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Predominant cause of preventable deaths after injury - answer☑️✔️..Hemorrhage
Causes of shock - answer☑️✔️..1) Tension pneumothorax
2) Hypotension following injury due to blood loss
Sigs of hypovolemia - answer☑️✔️..-Ashen, gray facial skin and pale extremities
-Rapid, thready pulse
-Altered LOC (impaired cerebral perfusion)
Most common origin of shock associated with injury - answer☑️✔️..Hypovolemic shock
Treatment of hypovolemic shock - answer☑️✔️..1) Warmed IV fluid therapy with crystalloids
(37-40C or 98.6-104F) with bolus of 1L of isotonic solution
2) Blood transfusion
The ________ score of the GCS correlates with outcome. - answer☑️✔️..Motor
Until proven otherwise, alway presume that changes in level of consciousness are a result of.... -
answer☑️✔️..central nervous system injury
Optimal temperature for warmed crystalloid IV fluids - answer☑️✔️..39C or 102.2F
, Physiologic parameters that reflect adequacy of resuscitation - answer☑️✔️..Pulse rate, BP,
pulse pressure, ventilatory rate, ABG levels, body temperature and urinary output
Capnography - answer☑️✔️..Confirm intubation of the airway (NOT the proper placement of
tube)
Measures concentration of CO2 in expired air over time
Provides insight into patient's ventilation, circulation and metabolism
ABG levels that indicate shock - answer☑️✔️..Low pH and base excess levels
Urethral injury - answer☑️✔️..PE findings: presence of blood at urethral meatus or perineal
ecchymosis
Transurethral bladder catheterization is CI
Perform retrograde urethrogram to confirm urethral integrity before the catheter is inserted
Findings of cardiac tamponade - answer☑️✔️..Distant heart sounds
Decreased pulse pressure
Distended neck veins
Hyperresonance to percussion
Auscultation of chest for pneumothorax vs. hemothorax - answer☑️✔️..Pneumothorax: high
on anterior chest wall
Hemothorax: at posterior bases
Signs of a pelvic fracture - answer☑️✔️..Ecchymosis over iliac wings, pubis, labia or scrotum