FCCS: Cardiopulmonary/Cerebral
Resuscitation & Basic trauma and burn
support
____________ ___________ ___________ injury places the pt at high risk for __________
airway and _____________ injury that may not be obvious at the initial presentation. -
ANS-CLOSED-SPACE SMOKE INHALATION injury places the pt at high risk for UPPER airway
and INHALATION injury that may not be obvious at the initial presentation.
65 yo pt is suspected for pneumothorax. Vitals are P: 88, BP: 90/40, Temp: 97.0F, RR: 22. What
is the next step fo management?
A: Needle thoracostomy
B. X-ray
C. Pericardiocentesis
D. CT scan
What is to be expected when performing this next step of management? - ANS-A. Needle
thoracostomy FOLLOWED BY STANDARD TUBE THORACOSTOMY.
Should instituted w/o delay of chest radiograph to dx.
Successful decompression is assoc w/ RUSH OF AIR, RSTORATION OF PULSES, AND DEC
IN AIRWAY PRESSURES in response to bag-mask or mechanical ventilation.
A pt has become unresponsive w/o respiratory efforts and w/o pulses. No one is aware of the
pt's resuscitative status. Do you give or refrain from resuscitative efforts? - ANS-Full
resuscitative measures should be initiated
A pt is given a functional needle decompression and chest tube in response to pneumotx. What
maybe happening?
What purpose does a nasogastric tube serve in a trauma pt? - ANS-tracheobronchial injury
decompress the stomach and prevent risk of pulmonary aspirtation
Airway patency should be reassessed frequently, particularly in pts w/ _________, __________,
and _________. - ANS-Head injury
Shock
Facial fractures
Classic signs of compartment syndrome?
Tx?
, Complications? - ANS-Pain out of proportion. Pallor. Paresthesia. Paralysis. Pulselessness.
Urgent fasciotomy (>30mmHg)
Occult frx to ankle/wrist/scapula/ thoracic and lumbar spine/ pelvis (get xrays)
Closed-chest compressions produce approx. __________ of nl cardiac output.
a. 1/4
b. 1/2
c. 1/3
d. 100% - ANS-c. 1/3
Describe burn depths
What is the most accurate method for estimating burn extent and must be used in evaluating
pediatric pts under 15 yo? - ANS-1st degree: superficial. Erythematous, painful
2nd degree: partial thickness. Red, swollen, blistered, weeping, very painful
3rd degree: full thickness, all layers of dermis and epidermis. White leathery, painless require
surgical reconstruction
4th degree: involve deep structures like tendon, muscle, and bone
Lund-Browder chart
Explain regular tetanus prophylaxis - ANS-Tdap for children younger than 7yo. If pertussis is ci,
then Td is given
Tdap is preferred to Td if pt has never gotten Tdap and has no ci to pertussis for 10-64 yo.
Td is given for children 7-9yo or adults older than 65 yo
Td is given to pts >7 if Tdap is not available or not indicated b/c of age.
Equine tetanus antitoxin is given if TIG is not available
Explain tetanus prophylaxis in routine wound management - ANS-IN CLEAN MINOR WOUNDS
(NOT PRONE)...
If pt has unknown or less than 3 doses
--a Tdap or Td is indicated.
If pt has known equal to or greater than 3 doses
--no prophylaxis is required, unless (Tdap/Td) equal to or greater than 10 yrs since last tetanus
toxoid-containing dose.
WITH ALL OTHER WOUNDS (TETANUS-PRONE)...
If pt has unknown or less than 3 doses
--a Tdap/Td and TIG is indicated
If pt has known equal to or greater than 3 doses
--no prophylaxis is required, unless (Tdap/Td) equal to or greater than 5 yrs since tetanus
toxoid-containing dose; more frequent boosters are not needed and can accentuate side effects
For trauma patients who require a high level of care, what 2 things should be secured early? -
ANS-Surgical expertise and transfer plans
Resuscitation & Basic trauma and burn
support
____________ ___________ ___________ injury places the pt at high risk for __________
airway and _____________ injury that may not be obvious at the initial presentation. -
ANS-CLOSED-SPACE SMOKE INHALATION injury places the pt at high risk for UPPER airway
and INHALATION injury that may not be obvious at the initial presentation.
