Rule of Nines and Palms, Parkland Formula

19

When do you use a dry sterile dressing?

Large % burns use a dry sterile. Usually over 25% BSA

20

Parkland Formula
First 8 Hours?
First Hour?

BSA burned % x KG x 4mL /2 gives you the first 8 hours. Divide that by 8 will give you the first hour. Don't divide the original number by 2 and you get the first 24 hours

21

Superficial Burns

1st degree - sunburn

22

Partial Thickness Burn

2nd degree- the moment blisters form its a 2nd degree

23

Full Thickness Burn

3rd degree burns

24

Brown Sequard Syndrome

Incomplete spinal cord lesion often in the cervical region. Ipsilateral-deficits occur on the same side as the injury. Hemispherical. Contralateral loss of pain, and temperature sensation.

25

Burn Worries and Order of oh Shit!

Airway
Infection
Hypothermia
Hypovolemia

26

Medulla Controls

Bodies Respirator

27

Any break in cervical cord region...

expect respiratory compromise

28

C7 means...

marks beginning of the Thorasic Region. Bony bone sticking out on back of neck above shoulders

29

Nipple is

T3-T4

30

Umbilical is

t10-t12

31

Leforte Fracture I

Just below the nose and affects the pallete. Most dangerous because of airway implications.

32

Le Forte fracture II

Top of the nose with a downward arch ending in the mouth

33

Le Forte Fracture III

Top of the nose and extends around eyes ending in the jaw area by the ear

34

Crush Injury

Rhabdomyalisis -breakdown of the muscle fibers cause a release of myoglobin into blood stream causing metabolic acidosis aka lactic acid buildup causing an THROMBIS of EMBOLIS, TX is sodium bicarb.

35

Compartment Sydrome

if a pt has a 360 degree circumferential burn blister put pressure on muscles and tissue. Definitive TX is a FASHIOTEMY by a DR ONLY. My TX is PUHA

36

WHEN TO C-SPINE

Any patient with a loss of conciousness, and of head, neck or back pain

37

PNEUMO, BURNS, PARK, SPINAL CORD, HEAD BLEED

DON'T KNOW WHAT THIS NOTE IN MY NOTES WAS ABOUT