Patients with a GSC of less than ___ usually require intubation. - ANSWER 8
The "A" in ABCD stands for _______. - ANSWER Airway maintenance with CERVICAL SPINE PROTECTION
You should assume that any patient in a mul
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Patients with a GSC of less than ___ usually require intubation. - ANSWER 8
The "A" in ABCD stands for _______. - ANSWER Airway maintenance with CERVICAL SPINE PROTECTION
You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? - ANSWER Cervical spine injury
Flail chest is invariably accompanied by ______ which can interfere with blood oxygenation. - ANSWER pulmonary contusion - do NOT over fluid resuscitate these patients!
Hypotension is caused by _____ until proven otherwise. - ANSWER hypovolemia
When you don't have/can't get a blood pressure, what are three things to look for when evaluating perfusion. - ANSWER 1. Level of consciousness (brain perfusion), 2. Skin color (ashen face/grey extremities) 3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to ______ to compensate for blood loss. - ANSWER increase heart rate
Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a microwave to do this? - ANSWER YES - for CRYSTALLOID ONLY (but NOT for blood products).
Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of urethral injury that might prevent you from inserting one. - ANSWER Blood at urethral meatus, perineal ecchymosis, blood in scrotum, high-riding/non-palpable prostate, pelvic fracture
Which arm should you NOT put a pulse-ox on? - ANSWER The arm with a blood pressure cuff on it
Name two anatomical things that can interfere with doing a FAST scan. - ANSWER Obesity & intraluminal bowel gas
When should radiographs be obtained? - ANSWER During the SECONDARY survey.
How do you get an ample patient history? - ANSWER A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=Events/Environment of injury
Why might you want a Bair Hugger for a patient who smells of alcohol? - ANSWER Vasodilation can lead to hypothermia
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