65 yo pt is suspected for pneumothorax. Vitals are P: 88, BP: 90/40, Temp: 97.0F, RR: 22. What
is the next step fo management?
A: Needle thoracostomy
B. X-ray
C. Pericardiocentesis
D. CT scan
What is to be expected when performing this next step of management? - ANS-A. Needle
thoracostomy FOLLOWED BY STANDARD TUBE THORACOSTOMY.
Should instituted w/o delay of chest radiograph to dx.
Successful decompression is assoc w/ RUSH OF AIR, RSTORATION OF PULSES, AND DEC
IN AIRWAY PRESSURES in response to bag-mask or mechanical ventilation.
A pt has become unresponsive w/o respiratory efforts and w/o pulses. No one is aware of the
pt's resuscitative status. Do you give or refrain from resuscitative efforts? - ANS-Full
resuscitative measures should be initiated
A pt is given a functional needle decompression and chest tube in response to pneumotx. What
maybe happening?
What purpose does a nasogastric tube serve in a trauma pt? - ANS-tracheobronchial injury
decompress the stomach and prevent risk of pulmonary aspirtation
Airway patency should be reassessed frequently, particularly in pts w/ _________, __________,
and _________. - ANS-Head injury
Shock
Facial fractures
Classic signs of compartment syndrome?
Tx?
, Complications? - ANS-Pain out of proportion. Pallor. Paresthesia. Paralysis. Pulselessness.
Urgent fasciotomy (>30mmHg)
Occult frx to ankle/wrist/scapula/ thoracic and lumbar spine/ pelvis (get xrays)
Closed-chest compressions produce approx. __________ of nl cardiac output.
a. 1/4
b. 1/2
c. 1/3
d. 100% - ANS-c. 1/3
Describe burn depths
What is the most accurate method for estimating burn extent and must be used in evaluating
pediatric pts under 15 yo? - ANS-1st degree: superficial. Erythematous, painful
2nd degree: partial thickness. Red, swollen, blistered, weeping, very painful
3rd degree: full thickness, all layers of dermis and epidermis. White leathery, painless require
surgical reconstruction
4th degree: involve deep structures like tendon, muscle, and bone
Lund-Browder chart
Explain regular tetanus prophylaxis - ANS-Tdap for children younger than 7yo. If pertussis is ci,
then Td is given
Tdap is preferred to Td if pt has never gotten Tdap and has no ci to pertussis for 10-64 yo.
Td is given for children 7-9yo or adults older than 65 yo
Td is given to pts >7 if Tdap is not available or not indicated b/c of age.
Equine tetanus antitoxin is given if TIG is not available
Explain tetanus prophylaxis in routine wound management - ANS-IN CLEAN MINOR WOUNDS
(NOT PRONE)...
If pt has unknown or less than 3 doses
--a Tdap or Td is indicated.
If pt has known equal to or greater than 3 doses
--no prophylaxis is required, unless (Tdap/Td) equal to or greater than 10 yrs since last tetanus
toxoid-containing dose.
WITH ALL OTHER WOUNDS (TETANUS-PRONE)...
If pt has unknown or less than 3 doses
--a Tdap/Td and TIG is indicated
If pt has known equal to or greater than 3 doses
--no prophylaxis is required, unless (Tdap/Td) equal to or greater than 5 yrs since tetanus
toxoid-containing dose; more frequent boosters are not needed and can accentuate side effects
For trauma patients who require a high level of care, what 2 things should be secured early? -
ANS-Surgical expertise and transfer plans
