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Flashcards in Trauma General Deck (15):
1

4 indications for intubation in trauma

Gcs < 8
Loss of airway reflexes in setting of intoxication
Severe facial or airway trauma
Burns or inhalational injury w risk obstruction

2

4 life threatening injuries identified during Breathing assessment

Flail chest
Tension pneumothorax
Open pneumothorax (sucking chest wound)
Massive hematoma

3

4 things to look for on exam during primary survey or breathing

Chest rise, signs external trauma
Air entry bilaterally, tracheal deviation
Crepitus
Prominent neck veins

4

5 types of shock in trauma

Hypovolemic (hemorrhagic)
Obstructive (tamponade, tension pneumo)
Neurogenic (spinal cord injury)
Cardiogenic (direct cardiac injury)
Dissociative (CO, CN)

5

In massive transfusion protocol (> pt's body weight or >10L) what ratio of blood products do you give?

1:1:1 pRBC, platelets, fresh frozen plasma

6

Name motor components of GCS scale

6= obeys commands
5= localizes to pain
4= withdraws to pain
3= flexor posturing
2= extensor posturing
1= none

7

Verbal component of GCS

5=oriented
4=confused
3= inappropriate speech
2= incomprehensible sounds
1= none

8

Eye component of gcs

4 opens spontaneously
3 opens to speech
2 opens to pain
1 none

9

Components of exposure of primary survey

Undress patient
Maintain c spine, log roll
Examine soft tissues of back and perineum
Cover with warm blanket
Core temperature

10

4 goals of ED Thoracotomy

Cross clamp aorta (preserve blood to Brain)
Open cardiac massage/compression/ Intracardiac epi
Relieve tamponade (pericardotomy)
Direct repair of cardiac/lung injuries

11

What are considered signs of life

Pupillary response
Palpable pulse
Respiratory effort
Spontaneous movement
Electrical activity on ECG monitor

12

Indications for thoracotomy in blunt trauma

Prehospital/hospital signs of life with loss less than 10 mins
Cardiac tamponade on ultrasound and Persistenth hypotension sbp < 70 despite resuscitative efforts
Rapid exsanguination chest tube >1500 cc

13

Contraindications to thoracotomy in blunt trauma

CPR > 10 mins
Asystole presenting rhythm with no cardiac tamponade on ultrasound
Significant head trauma

14

Thoracotomy indications penetrating trauma

Signs of life <15 mins cpr
Unresponsive hypotension <70 despite resuscitative efforts
Cardiac tamponade on ultrasound

15

Contraindications ED thoracotomy in penetrating trauma

CPR> 15 mins
Asystole as rhythm with no tamponade on US
Significant head trauma