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18 Cards in this Set
- Front
- Back
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What are the rules for airway in trauma?
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remove obstruction
maintain c-spine If airway cannot be controlled by simple maneuvers then secure with a definitive airway |
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What do you do when someone scores less than <8 on the glascow coma scale?
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intubate
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Where should you insert a chest tube at?
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between 5th and 6th rib. OVER IT NOT UNDER IT
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What causes circulatory collapse in trauma?
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hemorrhage
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What is the preferred method of volume resuscitation ?
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2 large bore IV's are better than one central venous line
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What do you initially do to restore volume?
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2 liters of lactated ringers?
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What are the ATLS guidelines for if they don't respond to 2 liters of lactated ringers
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= significant hemorrhage, give blood transfusion
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What should you use for massive transfusions
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1prbc, 1ffp, 1 pack of platelets
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What MAP do you want in trauma and why?
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65, if you go much higher you may pop the clot
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What is the primary survey?
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ABC's
Airway Breathing Circulation |
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What sort of chest tube should you use for trauma?
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large bore 36-40 french curved chest tube
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Where are the 3 major places to hide blood?
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chest cavity
Abdomen Extremities and pelvis |
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What are the indications for a thoracotomy?
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>1000 cc of blood at initial chest tube placement
continued chest tube bleeding (150-200cc/hr, 2-4 hrs) persistent blood transfusions to maintain hemodynamic stability |
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What are the four places to check in a FAST exam
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perihepatic space, subxyphoid, persplenic space, suprapubic space
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What are the three corners of the triad of death?
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Coagulopathy, Hypothermia, Metabolic Acidosis
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What are the methods used for temporary wound closures?
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whitman patch
bogata bag |
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Why are 1st and second rib and scapular fractures serious?
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There is often much worse things accompanying them.
ribs - cranial, major vascular thoracic, and abdominal. Scapular - major vascular, thorax, abdomen, neuromuscular bundle of ipsilateral arm |
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What is the most important aspect in treating esophageal injury?
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early detection
<24 hours survival rate - 90% >24 hours survival rate - 64% |
