Damage-Control
What is the "triad of death?"
coagulopathy, hypothermia, acidosis
AbThera
He is from Alaska
Mamikunian
Name at least 2 methods for closing a difficult abdomen when primary closure is not possible:
AbThera, Barker closure, velcro, Wittmann patch, skin only closure with abdominal wall reconstruction later, towel clamps, Bogota bag
Method to identify injury to the airway
Bronchoscopy
Loves crocs, loves Florida
Weimer
You are doing an ex-lap for a GSW to the abdomen and find a 15cm segment of frankly necrotic bowel. After running the rest of the bowel, anesthesia tells you that the patient is requiring more pressors and is becoming acidotic despite resuscitation with blood products. What do you want to do?
Resect the dead bowel, keep in discontinuity, leave the abdomen open and return to SICU
You would order EKG and troponin in the setting of sternal injury because you are concerned about a possible _____ _______
Cardiac contusion
Has a golden retriever named Quinn
DeFazio
A 20M is taken for ex-lap s/p GSW to the abdomen. There is massive hemorrhage coming from the infrarenal IVC where you find a 5cm complex tear in the vein. The patient's blood pressure is 60/32 despite ongoing transfusions. What should you do?
Ligate infrarenal IVC +/- LE fasciotomy
Invasive test that can be used in the trauma bay to identify intraperitoneal hemorrhage. The FAST exam has largely replaced this nowadays.
Diagnostic Peritoneal Lavage
Has a Harry Potter scrub cap
Manny
What you should do for any patient with GSW to the abdomen who is hemodynamically unstable.
Exploratory laparotomy
Has a cat named after a color
Stone