Musculoskeletal

Bleeding Bones

100

True or False: Only an open fracture can result in life-threatening hemorrhage

False

200

Fractures to these types of bones can result in volumes of blood loss

long bones

300

Femur fracture can result in 

1.5 L

400

Humerus / tibia

750 mL

500

Pelvis

Liters

Pretty Ugly Pelvis

100

What is an open book pelvic fracture

multiple fractures of the pelvic ring, disrupting the pelvic floor

200

Physical exam findings of pelvic fractures:

blood at the urethral meatus/scrotal hematoma, discrepancy in limb length, rotational deformity of a leg without an obvious fracture, unexplained hypotension

300

Your patient with multiple pelvic fractures becomes hypotensive and tachycardic. what is an intervention that can be performed to minimize accumulation of blood within the pelvis?

application of pelvic binder

400

How do we manage pelvic fractures?

based upon severity:

pelvic binder application, OR vs IR, blood product administration

500

what imaging should be obtained on patients with suspected pelvic fractures?

Pelvic XR and CT

Freakin Femurs

100

Assessment to be performed frequently on patients with a femur fracture

Neurovascular

200

This intervention can promptly restore neurovascular status distal to the site of injury

reduction of fracture

300

Interventions to manage a femur fracture include:

Pain management

neurovascular checks

reduction/traction

OR

400

This needs to be performed daily in patients with skeletal traction

pin care

500

Skeletal traction of patients with a fracture at this site would be contraindicated

Tibia

Gotta be Complicated

100

5 Ps of Compartment Syndrome

Pain, Pallor, Paralysis, Paresthesia, Pulselessness

200

Only treatment for compartment syndrome

fasciotomy

300

patient develops sudden mental status change, respiratory distress, tachycardia after sustaining a long bone fracture

Fat Emboli Syndrome

400

Muscles of these 2 areas are the most common sites of compartment syndrome

lower leg and forearm

500

Common electrolyte imbalance seen in crush injuries/traumatic rhabdomyolysis

Hyperkalemia

I'm Crushed

100

What is the difference between blunt trauma and a crush injury

time

200

Assessment findings include

dark amber urine, CK of 10,000 or greater

300

How do we manage these injuries

2 large bore IVs

IVF administration

Serial CKs

Bicarb administration

Neurovascular checks

400

Complication characterized by excessive bleeding, bruising

DIC 

500

Tubular injury can be caused by the release of this

Myoglobin