Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/10

Click to flip

10 Cards in this Set

  • Front
  • Back
Basal Skull Fx Work Up
CT if in coma
C-Spine Injury!
nothing to do about fx
A man involved in a high-speed, head-on automobile collision is in coma. He has never had any lateralizing signs, and CT scan shows a small crescent- shaped hematoma, but there is no deviation of the midline structures.
Another subdural hematoma, but without lateralizing signs and evidence of displacement of the midline structures, surgery has little to offer. Management will probably be directed at controlling ICP
Penetrating wounds anywhere in the neck w/ unstable patient
immediate ex lap
Zone I of the neck
Thoracic Inlet to Cricoid Cartilage
Subclavian vessels, brachiocephalic veins, common carotid arteries, aortic arch, and jugular veins, trachea, esophagus, lung apices, cervical spine, spinal cord, and cervical nerve roots.
Zone II of the neck
Cricoid cartilage to the angle of the mandible.
Carotid and vertebral arteries, jugular veins, pharynx, larynx, trachea, esophagus, and cervical spine and spinal cord.
Zone III of the neck
A angle of the mandible and the base of the skull.
salivary and parotid glands, esophagus, trachea, vertebral bodies, carotid arteries, jugular veins, and major nerves (including cranial nerves IX-XII), traverse this zone
Flail Chest. Next Step
1. R/O other injuries - abdominal and aortic rupture (CXR)
2. Pulmonary Contusion real problem. Monitor w/ ABG & support if needed - w/ b/l chest tubes if tubed (even in OR)
3. Don't need to stabalize flail portion
Pulonary Contusion Managment
1. Fluid restriction (using colloid), diuretics
2. Respiratory support. intubation, mechanical ventilation, and PEEP PRN
Aortic Rupture Next Step
1. CXR w/ wide mediastinum
2. Spiral CT
3. Aortogram if equivical
Air Embolism Managment
1. Cardiac Massage
2. Trendelenburg
3. Thoractomy