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33 Cards in this Set
- Front
- Back
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glasgow coma scale of less than what requires intubation
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9
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transtracheal jet ventilation:
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when intubation fails, ventilation using a needle placed through the cricothyroid membrane will temporarioly allow O2 to the patient
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Do we come?
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An dtagainn muid?
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emergent treatment of a tension pneumothorax converts it into a
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simple pneumothorax this can be accomplished by needle decompression using a 14g catheter over needle insertion of the needle over the third rib in the midclavicular line results in release of intrapleural air and the subsequent reversal of adverse hemodynamic effects...the catheter is left in place until a 36 french chest tube is promptly placed at the 4th IC space in the mid-Axilarry line
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massive hemothorax =
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more than 1500ml of blood within the cavity
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more than 1500ml of blood within the thoracic cavity is a mssive hemothorax it is treated with what
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tube thoracostomy ...operative intervention is necessitated by continued bleeding (drainage of 200cc/hour for 2-4 hours), blood transfusions or unstable hemodynamic status
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urinary OP should be what in a child? infant? 1
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1ml/kg/hour
2ml/kg/hr in kids younger than 1 |
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sign of class I (0-750ml/15%) shock
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tach
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sign of class II shock (750-1500) shock
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tach/tachypnea/narrowing pulse presure
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at what class of shock does one start to see a decrease in systolic blood pressure
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class 3 (1500-2000 30-40%)
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the tach and tachypnea levels of class IV shock (greater than 2L)
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greater than 140
greater than 35 |
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how young must one be to recieve intraosseous
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less than 8
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when is an ED thoracotomy indicated
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penetrating chest trauma patient who loses vital signs within a few minutes of arriving
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decorticate is what
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abnormal flexion giving you a three
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GCS drop of what is deterioration
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2 while a drop of three is considered catastrophic
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In cases of neurologic deterioration or lateralizing neurologic signs....
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mannitol and controlled hyperventilation to a partial pressure of CO2 between 30-35 may be employed as well as considering anticonvulsants, deep sedation and elevating the head of the bed to 30 degrees
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In cases of neurologic deterioration or lateralizing neurologic signs....
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mannitol and controlled hyperventilation to a partial pressure of CO2 between 30-35 may be employed as well as considering anticonvulsants, deep sedation and elevating the head of the bed to 30 degrees
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correlated with at least an 8-fold higher relative risk of intraperitoneal injury
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seat-belt sign
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can be responsible for loss of as much as 4-6L of blood
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pelvic fractures
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may cause rectal wall laceration and bleeding
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a pelvic fracture
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can result in as much as two units of occult blood loss
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femur fx
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splinting of fractured bones can provide hemostasis
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splinting of fractured bones can provide hemostasis
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primary blast force causes injuries to what
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ears, lungs and GI tract
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wht is beck's triad
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shock, muffled heart tones and JVD seen in tamponade work-up includes U/S
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what is cushing's triad and what is it seen with
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it is HTN, bradycardia and irregular resps seen in head injuries
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neurogenic shock pulse pressure
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wide
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a persistent air leak when there is a chest tube in place may indicate
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tracheobronchial disruption
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treatment of a tension
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needle decomp followed by a tube thoracostomy...can go straight to tube in simple
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nexus criteria
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no ALOC
no midline tenderness no focal deficits no distracting injury no intoxication |
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the use of IO access should be obtained if peripheral access cannot be established within
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15 minutos
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fluids in pediatric trauma
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crystalloids at 20ml/kg with blood given in 10ml/kg
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other than high riding prostate and blood at the urethral mineatus what are the two other mains CIs to placing a foley in the trauma patient
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perineal echymosses and scrotal hematoma
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supine hypotension syndrome is most likely to occur after
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20 weeks gestation place them in LLdecub position (lift right side of spine board)
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