Pharmacology
Contraindication of Fentanyl
Dose for pain
Hypotension
1mcg/kg IN/IM/IV/IO
max initial dose 100mcg/max total dose 200mcg
The first step you should take in controlling a bleed
direct pressure
This is the first step in burn care to stop the burning process.
What is removing the patient from the source of heat / extinguishing the burning agent?
Define DCAP-BTLS
Deformities/ Contusions/ Abrasions/ Penetrations/ Burns/ Tenderness/ Lacerations/ Swelling
This injury occurs when the ends of two bones are forced out of their normal joint position, often causing deformity, pain, and loss of movement.
Dislocation
TXA drug class
Hemostatic agent/ Antifibrinolytic agent/ Plasminogen inhibitor
When direct pressure fails, what should you do next?
Apply tourniquet
This burn depth is characterized by redness, pain, and no blistering, affecting only the epidermis.
Superficial (first-degree) burn
This term describes the transfer of kinetic energy to the body that results in injury, often analyzed to predict potential internal damage.
Mechanism of injury
This occurs during IV insertion when the vein is punctured or ruptures, often resulting in swelling, bruising, and infiltration that prevents successful catheter advancement.
Blown vein/infiltration
Dose of Dilaudid for 120 lbs patient
0.8mg
This type of bleeding is typically bright red and spurts with each heart beat.
Arterial bleed
An adult patient has 2nd degree burns to his chest, face, and bilateral forearms. What TBSA is affected?
18%
ecchymosis behind the ear, signaling a basilar skull fracture
Battle sign
This severe eye injury occurs when blunt or penetrating trauma causes the eyeball to rupture, often presenting with decreased vision, irregular pupil shape, and extrusion of ocular contents.
Globe rupture
Max initial dose of Ketamine for pain management
25mg
This reassessment step ensures that bleeding control interventions are effective and that circulation is maintained distal to the injury.
Checking distal pulse
A pediatric patient has 2nd and 3rd degree burns to bilateral circumferential arms, anterior torso and face. What TBSA is affected?
45%
bruise-like circles around both eyes
Raccoon eyes
This life-threatening condition occurs when air enters the pleural space and cannot escape, leading to increased intrathoracic pressure, tracheal deviation, and decreased venous return.
Tension Pneumo
Name 3 contraindications for Morphine
*excluding hypersensitivity
Heart failure/Brain tumors/Head injuries/Delirium tremens/Seizure disorder/Bronchial asthma
This condition can develop when internal bleeding leads to inadequate tissue perfusion, often presenting with tachycardia, hypotension, and altered mental status
Hemorrhagic shock
This fluid resuscitation formula is often used in large burn patients to guide initial IV fluid replacement in the first 24 hours.
Parkland formula
ecchymosis on the flanks, between the ribs and hip
Grey Turner's sign
This type of blast injury is caused by the direct effect of the pressure wave and most commonly affects air-filled organs like the lungs, ears, and GI tract.
Primary blast injury