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18 Cards in this Set
- Front
- Back
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GCS components?
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eye opening, verbal, and motor response
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GCS affect at which BAC?
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.2
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severe, moderate, mild GCS score?
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<8, 9-12, 13-15
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three separate collisions during initial trauma?
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vehicle, person on vehicle, organs on body
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causes of secondary injury?
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hypoxic, hypotension, anemic in that order
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most common traumatic hemorrhage?
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subarachnoid
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surgical evacuation required in epidural hemmorhage when greater than how many cc?
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15cc
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three sx.of basal skull fx.?
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anosmia, raccoon eyes, rhinorrhea
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4 sx. of temporal bone fx.?
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battle sign, otorrhea, hemotympanium, CN 7,8 palsy
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which head injury has highest incidence in world?
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penetrating trauma
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which type of trauma has increased incidence of seizures afterwards?
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penetrating trauma
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prolonged post-traumatic coma not due to mass lesion or ischemia indicate?
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diffuse axonal injury
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what does ICP need to be to prevent ischemia?
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>70 mm Hg, normal is ~90mm Hg
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signs of ICP compensation?
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CSF diversion, ventricles and basal cistern diminshed
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management of raised ICP?
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four R's- reduce brain size (step 2), CSF (step 2), blood volume (step 1), and remove pathology
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gas values indicating intubation?
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02 <60, CO2 >45 or <26
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causes of altered mental status?
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AEIOU TIPS: alcohol, epilepsy, insulin, opiates, uremia, trauma, temp, infection, poisoning, psyc stroke, shock
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neuromusclar blockage should only be used?
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when sedation fails
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