Trauma and Burns Flashcards

(50 cards)

1
Q

Parkland Burn Formula

A

(4ml x kG) x % of TBSA= total ml over 24 hours
1/2 administered over the first 8 hours
1/2 administered over the next 16 hours

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2
Q

Consensus Formula

A

adminsiter (2-4 ml x kG) x BSA%
1/2 administered over the first 8 hours
1/2 administered over the next 16 hours

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3
Q

Modified Brooke Formula

A

(2ml x kG)x BSA%
1/2 administered over the first 8 hours
1/2 administered over the next 16 hours

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4
Q

Most commonly abused organ system

A

Integumentary System

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5
Q

Most common type of injury associated with acceleration/deceleration injuries

A

Diffuse axonal injury
Occurs when delicate axons are stretched and damaged as a result of rapid movement of the brain

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6
Q

Reccomended site for Chest tube placement

A

5th ICS anterior midaxillary

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7
Q

How much blood should should be removed from the hemothorax before you clamp the chest tube

A

1000ml

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8
Q

According to the rule of 9s
BSA of HEAD of an adult

A

9%

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9
Q

According to the rule of 9s
BSA of ANTERIOR TORSO of an adult

A

18%

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10
Q

According to the rule of 9s
BSA of BACK of an adult

A

18%

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11
Q

According to the rule of 9s
BSA of EACH ARM of an adult

A

9%

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12
Q

According to the rule of 9s
BSA of EACH LEG of an adult

A

18%

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13
Q

According to the rule of 9s
BSA of NECK or Genitals an adult

A

1%

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14
Q

According to the rule of 9s for Pediatrics
BSA of HEAD

A

18%

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15
Q

According to the rule of 9s for Pediatrics
BSA of ANTERIOR TORSO

A

18%

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16
Q

According to the rule of 9s for Pediatrics
BSA of BACK

A

18%

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17
Q

According to the rule of 9s for Pediatrics
BSA of EACH ARM

A

9%

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18
Q

According to the rule of 9s for Pediatrics
BSA of EACH LEG

A

14%

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19
Q

According to the rule of 9s for Pediatrics
BSA of NECK or GENITALS

A

0%

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20
Q

Prolonged crush injury considerations

A

Rhabdomyolysis
HyperKalemia
Compartment syndrome
Acute Renal Injury

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21
Q

Predictable Injuries associated with Head on collision

A

Rib fractures, pnumothorax, hemothorax, concussion, skull fracture, patella and femur fractures, hip injury, acetabular fracture, reptured spleen, liver injury, ruptured aorta

22
Q

Predictable Injuries associated with side impact

A

clavicle, rib femur, tib/fib, fracutre and spleen injury

23
Q

Predictable Injuries associated with roll over

A

multisystem injury

24
Q

Predictable Injuries associated with fall

A

calcaneus fracutre, compression fracutre to T12-L1, wrist fractures

25
Predictable Injuries associated with Rear end collision
T12-L1 injuries, femur, tib/fib injuries, ankle fractures and cervical strial, c2 fractures
26
Clotting cascade can be triggered though an extrinsic pathway triggering mechanism is the release of what
Thromboplastin
27
Early shock state presents with what acid base imbalance
Repritory alkalosis
28
Which blood product does not need to be crossmatched before administration
Albumin
29
Electrical Alternan is define by what charterictics and what conditions does it present with
Alternated QRS complex amplitude or axis between beats and presents with cardiac tampande/pericardia effusion
30
Becks triad is associated with what condition
Cardiac Tamponade
31
Tension Pneumothorax presentation
Dyspnea, tachycardia, AMS, Narrowing pulse pressures, pulsus paradoxus (a decrease in BP upon inspiration), JVD, Hypotension, diminished breathsounds on affected side, shock, and cardiac arrest
32
where to preform emergency needle thoracostomy
2nd ICS two finger widths lateral to the sternal border on the affected side (mid clavicular) should be incerted superior to the rib
33
Kehr's sign
Acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a preson is lying down. Left should pain is classical symptom of rupured spleen
34
High voltage injuries are at what voltage Low voltage injuries are at what voltage
>1,000 volts <1,000 volts
35
Which current "freezes" the patient to the electrial source and has a higher likelihood of causing VF?
AC
36
Target urine output for electrical injury patient
50-100mL
37
Cerebral perfusion pressure formula and normal value
MAP-ICP=CPP 70-90
38
Normal ICP
0-10 anything greater than 20 is clinically signifcant
39
Grey-Turner Sign presents with and indicates what
Bruising to the flank and indicates retroperitoneal or intra-abdominal bleeding ususally takes up to 24-48 hours to show on assessment
40
Define Hammans Sign and when is it found
Crunching sound auscultated on the anterior chest wall synchronized to the heart beat Indicating Tracheobronchial injuries
41
Burn patient urine target output
30-50 ml/hr 0.5-1 ml/kg/hr
42
Hydrofloric acid should be flushed with what
Water and a calcium gluconate gel
43
Management of the brain herniation includes after airway and breathing
Serum sodium goal of 155 serum os less than 320 Hypertonic saline, mannitol
44
When should an escarotomy be consitered
Circumferential burns to the chest that decreases chest wall compliance
45
Most common cause of PEA in the trauma patient
Hypovolemia
46
Treatment of the cyanide patient
Amyl nitrite followed by sodium nitrite followed by sodium thiosulfate Hydroxocobalamin
47
Target urine output in the burn patients Neonate Pediatric Adult rhabdo/electrical burns
neonate 2ml/kg/hr pediatric 1ml/kg/hr adult 0.5 ml/kg/hr rhabdo/electrical burns 2 ml/kg/hr
48
ICP reducing agents
Mannitol and hypertonic saline
49
HTN management in the neuo patient (ischemic/hemorrhagic stroke)
Labetalol 10 mg IVP Nicardipine 5-15 mG/hr is a follow up
50
What is REBOA
Resuscitative endovascular balloon oxxlusion or the Aorta Indicated in severe shock secondary to exsanguination to occlude above the site of injury to eliminate bleeding as a bridge to surgery. Dont use zone II