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tension pneumothorax signs - ANSWER•respirstory distress •tachycardia,
hypotension •absent breath sounds on the affected side •neck vein distention
•tracheal deviation, away from injured side
cardiac tamponade (Beck's Triad) - ANSWER•Venous pressure elevation (distended
neck veins) •decline in arterial pressure (hypotension) •muffled heart tones
Balanced fluid resuscitation/Permissive hypotension - ANSWERMaintains end organ
perfusion. Strategy used until definitive control of hemorrhage occurs. Raising blood
pressure too quickly with aggressive fluid resuscitation without control of hemorrhage
can increase bleeding fluid
The predominant cause of preventable death - ANSWERHemorrhage
What does decreased level of consciousness indicate? - ANSWERPoor brain
perfusion due to blood loss with subsequent hypoxia
When can tranexamic acid (clot promoter) be considered? - ANSWERMay be
considered in severely injured patient that presents within 3 hours of injury
GCS - ANSWER
Why do you insert tubes (pharyngeal, endotracheal, or gastric) through mouth when
facial fractures are present - ANSWERThis is because a cribriform plate fracture
may be suspected. Insertion of tubes through mouth prevents inadvertent insertion of
the tube through the cribriform plate
Why insert gastric tubes in traumas? - ANSWERDecompress abdomen and reduce
resistance to diaphragmatic excursion and decrease risk of aspiration. Also to
assess for blood with potential upper gastro-intestinal injury
secondary survey AMPLE - ANSWERi. Allergies
ii. Meds currently taking
iii. PMHx/pregnancy
iv. Last meal
v. Events @ injury
What should be anticipated in penetrating neck traumas? - ANSWER
tension pneumothorax signs - ANSWER•respirstory distress •tachycardia,
hypotension •absent breath sounds on the affected side •neck vein distention
•tracheal deviation, away from injured side
cardiac tamponade (Beck's Triad) - ANSWER•Venous pressure elevation (distended
neck veins) •decline in arterial pressure (hypotension) •muffled heart tones
Balanced fluid resuscitation/Permissive hypotension - ANSWERMaintains end organ
perfusion. Strategy used until definitive control of hemorrhage occurs. Raising blood
pressure too quickly with aggressive fluid resuscitation without control of hemorrhage
can increase bleeding fluid
The predominant cause of preventable death - ANSWERHemorrhage
What does decreased level of consciousness indicate? - ANSWERPoor brain
perfusion due to blood loss with subsequent hypoxia
When can tranexamic acid (clot promoter) be considered? - ANSWERMay be
considered in severely injured patient that presents within 3 hours of injury
GCS - ANSWER
Why do you insert tubes (pharyngeal, endotracheal, or gastric) through mouth when
facial fractures are present - ANSWERThis is because a cribriform plate fracture
may be suspected. Insertion of tubes through mouth prevents inadvertent insertion of
the tube through the cribriform plate
Why insert gastric tubes in traumas? - ANSWERDecompress abdomen and reduce
resistance to diaphragmatic excursion and decrease risk of aspiration. Also to
assess for blood with potential upper gastro-intestinal injury
secondary survey AMPLE - ANSWERi. Allergies
ii. Meds currently taking
iii. PMHx/pregnancy
iv. Last meal
v. Events @ injury
What should be anticipated in penetrating neck traumas? - ANSWER
