Abdominal Trauma pt 2

Damage-Control

100

What is the "triad of death?" 

coagulopathy, hypothermia, acidosis 

200

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 

300

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

400

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 

ABCDE

100

Negative pressure temporary abdominal closure device

AbThera 

200

Method to identify injury to the airway

Bronchoscopy

300

You would order EKG and troponin in the setting of sternal injury because you are concerned about a possible _____   _______

Cardiac contusion

400

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

500

What you should do for any patient with GSW to the abdomen who is hemodynamically unstable. 

Exploratory laparotomy 

Know your co-residents

100

He is from Alaska 

Mamikunian 

200

Loves crocs, loves Florida

Weimer

300

Has a golden retriever named Quinn

DeFazio

400

Has a Harry Potter scrub cap

Manny

500

Has a cat named after a color

Stone