Surgery
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Management for hypotension after pelvic fracture | show 🗑
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show | 1. norepinephrine
2. epinephrine
3. dobutamine
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show | Minute Ventilation = Respiratory Rate x Tidal Volume
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show | increase the minute ventilation
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show | fiberoptic bronchoscopy
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1. What risk do electrical burns have on the kidney? 2. How do you prevent this occurence? | show 🗑
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Formula for determining fluids necessary for day 1 of a burn victim | show 🗑
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What percentage of the body makes up the following structures in a burn victim: 1. head 2. upper extremity 3. lower extremity 4. trunk | show 🗑
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1. Standard topical agent for burns 2. Topical agent to obtain deep penetration | show 🗑
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What percentage of the body makes up the following structures in a baby burn victim: 1. head 2. upper extremity 3. lower extremity 4. trunk | show 🗑
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How do you diagnose respiratory burns? | show 🗑
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show | compulsive monitoring of Doppler signals, or pulses with Escharotomy at first sign of compromised circulation
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show | 1. children's are bright red
2. adults are white leathery
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show | half of day 1
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How fast should the infusion rate of fluid be for a burn victim. 1. adult 2. baby | show 🗑
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show | day 3
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show | FTSG has less contracture than STSG so it is used around eye/face
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In the trauma setting, what are the 3 causes of shock? | show 🗑
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What is the first step in controlling hemorrhagic shock in the following settings: 1. urban setting (big trauma center nearby) 2. all other settings | show 🗑
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show | base of the skull
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A patient with head trauma who was unconscious, has a negative CT and is now awake without any neurological signs. What is the management? | show 🗑
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show | CT of the neck
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show | pain → hypoventilation → atelectasis
needs sufficient analgesics
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show | 1. pulmonary contusion
2. fluid restriction/diuretics
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show | traumatic rupture of aorta
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Patient with several long bone fractures develops petechial rashes, fever and tachycardia. What is the treatment? | show 🗑
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show | 1. abdomen
2. pleural cavity
3. thighs
4. pelvis
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How much blood must be lost in order to cause shock? | show 🗑
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show | 1. liver
2. spleen
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show | Focused Abdominal Sonogram for Trauma (FAST) followed by diagnostic peritoneal lavage (DPL)
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In pelvic fracture, what exams/tests are performed to rule out associated injuries? | show 🗑
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show | 1. bone first
2. artery
3. nerve
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Management for stable patient with abdominal wall pain and ecchymosis from a seatbelt after car crash. | show 🗑
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show | 1. 1,500 ml or more
2. > 200mL/hr for 3 hours
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show | 1. possible acute reject but more commonly technical problem
2. rule out biliary obstruction by ultrasound and vascular thrombosis by doppler
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What is the maintenance of septic shock? | show 🗑
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show | Needle aspiration of left chest followed by tube thoracostomy
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In which position should a pregnant woman be evaluated in a trauma situation? Why? | show 🗑
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How is a hematoma from blunt trauma handled in a stable patient when located in the following locations: 1. central abdomen 2. flank region 3. pelvic area | show 🗑
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show | pulse oximetry is unreliable so ABG readings should be taken
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Treatment for: 1. asymptomatic methemoglobinemia 2. symptomatic methemoglobinemia | show 🗑
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show | donated blood contains citrate that binds calcium and depletes its free concentration
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amichael@siumed.edu
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