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Flashcards in Trauma & Burns Deck (60)
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1

Most common joint dislocation

hip

2

Most common joint dislocation recurrence

anterior shoulder

3

Normal blood volume

Adult - 70ml/kg

Pedi - 80ml/kg

4

Normal urine output

Adult - 30-50ml/hr

Pedi - 1-2ml/kg/hr

5

Death from crush injury caused by

renal failure (rhabdomyolysis)

6

Complications from crush injury

DIC, compartment syndrome, renal failure, hyperkalemia

7

high velocity projectile

>2000 ft/sec

8

medium velocity projectile

1000-2000 ft/sec

9

low velocity projectile

<1000 ft/sec

10

Chest tube locaiton

4th ICS, anterior axillary line

11

Needle thoracostomy location

2nd ICS, mid-axillary line

4th ICS, anterior axillary line

5th ICS, mid-clavcular line

12

What should you suspect with fracture of the first three ribs?

Aorta injury

13

What is a scaphoid abdomen?  What does it indicate?

Sunken appearance to abdomen

Diaphragmatic rupture

14

What is the Parkland formula?

% BSA * 4ml/kg * wt(kg)

15

What is the Brooks formula?

% BSA * 2ml/kg * wt(kg)

16

Burn formulas give fluid resuscitation requirements for what time frame?

First 24 hours.

17

What is the Consensus formula?

% BSA * 2-4ml/kg * wt(kg)

18

What is diffuse axonal injury?  What causes it?

Leading cause of death from TBI, results from the brain moving back and forth in the skull as a result of rapid acceleration or deceleration. Usual presentation is prolonged unconsciousness.

 

19

Trauma patients with a pneumothorax will probabaly require what intervention before air transport?

Chest tube

20

A chest tube inserted for hemothorax should be clamped after how much blood is removed?

1000mL (or 20% total blood volume)

21

Abnormal breath sounds in the lower (often left) chest that sound like bowel sounds indicate

Diaphragmatic rupture

22

The most common location of spinal injury from a rear end MVC where PT was wearing seatbelt and had head rest adjusted correctly is

T12-L1

23

The most common location of spinal injury from a rear end MVC where PT was wearing seatbelt and had head rest adjusted incorrectly is

C1-C3

24

The extrinsic clotting pathway is triggered by what chemical?

Tissue thromboplastin

25

Which clotting pathway is activated by trauma?

Extrinsic

26

What blood product does not require type and cross before administration?

Albumin

27

Cryoprecipitate is given to correct what blood problems?

Clotting abnormalities (DIC, hemophilia)

28

Lab values: normal K

3.5 - 5.0

29

Lab values: normal Na

135 - 150

30

Lab values: normal Ca

Total 8.5 - 10.5

Ionized 4.5 - 5.5