Definitive control of the airway is achieved by ____________
(Ans- Endotracheal intubation
How do you treat hypothermia in the ED?
(Ans- crystalloid fluids at 102.2 degrees F and warmed treatment area
What does
...
Definitive control of the airway is achieved by ____________
(Ans- Endotracheal intubation
How do you treat hypothermia in the ED?
(Ans- crystalloid fluids at 102.2 degrees F and warmed treatment area
What does definitive hemorrhage control refer to?
(3)
(Ans-
1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by?
(Ans- Size and length of catheter
Minimum flow rate of oxygen reservoir mask
(Ans- 11 L/min
MCC of shock in trauma pt
(Ans- Hypovolemia due to hemorrhage
Describe the 3 for 1 rule
(Ans- Replace each mL of blood loss with 3 ml of crystalloid solution
What metabolic state can result from continued hemorrhage or decreased perfusion?
(Ans- Metabolic acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption
(Ans- Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma?
(Ans- CT
What can FAST rapidly diagnose?
(Ans- Abdominal hemorrhage
When is a laparotomy indicated?
(Ans- Fascial penetration with intraperitoneal bleeding or peritonitis
What does the Monro Kellie doctrine describe?
(Ans- The relationship between IC volume and pressure
Normal resting ICP
(Ans- 10 mm Hg
How do you reduce elevated ICP?
(Ans- Mannitol in a 20% solution
How do you temporarily control pelvic hemorrhage and instability?
(Ans- Internal traction and external counter-pressure
How do you initially manage major arterial injury?
(Ans- Direct pressure and fluid resuscitation
Full thickness burn
(Ans- Third degree burn
What is used to estimate the size and depth of burns?
(Ans-
Rule of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
What type of burns appear wet and blistered?
(Ans- Partial thickness burns (second degree)
How do you treat CO exposed pt?
(Ans- 100% oxygen flow through non re-breather mask
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