BCEMP- Blunt Trauma questions with
verified answers rated A+
A in trauma resuscitation - correct answer ✔✔AIRWAY
first priority
assess patency
intubation
C spine
Indicated for endotracheal intubation - correct answer ✔✔GCS</=8
Hypoxia
anticipated decline in clinical course that would require airway management
Pretreatment medications - correct answer ✔✔lidocaine
defasciculating doses of NMB
fentanyl
Facts about etomidate - correct answer ✔✔hemodynamically neutrol
shown to decrease cerebral blood flow and cerebral metabolic demand while preserving
cerebral perfusion pressure
AE: Myoclonus
Controversial lowering of seizure threshold
,Facts about ketamine - correct answer ✔✔sympathomimetic- increase HR and BP, increase ICP
or IOP suggested
thought to be neuroprotective due to an increase in MAP and CPP
Facts about propofol - correct answer ✔✔rapid onset/short duration
May cause hypotension
may have neuroprotective effects in mild TBI
Facts about succinylcholine - correct answer ✔✔rapid onset, short duration
may cause temporary increase in ICP, if you provide adequate sedation this is considered
minimal
may increase IOP
*retrospective evidence suggests worse clinical outcomes in severe TBI patients*
Facts about Rocuronium - correct answer ✔✔long duration of action- can delay neurological
assessment and administration of sedation
sugammadex can reverse it if needed
Apixaban dose can be decreased to 2.5mg bid when? - correct answer ✔✔Patient is equal to or
greater than 80 yoa AND weighs less than 60kg
Patient is equal to or greater than 80 yoa and either weighs less than 60kg OR has a sCr greater
than 1.5mg/dl
What are the different causes of shock in trauam? - correct answer ✔✔hemorrhagic
, obstructive
neurogenic
cardiogenic
distributive
True or False: aggressive and continued volume resuscitation is not a substitute for definitive
control of bleeding if present - correct answer ✔✔true
Volume resuscitation in trauma patietns - correct answer ✔✔fluids can be administered, blood
products can be administered, evaluate for coagulopathy
D in the trauma survey - correct answer ✔✔Disability
neurologic evaluation
GCS to assess conciousness
E in trauma survery - correct answer ✔✔EXPOSURE/ENVIRONMENTAL CONTROL
expose patient to facilitate examination and assessment
prevent hypothermia and maintain normothermia
Secondary survery - correct answer ✔✔History and physical exam
What is one of the most common types of trauma in the ED - correct answer ✔✔head injuries
What is the definition of TBI - correct answer ✔✔craniocerebral trauma associated with
neurological or neuropsychological abnormalities, skull fracture, intracranial lesions or death
verified answers rated A+
A in trauma resuscitation - correct answer ✔✔AIRWAY
first priority
assess patency
intubation
C spine
Indicated for endotracheal intubation - correct answer ✔✔GCS</=8
Hypoxia
anticipated decline in clinical course that would require airway management
Pretreatment medications - correct answer ✔✔lidocaine
defasciculating doses of NMB
fentanyl
Facts about etomidate - correct answer ✔✔hemodynamically neutrol
shown to decrease cerebral blood flow and cerebral metabolic demand while preserving
cerebral perfusion pressure
AE: Myoclonus
Controversial lowering of seizure threshold
,Facts about ketamine - correct answer ✔✔sympathomimetic- increase HR and BP, increase ICP
or IOP suggested
thought to be neuroprotective due to an increase in MAP and CPP
Facts about propofol - correct answer ✔✔rapid onset/short duration
May cause hypotension
may have neuroprotective effects in mild TBI
Facts about succinylcholine - correct answer ✔✔rapid onset, short duration
may cause temporary increase in ICP, if you provide adequate sedation this is considered
minimal
may increase IOP
*retrospective evidence suggests worse clinical outcomes in severe TBI patients*
Facts about Rocuronium - correct answer ✔✔long duration of action- can delay neurological
assessment and administration of sedation
sugammadex can reverse it if needed
Apixaban dose can be decreased to 2.5mg bid when? - correct answer ✔✔Patient is equal to or
greater than 80 yoa AND weighs less than 60kg
Patient is equal to or greater than 80 yoa and either weighs less than 60kg OR has a sCr greater
than 1.5mg/dl
What are the different causes of shock in trauam? - correct answer ✔✔hemorrhagic
, obstructive
neurogenic
cardiogenic
distributive
True or False: aggressive and continued volume resuscitation is not a substitute for definitive
control of bleeding if present - correct answer ✔✔true
Volume resuscitation in trauma patietns - correct answer ✔✔fluids can be administered, blood
products can be administered, evaluate for coagulopathy
D in the trauma survey - correct answer ✔✔Disability
neurologic evaluation
GCS to assess conciousness
E in trauma survery - correct answer ✔✔EXPOSURE/ENVIRONMENTAL CONTROL
expose patient to facilitate examination and assessment
prevent hypothermia and maintain normothermia
Secondary survery - correct answer ✔✔History and physical exam
What is one of the most common types of trauma in the ED - correct answer ✔✔head injuries
What is the definition of TBI - correct answer ✔✔craniocerebral trauma associated with
neurological or neuropsychological abnormalities, skull fracture, intracranial lesions or death
