SSM TCAR review
A hemothorax gives a hassle wherein inside the cascade? - ANS-Ventilation and Hgb
availability
CT insertion at four-fifth ICS
Blood loss is generally the intercostal vessels
A big PE signs? - ANS-Sudden trade in intellectual popularity
Neck vein distention
Hemodynamic instability
Low O2 sat
A easy pneumothorax offers a troubles wherein within the cascade? - ANS-Ventilation
Deflated segment of the lung isn't always participating in fuel change
An remoted PTX can be treated with a CT in the 2nd ICS
A tension pneuomothorax offers a problem wherein in the cascade? - ANS-Ventilation & CO
Pulsus paradoxus and unilateral breath sounds
Banked blood reasons what electrolyte abnormalities? - ANS-Elevated K-launched from
vintage or broken blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
Blunt trauma Classifications include? - ANS-MVA
Auto vs. Pedestrian
Falls
Struck by using or against an item
Car vs pedestrian accidents rely upon? - ANS-Point of touch with the care
Height of hood & bumper
Size & weight of car
Height of patient
Direction affected person changed into going through while struck
Care of an amputated part consists of? - ANS-Cleaning off any seen dbris, sealing
amputated component in a plastic bag, and putting the bag in an ice water solution
Characteristic of wounding agent? - ANS-Type of electricity and the way it become applied
Define Shock? - ANS-A state in which mobile oxygen demand exceeds deliver
When the cost of tissue oxygen is better than the body will pay, an oxygen debt develops.
Dose of electricity is? - ANS-The nature and quantity of force
Energy transmission in a rollover relies upon on? - ANS-Deceleration distance
Energy is dissipated over the space of the roll and whether or not the occupants are
restricted
Factors predicting fall injuries are? - ANS-Fall peak (speed)
Landing floor (deceleration distance)
Point of effect at the body
Fetal dying in trauma is maximum likely due to ? - ANS-Placental abruption
For each 2nd of fall time, pace increases by way of? - ANS-Speed will increase by way of
about 20 MPH
Force - ANS-The dose of strength involved
H & H is a degree of ? - ANS-It is a measure of hemodilution rather than blood loss.
, How are bowel injuires asessed? - ANS-Signs of infection-fever leukocytosis
rebound tenderness
Free air within the stomach-Hollow viscous rupture
How are closed mid-shaft femur fractures managed? - ANS-Intramedullary nail fixation
How are hepatic lacerations managed? - ANS-Need serial belly exams, Hgb, liver enzyme
stages, and coagulation studies
How are lateral compression fractures controlled? - ANS-Usally required ORIF
How are open ebook pelvic fractures controlled? - ANS-May be controlled with outside
fixators
How are we able to preserve trauma patients warm? - ANS-Forced air warmers, warm IV
fluids, hold room particularly warm. Acidosis and coagulopathies will no longer corret unless
we opposite hypothermia
How do you calculate expected PaO2? - ANS-FIO2 x 5
If it's less than expected for a given FIO2, it's miles a variety trouble
How is the bowel injured in blunt abdominal trauma? - ANS-Hollow structures pop dues to an
immediate blow or hyperflexion over a fixed item inflicting an growth in intrabdominal
pressure
How is the pancreas injured in blunt trauma? - ANS-Usually as a result of direct compression
of the organ in opposition to the rigid backbone
How long do spleen injury patients need to avoid contact sports? - ANS-For up to 8 weeks
How many ATP molecules are produced with oxygen & glucose? - ANS-32 ATP molecules
How many ATP molecules are produced with out oxygen? - ANS-2 ATP molecules
How a whole lot blood can be put into the stomach? - ANS-All of it! 500-6,000Ml or four-5 L
How lots hemorrhagic volume is related to a femur fracture? - ANS-500-3000 ml
How a great deal hemorrhagic quantity is related to a humerus fracture? - ANS-500-1500 ml
How a good deal hemorrhagic extent is related to a tibia/fibula fracture? - ANS-250-1000ml
How tons volume can a pelvic fracture lose? - ANS-High threat of hemorrhage, and lose
750-5000 ml of blood
In the stomach truama patient, what shows Abd. Compartment syndrome? - ANS-Dropping
urine output in a affected person who has been aequately fluid resuscitated.
In trauma patients, what is the maximum commonplace reason and remedy of renal failure?
- ANS-Pre-renal failure is the case of "nothing in, nothing out". The hassle is hypovolemia,
remedy is fluids. Common shortly after damage.
