Lor' willing and the creek does not rise
first, second, and third degree burns also known as
superficial, partial thickness, and full thickness
This life threatening condition results from severe blood loss and inadequate tissue perfusion.
Hypovolemic shock
this is a contraindication of an NPA
maxillofacial trauma, burns, fleece wearing, uneven pupils.
Describe what you see on EKG leads in someone with hyperkalemia
peaked T waves
GCS score of a patient with eye opening to painful stimuli, verbal response with inappropriate words, and decorticate posturing to stimuli
8 - severe
measure the surface area of burns using this
rule of 9's
on average what is the radial pulse pressure
90mmHg
name the anatomical landmark where the surgical cric is inserted
cricothyroid membrane
name the two sites for placement of an NCD
1. Midclavicular in the 2nd intercostal space.
2. Mid axillary in the 5th intercostal space.
describe the placement and indication for a tourniquet
high and tight, limb loss, extremity arterial hemorrhage
antibiotics used for a patient with only burns
NONE
This is used in blast injuries and patients with lower extremity trauma.
pelvic binder
you have a patient with blood and mucous in their upper airway, what do?
suction.
the difference between a pneumothorax and a hemopneumothorax is?
a pneumothorax is caused by air entering the pleural space not allowing full expansion of the lung. A hemopneumothorax is similar but instead of air it be blood
These potentially fatal chest injuries should be suspected when respiratory distress develops after penetrating chest trauma
pulmonary contusion, pneumo/hemothorax, flail chest
What is the fluid rescussitation equation for burns?
Parkland formula Total fluid (mL) = 4 × body weight (kg) × %TBSA burned. Half of the total volume is given in the first 8 hours post-injury, and the remaining half over the next 16 hours
how much blood can the pelvis hold
4 to 6 L
What anatomical structure do you want to be careful of to not impede when intubating?
Teeth! Don't break them!
This term describes the dangerous combination of hypothermia, acidosis, and coagulopathy in severe trauma
Lethal Triad
Cardiac tamponade can lead to this, with what specfic indicative symptoms?
Cardiogenic shock. symptoms specific to this type of shock include JVD extension, swelling in feet or legs.
Circumrential burn to right lef, anterior right arm, anterior face - calculate the burn %
32%
Clots can be disrupted, which is why we practice this method when pushing blood.
permissive hypotension
what is the expected range for ETCO2 for an intubated patient
35-45%
what organs are at risk with the misplacement of an NCD in the chest cavity. name 3
heart, kidney, spleen, liver.
Treatment for intracranial pressure
Elevate head 30 degrees
Hypertonic 3% saline or mannatol
IV Fentanyl 40-60mcg or ketamine 30-50mcg
levetiracetam 2g
lorazepam 2mg