ABSITE Trauma questions and answers with solutions 2025

When is a thoracotomy indicated for hemothorax after chest tube placement? -
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OANSWER more than 1500 mL blood on initial placement of a chest tube or more than 300 mL/h
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for 3 hours
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- try avoid median sternotomy, morbid procedure
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treatment for duodenal injury less than 50% of circumference -
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OANSWER primary repair w/ Kocher maneuver, feeding access distal to repair
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Grade I Liver Injury - ANSWER - subcapsular hematoma < 10% surface area
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- liver lac < 1cm
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Grade II Liver Injury - ANSWER - subcapsular hematoma 10-50% of surface area
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- liver lac 1-3 cm
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- intraparenchymal hematoma < 10cm
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Grade III Liver Injury - ANSWER - subcapsular hematoma > 50% of surface area
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- liver lac > 3cm
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- intraparenchymal hematoma > 10cm or active bleed in liver
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Grade IV Liver Injury - ANSWER - 25-75% hepatic lobe disruption
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- active bleed into peritoneum
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Grade V Liver Injury - ANSWER - > 75% hepatic lobe disruption
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- caval or portal vein injury
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