Intra-renal is the result of acute or continual nephron harm-from IV evaluation or rhabdo, or
toxic capsules
In trauma, what are the reasons of instantaneous dying? - ANS-Immediate death is from
large head injury, high spinal cord harm, or aortic injury
Inadvertent esophageal intubation assessment findings consist of? - ANS-Gastric distention,
absent breath sounds,
minimum chest wall movement and
rapid deterioration
Incidence of trauma peaks at what age? - ANS-Teens and young grownup
Lactic acid is the marker of what? - ANS-Tissue ischemia -anaerobic metabolism
Normal serum lactate is <2
Needle thoracostomy is only appropriate for? - ANS-Tension PTX
Normal pH? - ANS-Refernce range is 7.35-7.Forty five, but actual regular range is 7.38-7.42
Oxyhemoglobin dissociation curve shift to the left? - ANS-Hypothermia, alkalosis
Less oxygen available to the cells
A hemothorax gives a hassle wherein inside the cascade? - ANS-Ventilation and Hgb
availability
CT insertion at four-fifth ICS
Blood loss is generally the intercostal vessels
A big PE signs? - ANS-Sudden trade in intellectual popularity
Neck vein distention
Hemodynamic instability
Low O2 sat
A easy pneumothorax offers a troubles wherein within the cascade? - ANS-Ventilation
Deflated segment of the lung isn't always participating in fuel change
An remoted PTX can be treated with a CT in the 2nd ICS
A tension pneuomothorax offers a problem wherein in the cascade? - ANS-Ventilation & CO
Pulsus paradoxus and unilateral breath sounds
Banked blood reasons what electrolyte abnormalities? - ANS-Elevated K-launched from
vintage or broken blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
Blunt trauma Classifications include? - ANS-MVA
Auto vs. Pedestrian
Falls
Struck by using or against an item
Car vs pedestrian accidents rely upon? - ANS-Point of touch with the care
Height of hood & bumper
Size & weight of car
Height of patient
Direction affected person changed into going through while struck
Care of an amputated part consists of? - ANS-Cleaning off any seen dbris, sealing
amputated component in a plastic bag, and putting the bag in an ice water solution
Characteristic of wounding agent? - ANS-Type of electricity and the way it become applied
Define Shock? - ANS-A state in which mobile oxygen demand exceeds deliver
When the cost of tissue oxygen is better than the body will pay, an oxygen debt develops.
Dose of electricity is? - ANS-The nature and quantity of force
Energy transmission in a rollover relies upon on? - ANS-Deceleration distance
Energy is dissipated over the space of the roll and whether or not the occupants are
restricted
Factors predicting fall injuries are? - ANS-Fall peak (speed)
Landing floor (deceleration distance)
Point of effect at the body
Fetal dying in trauma is maximum likely due to ? - ANS-Placental abruption
For each 2nd of fall time, pace increases by way of? - ANS-Speed will increase by way of
about 20 MPH
Force - ANS-The dose of strength involved
H & H is a degree of ? - ANS-It is a measure of hemodilution rather than blood loss.
, How are bowel injuires asessed? - ANS-Signs of infection-fever leukocytosis
rebound tenderness
Free air within the stomach-Hollow viscous rupture
How are closed mid-shaft femur fractures managed? - ANS-Intramedullary nail fixation
How are hepatic lacerations managed? - ANS-Need serial belly exams, Hgb, liver enzyme
stages, and coagulation studies
How are lateral compression fractures controlled? - ANS-Usally required ORIF
How are open ebook pelvic fractures controlled? - ANS-May be controlled with outside
fixators
How are we able to preserve trauma patients warm? - ANS-Forced air warmers, warm IV
fluids, hold room particularly warm. Acidosis and coagulopathies will no longer corret unless
we opposite hypothermia
How do you calculate expected PaO2? - ANS-FIO2 x 5
If it's less than expected for a given FIO2, it's miles a variety trouble
How is the bowel injured in blunt abdominal trauma? - ANS-Hollow structures pop dues to an
immediate blow or hyperflexion over a fixed item inflicting an growth in intrabdominal
pressure
How is the pancreas injured in blunt trauma? - ANS-Usually as a result of direct compression
of the organ in opposition to the rigid backbone
How long do spleen injury patients need to avoid contact sports? - ANS-For up to 8 weeks
How many ATP molecules are produced with oxygen & glucose? - ANS-32 ATP molecules
How many ATP molecules are produced with out oxygen? - ANS-2 ATP molecules
How a whole lot blood can be put into the stomach? - ANS-All of it! 500-6,000Ml or four-5 L
How lots hemorrhagic volume is related to a femur fracture? - ANS-500-3000 ml
How a great deal hemorrhagic quantity is related to a humerus fracture? - ANS-500-1500 ml
How a good deal hemorrhagic extent is related to a tibia/fibula fracture? - ANS-250-1000ml
How tons volume can a pelvic fracture lose? - ANS-High threat of hemorrhage, and lose
750-5000 ml of blood
In the stomach truama patient, what shows Abd. Compartment syndrome? - ANS-Dropping
urine output in a affected person who has been aequately fluid resuscitated.
In trauma patients, what is the maximum commonplace reason and remedy of renal failure?
- ANS-Pre-renal failure is the case of "nothing in, nothing out". The hassle is hypovolemia,
remedy is fluids. Common shortly after damage.
Intra-renal is the result of acute or continual nephron harm-from IV evaluation or rhabdo, or
toxic capsules
In trauma, what are the reasons of instantaneous dying? - ANS-Immediate death is from
large head injury, high spinal cord harm, or aortic injury
Inadvertent esophageal intubation assessment findings consist of? - ANS-Gastric distention,
absent breath sounds,
minimum chest wall movement and
rapid deterioration
Incidence of trauma peaks at what age? - ANS-Teens and young grownup
Lactic acid is the marker of what? - ANS-Tissue ischemia -anaerobic metabolism
Normal serum lactate is <2
Needle thoracostomy is only appropriate for? - ANS-Tension PTX
Normal pH? - ANS-Refernce range is 7.35-7.Forty five, but actual regular range is 7.38-7.42
Oxyhemoglobin dissociation curve shift to the left? - ANS-Hypothermia, alkalosis
Less oxygen available to the cells
