Phtls Exam Prep

Front 1

Cheyne-Stokes

Back 1

abnormal ventilations

describe?

Hint 1

a repeating cycle of slow shallow breaths that become deeper and more rapid and then return to slow, may have apnea between cycles

Front 2

Cushing's phenomenon

Back 2

Hypertension, Bradycardia, abnormal respirations

cause?

Hint 2

ominous combination of greatly increased arterial blood pressure and the resultant bradycardia that can occur with severely increased ICP

Front 3

Epidural Hematoma

Back 3

rapid decrease in LOC

cause?

Hint 3

arterial bleed outside dura, often resulting from a low velocity blow to temporal bone, such as punch or baseball

Front 4

Subdural Hematoma

Back 4

slow onset

cause?

Hint 4

venous bleed inside dura

Front 5

Glascow Coma Scale

Back 5

Eye, Verbal, Motor = 4, 5, 6
(details on other cards)

range? intubate criteria?

Hint 5

range 3 to 15
if GCS <= 8, intubate

Front 6

Bag rate for PHTLS?

Back 6

every 6 seconds

compare to normal respiration?

Hint 6

10 compared to 12-20

Front 7

TBI

Back 7

Traumatic Brain Injury

Front 8

% ejected that die?

Back 8

75%

Front 9

critical fall height

Back 9

3 X height of person

Front 10

blood loss % before BP drops?

Back 10

30-40%

Front 11

5 steps of patient assessment?

Back 11

1 Size-up
2 Initial assessment
------------------------------------
3 Focused // Physical exam
4 Detailed physical Exam
5 Ongoing assessment

Front 12

Size-up

Number? List?

Back 12

1 BSI *
2 Safety/Hazards
3 MOI
4 # of patients
5 Resources
6 C-spine *

Front 13

Initial Assessment

Number? List?

Back 13

1 General Impression
2 C/O
3 LOC (Disability)
4 A
5 B - O2 *
6 C
7 Life threatening injuries
8 Priority

Hint 13

C/O = Complaining Of

A = Airway
B - O = Breathing, Oxygen
C = Circulation

Front 14

Focused // Physical Exam - Trauma

number? list?

Back 14

MOI, Significant?
Focus Assess // RTA
Vitals
SAMPLE
Transport

Hint 14

MOI = Mechanism Of Injury
If insignificant then Focus Assess
if SIGNIFICANT then RTA
RTA = Rapid Trauma Assessment

Front 15

SAMPLE history

Back 15

Signs/Symptoms
Allergies
Medications
Past medical and surgical history
Last meal
Events leading to injury