Save the Trauma for yo mama
In BLS, the initial CPR step after ensuring safety and determining unresponsiveness is this step:
What is compressions?
This type of shock, often caused by severe bleeding, is most common in trauma patients.
What is hypovolemic shock?
This device, placed proximal to a severe limb hemorrhage, can be life-saving in trauma.
What is a tourniquet?
When we suspect sepsis, we need to make sure to draw these specific lab tests first before starting treatment.
What are Blood Cultures and Lactic Acid in addition to the usual CBC and CMP or BMP (depending on what the provider orders)?
This compartment-related condition can lead to tissue death if pressure is not relieved.
What is compartment syndrome?
In ACLS, after administering 2 minutes of compressions and determining no pulse at the first pulse check, the doctor instructs staff to resume compressions while getting this medication ready.
What is epi?
The "golden hour" refers to this critical time period after injury when prompt treatment greatly improves survival
What is the first hour after trauma
During a Code Crimson, when an MTP is required, the runner initially obtains this many units of blood without waiting for any kind of type and cross screening.
What are two units?
These fluid orders are also included in the Sepsis Bundle.
What are crystalloids (usually LR, but can be NS) at 30mL/kg unless contraindicated?
The emergency procedure involves cutting the fascia to relieve pressure in severe cases.
What is fasciotomy?
In pulseless V-tach, after delivering the first shock, the doctor is now ordering an antiarrhythmic. The medication and dose to anticipate first is usually this:
What is Amiodarone 300mg?
This life-saving procedure involves inserting a needle into the chest to relieve pressure from a tension pneumothorax.
What is a needle decompression?
Along with 1:1:1 of RBCs and plasma, this component is also often included in MTP protocols.
What are platelets?
The primary nurse needs to make sure these medications are also ordered and administered within an hour of the Sepsis Alert being called. (The sooner the better.)
What are broad-spectrum abx? (Please make sure pt does not have allergies to meds ordered.)
In addition to a recording nurse, a med nurse, a doctor, and a crash cart/zoll at bedside, these other 3 things are minimum are also needed before performing conscious sedation procedures.
What are signed consents, a designated driver, and collaboration with RT at bedside.
This type of burn is cause by prolonged exposure to cold rather than heat.
What is frostbite?
This life-threatening condition involves blood accumulating in the pleural space, often over 1500mL.
What is a massive hemothorax?
This component is typically the first given in massive transfusion protocols, along with plasma and platelets.
What are packed red blood cells (PRBCs)?
After completing the Sepsis Bundle protocol, these specific lab values need to be monitored and reported to the provider immediately if they are at what level?
What are WBCs above 11, Lactic Acid above 2.0, positive blood cultures, and any other unusually abnormal lab values as reported by lab that may be a possible source of infection?
When we titrating medications following the MAR, normally this is the order they are titrated down.
What is backwards from the order they were titrated up, following the MAR?
A patient arrives as a motorcycle crash into your ED. The physician may perform this procedure or exam to determine whether or not the patient is stable enough to go to CT.
What is a Focused Assessment with Sonography for Trauma (FAST) exam?
Excessive blood loss can cause hypotension. We often require these be given to keep a mean arterial pressure maintained for indication of optimal perfusion.
What are IV fluids, levophed, vasopressin, epinephrine, phenylephrine, dopamine, angiotensin II?
This medication, often given within 3 hours of injury, helps reduce bleeding by stabilizing clots.
What is tranexamic acid (TXA)?
These specific vital signs need to be closely monitored for patients who are septic in case of septic shock and need for additional emergency intervention.
What are blood pressure checks, heart rate and rhythm monitoring, pulse ox monitoring, respirations, temperature, and urinary output?
The most common fluids used for eye emergencies is:
What is LR?