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Secondary survey SAMPLE - Correct Answers Symptoms
Allergies
Medica on history
Past health history
Last meal/oral intake
Events or environmental factors leading to illness or injury
rapid sequence intuba on meds - Correct Answers induc on: etomidate or ketaine
Paralysis: succinylcholine (shortest half life)
Class 1 hemorrhagic shock
% blood loss, HR, BP, pulse pressure RR, Mental status - Correct Answers <15%, >100, normal,
normal/decr, 14-20, normal
Class 2 hemorrhagic shock
% blood loss, HR, BP, pulse pressure RR, Mental status - Correct Answers 15-30%, >100, normal,
decr, 20-30, normal
Class 3 hemorrhagic shock
% blood loss, HR, BP, pulse pressure RR, Mental status - Correct Answers 30-40%, >120, decr,
decr, 30-40, anxious/confused
bilateral pinpoint pupils - Correct Answers pon ne hemorrhage
, E fast includes - Correct Answers anterior view of bilateral hemi-thoraces to detect
pneumothorax
TXA dose in damage control recusita on - Correct Answers 1g within 3 hours of injury with
subseqent 1g given over 8 hours
R me - Correct Answers me to start forming clot, give FFP
Alpha angle - Correct Answers speed of fibrin accumula on, give cryo
Maximum amplitude - Correct Answers strength of clot, give platelets
LY30 - Correct Answers rate of lysis, give TXA
Damage control laparotomy indica ons - Correct Answers periopera e hypothermia, acidosis
<7.2, and coagulopathy, other life threatening injuries need more immediate managment,
combined bowel and vascular injury
Subdural hematoma management - Correct Answers o>en require surgial eval if thickness >10
mm or midline shi> of brain >5 mm
Cushing reflex - Correct Answers Bradycardia, hypertension, irregular respira ons, indicates
impending hernia on - unilateral mydriasis and decreased neuro fucnion on one side of body
Management of hernia on - Correct Answers elevate HOB, ven late pCO2 35, mannitol and or
hypertonic saline, sedate and paralyze