Shock and ITLS injury UPDATED ACTUAL Questions and CORRECT
Answers
1. cardiac tampon- becks triade (low bp, muffled heart sounds, JVD)
ade (fluid around -BP drops when inhaling
)
d No radial pulse
Obstrutive shock
Signs of hypervolemia
2. Cardiac contu- Flat neck veins (not if there's BFT or injury)
sion (bruised d
) Cardio genic shock
Pulses can be present but irregular (if injury isn't severe)
Chest pain, arrhythmia
No hypervolemic symptoms
3. Compensated Pale cool clammy, tachycardia,alert, decreased urine output, weak or lightheaded
shock (caused by fluid loss) weak pulses
4. Decomp shock Loss of LOC, breathing gets laboured, HR slows (except in children) cyanosis
around lips, cardiac arrest
5. Tension pneumo JVD, no radial pulses, tracheal deviation, absent breath sounds on affected side,
pale cyanotic, cool, clammy, trouble squeezing bag valve mask, sometimes subcu-
taneous emphysema (crepitus sounds) obstructive shock
6. Simple pneu- Not as bass as tension, doesn't affect pressure as bad, no shock, chest pain mild
mothorax symptoms
7. Hemothorax Midline trachea, Flat neck veins, dullness to percussion, rapid weak pulse, pale cool
clammy, decreased or absent sounding lung, hypovolemic shock signs from blood
loss
8. shock -all types of shock except neuro
HR, RR goes up BP goes down
9. Neuroshock
Answers
1. cardiac tampon- becks triade (low bp, muffled heart sounds, JVD)
ade (fluid around -BP drops when inhaling
)
d No radial pulse
Obstrutive shock
Signs of hypervolemia
2. Cardiac contu- Flat neck veins (not if there's BFT or injury)
sion (bruised d
) Cardio genic shock
Pulses can be present but irregular (if injury isn't severe)
Chest pain, arrhythmia
No hypervolemic symptoms
3. Compensated Pale cool clammy, tachycardia,alert, decreased urine output, weak or lightheaded
shock (caused by fluid loss) weak pulses
4. Decomp shock Loss of LOC, breathing gets laboured, HR slows (except in children) cyanosis
around lips, cardiac arrest
5. Tension pneumo JVD, no radial pulses, tracheal deviation, absent breath sounds on affected side,
pale cyanotic, cool, clammy, trouble squeezing bag valve mask, sometimes subcu-
taneous emphysema (crepitus sounds) obstructive shock
6. Simple pneu- Not as bass as tension, doesn't affect pressure as bad, no shock, chest pain mild
mothorax symptoms
7. Hemothorax Midline trachea, Flat neck veins, dullness to percussion, rapid weak pulse, pale cool
clammy, decreased or absent sounding lung, hypovolemic shock signs from blood
loss
8. shock -all types of shock except neuro
HR, RR goes up BP goes down
9. Neuroshock
