Save
Busy. Please wait.
Log in using Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Trauma 1

Surgery 2

QuestionAnswer
Trauma PE: Head Scalp lacerations, contusions. Skull fractures; rhinorrhea, otorrhea (CSF), hemotympanum, halo sx on bandage; visual acuity; pupil equality and reactivity. Facial fractures
Trauma PE: Neck tracheal deviation; spinal tenderness or stepoffs (MAINTAIN MIDLINE IMMOBILIZATION DURING EXAM)
Trauma PE: Chest clear and equal breath sounds, symmetric chest rise; rib and sternal fractures; clear heart sounds
Trauma PE: Abdomen bowel sounds, distension, tenderness, contusions (e.g., seat-belts)
Trauma PE: Pelvis instability on rocking; rectal exam (on everyone) for blood, sphincter tone, high-riding prostate; blood at urethral meatus
Trauma PE: Back spinal tenderness or stepoffs; ecchymoses, lacerations (LOGROLL)
Trauma PE: Extremities deformities, joint mobility, pulses, lacerations, contusions
Trauma PE: Neurologic Glasgow Coma Scale (GCS); motor/sensory deficits
3 reasons to intubate a trauma pt Impaired level of consciousness, a mechanically compromised airway, or ventilatory problems
True/False: Dx tension PTX can be made by chest X-ray. False
Tension PTX: Sx: tracheal deviation (away from side of PTX), increased JVD, decreased breath sounds, tympany to percussion, hypotension.
Tension PTX: Rx: needle decompression followed by chest tube insertion
Beck’s Triad (reflecting cardiac tamponade) Muffled HS, increased JVD, hypotension
GCS ≥13 = mild brain injury
GCS of 9-12 = moderate injury
GCS ≤8 = severe injury
How can you evaluate the stable trauma patient with abdominal pain? Observation w/ serial exam is an option only for stable pts w/ a reliable PE (no drugs or head injury)
Abdominal CT is used for: stable pts w/ equivocal exams or with high-risk mechanisms.
Advantage of abdominal CT over DPL is: ability to evaluate the retroperitoneum (aorta, IVC, pancreas, kidneys, and portions of duodenum and colon).
Ultrasound in trauma pt eval: non-invasive but can be performed anywhere; can detect free intraperitoneal fluid as well as many solid organ injuries
Diagnostic Peritoneal Lavage (DPL) is for: unexplained hypotension or for equivocal exam in a multiply injured pt. DPL can be performed anywhere & in less than 5 min
A positive DPL = aspiration of gross blood or >100,000 rbc/ml on lab exam of lavage fluid. DPL is 98% sensitive for intraperitoneal bleeding.
Immediate exploratory laparotomy is indicated for: most penetrating trauma or for the unstable patient with obvious evidence of abdominal injury on physical exam.
Unstable pts with pelvic fractures should undergo: emergent external fixation
Closed head injury: CPP = Cerebral perfusion pressure = MAP-ICP
Closed head injury: Rx: Intubate, ICP monitoring, keep CPP >70 to prevent secondary injury; No steroids, Ventilate to keep CO2 30-35
3 types of shock most commonly seen in surgery: Obstructive (cardiogenic), Hypovolemic, Distributive (neurogenic; septic; anaphylactic)
Hypovolemic Shock: <20% Decreased pulse pressure; Ortho hypotension; Flat neck veins; increased Hct
Hypovolemic Shock: 20-40% Thirst; Tachycardia; Oliguria; Mod hypotension
Hypovolemic Shock: >40% MS changes; Severe hypotension; EKG-ischemic arrhythmias
Most significant cause of morbidity in pts w/ traumatic brain injuries: DAI (diffuse axonal injury)
Closed head injury = Intracranial hemorrhage
Closed head injury: Epidural arterial bleed assoc w/ skull fx requiring immediate surg intervention; assoc w/ lucid interval following LOC
Closed head injury: Subdural venous bleed btw cortex & dura requiring surg evacuation depending on severity
Closed head injury: Intracerebral hemorrhage within the parenchyma, often associated with other injuries
Closed head injury: Subarachnoid frequently missed on CT and rarely requiring immediate treatment
Hemothorax: Tx if drains >1500cc blood, insert chest tube; if >200cc/hr: to OR for thoracotomy to r/o great vessel injury
Cardiac tamponade: Tx OR or ED Thoracotomy (classic answer: pericardiocentesis) [ED thoracotomy: Subxyphoid, substernal notch, 45 degree angle, shoulder]
Intra-abdominal Injuries: must R/O: hemoperitoneum
which GCS indicates the need for intubation <8
Created by: Abarnard
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards