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Extremity Wounds and Burns
What types of cervical fractures are the elderly at increased
risk for? - Correct answer- C1 and C2 fractures; especially
odontoid fractures and central cord syndrome due to
osteophytes that squeeze off the cord.
What are cervical osteophytes? - Correct answer- Bone
spurs that are present in nearly half of people over the age of
60.
What are the absolute indications for a pelvic binder? -
Correct answer- The hemodynamically unstable patient with
a mechanically unstable pelvis or a suspected pelvic
fracture.
How do you determine compartment syndrome? - Correct
answer- 5 P's: Pulselessness (LATE!), Pallor, Paresthesia,
1
, 2
Pain, Paralysis; absent distal pulses and poor capillary refill
are NOT reliable in diagnosing compartment syndrome.
What is the thought behind permissive hypotension? -
Correct answer- Aggressive fluid replacement without
control of hemorrhage may increase bleeding; should be
used until definitive control of hemorrhage occurs.
For funsies, what is the estimated blood loss per fracture? -
Correct answer- Humerus: 250-500 ml
Tibia: 350-650 ml
Femur: 800-1200 ml
Pelvis: 500-life threatening
How do you immobilize an extremity? - Correct answer-
Apply splinting device, with immobilization of joint above and
below the injury; injuries should be splinted in the position in
which they were found.
2
Extremity Wounds and Burns
What types of cervical fractures are the elderly at increased
risk for? - Correct answer- C1 and C2 fractures; especially
odontoid fractures and central cord syndrome due to
osteophytes that squeeze off the cord.
What are cervical osteophytes? - Correct answer- Bone
spurs that are present in nearly half of people over the age of
60.
What are the absolute indications for a pelvic binder? -
Correct answer- The hemodynamically unstable patient with
a mechanically unstable pelvis or a suspected pelvic
fracture.
How do you determine compartment syndrome? - Correct
answer- 5 P's: Pulselessness (LATE!), Pallor, Paresthesia,
1
, 2
Pain, Paralysis; absent distal pulses and poor capillary refill
are NOT reliable in diagnosing compartment syndrome.
What is the thought behind permissive hypotension? -
Correct answer- Aggressive fluid replacement without
control of hemorrhage may increase bleeding; should be
used until definitive control of hemorrhage occurs.
For funsies, what is the estimated blood loss per fracture? -
Correct answer- Humerus: 250-500 ml
Tibia: 350-650 ml
Femur: 800-1200 ml
Pelvis: 500-life threatening
How do you immobilize an extremity? - Correct answer-
Apply splinting device, with immobilization of joint above and
below the injury; injuries should be splinted in the position in
which they were found.
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