Blast Injuries and Trauma Resuscitation Questions With
Complete Solutions
___________ scan should be used to search for evidence of
blunt head injury and ICH. Correct Answer CT
__________________________ is the most common fatal injury
Correct Answer Blast lung injury
_______________________________ is the most common
primary blast injury Correct Answer Tympanic membrane
rupture
_______________________________________ is likely
beneficial in the early stages of resuscitation, particularly for
penetrating trauma Correct Answer Permissive hypotension
__________________________________________ are a safe
and reasonable option for the hypotensive, head injured patient,
although there is no conclusive evidence of their benefit.
Correct Answer Hypertonic saline
___________________________is the primary substrate for
clot formation (along with platelets) Correct Answer
Fibrinogen
Note: There is a consistent link between falling fibrinogen and
mortality in trauma
, ______________________may be a useful adjunct in patients
with blast-induced bradycardia who do not respond as predicted
to resuscitation efforts. Correct Answer Atropine
1 in 4 trauma patients bleed abnormally. The phenomenon of an
early coagulopathy in trauma (many names) but sometimes
called __________________________________ can occur soon
after injury and is physiologically distinct from the DIC-like
phenomenon associated with the lethal triad Correct Answer
Acute Coagulopathy of Trauma-Shock
A fibrinogen of less than ___________ identifies a
hypofibrinogenemic state, the antidote for which is
cryoprecipitate Correct Answer 1.0 g/L
Clinical diagnosis of blast lung injury is based on the presence
of what characteristics? Correct Answer Respiratory distress
Hypoxia
Butterfly or batwing infiltrates
Describe some of the physical symptoms associated with
traumatic brain injury. Correct Answer Fatigue
HA
Back pain/diffuse pain
Vertigo
Transient paralysis
"Heavy" extremities
Describe some of the psychological symptoms associated with a
traumatic brain injury. Correct Answer Excitability
Irrationality
Complete Solutions
___________ scan should be used to search for evidence of
blunt head injury and ICH. Correct Answer CT
__________________________ is the most common fatal injury
Correct Answer Blast lung injury
_______________________________ is the most common
primary blast injury Correct Answer Tympanic membrane
rupture
_______________________________________ is likely
beneficial in the early stages of resuscitation, particularly for
penetrating trauma Correct Answer Permissive hypotension
__________________________________________ are a safe
and reasonable option for the hypotensive, head injured patient,
although there is no conclusive evidence of their benefit.
Correct Answer Hypertonic saline
___________________________is the primary substrate for
clot formation (along with platelets) Correct Answer
Fibrinogen
Note: There is a consistent link between falling fibrinogen and
mortality in trauma
, ______________________may be a useful adjunct in patients
with blast-induced bradycardia who do not respond as predicted
to resuscitation efforts. Correct Answer Atropine
1 in 4 trauma patients bleed abnormally. The phenomenon of an
early coagulopathy in trauma (many names) but sometimes
called __________________________________ can occur soon
after injury and is physiologically distinct from the DIC-like
phenomenon associated with the lethal triad Correct Answer
Acute Coagulopathy of Trauma-Shock
A fibrinogen of less than ___________ identifies a
hypofibrinogenemic state, the antidote for which is
cryoprecipitate Correct Answer 1.0 g/L
Clinical diagnosis of blast lung injury is based on the presence
of what characteristics? Correct Answer Respiratory distress
Hypoxia
Butterfly or batwing infiltrates
Describe some of the physical symptoms associated with
traumatic brain injury. Correct Answer Fatigue
HA
Back pain/diffuse pain
Vertigo
Transient paralysis
"Heavy" extremities
Describe some of the psychological symptoms associated with a
traumatic brain injury. Correct Answer Excitability
Irrationality
