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17 Cards in this Set
- Front
- Back
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What should always be assumed with penetrating trauma |
Worst case scenario |
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TorF it is not always neccessary to complete a full inspection of victims of penetrating trauma |
T - if a wound is found in a danger area then it is acceptable to leave scene and not fully examine as moving the patient may lead to further deterioration. The lack of a comprehensive exam must be documented and handed over explicitly to the TTL at the MTC
(I think this means dont necessarily log roll - it seems daft not to expose as much as you can a supine patient as this does not require much movement) |
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TorF all penetrating trauma goes to an MTC |
F - non-torso injuries where where serious wounds are not suspected can be triaged to TU's |
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Where is the CAT found |
In the thomas pack |
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Apart from blood loss what can occur in penetrating neck wounds and what should be done about this. |
Bleeding may compromise the airway so consider an RSI in these patients |
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What options are available to stop bleding in neck wounds |
Direct pressure celox gauze Foley catheter Epistats |
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What conditions may cause shock in a patient with penetrating trauma |
Hypovolaemia Hypoxia Pneumothoraces |
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What is the analgesic drug of choice for penetrating trauma |
Morphine |
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What drug should be used to facilitate Chest drain insertion and in what dose? Work this out for a 50-100kg patient and state the volume given |
Ketamine procedural sedation 0.5mg/kg (Halve the weight then divide by 10) 70kg patient - 35mg (3.5ml) with 10-20mg bolus TTE |
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In the awake patient when should fluid/blood be given in penetrating trauma |
When verbal contact is lost |
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In the ventilated patient when should fluid/blood be given in penetrating trauma. What should be considered as a potential causes of this? |
When systolic falls below 80mmHg Haemorrage Tension pneumothoraces |
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You are going to RSI a severely hypovolaemic patient - what might you consider for your anaesthetic recipe? |
Roc only |
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A hypotensive penetrating trauma patient gets what kind of RSI? |
111 |
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What measure can be taken prior to drug admin in RSI of penetrating trauma patients to prevent Cardiac arrest |
Pre-loading with volume/blood |
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What is the code red criteria |
Systolic below 90 Non-responder to fluids Suspected or confirmed haemorrage (still ongoing) |
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Your patient with a penetrating trauma to the chest looses cardiac output on route to hospital what do you do? |
Exclude Tension pneumothoraces (presumably with simple thoracostomy) and then PRT Stop the ambulance to do this or begin in flight and then complete when landed |
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What should be done in the presence of bowel ouside the abdo cavity |
Cover in wet dressing or a blast dressing with the plastic sheet Replacement is usually only possible with large wounds |
