I can see your Halo, Halo Halo
What are signs of increased ICP?
Earliest sign of hypovolemic shock in the pediatric patient
Procedure performed by trauma surgeon when low blood pressure, distension of the jugular veins, and muffled heart sounds are noted during assessment
What is pericardial tamponade?
Hypotension, bradycardia, warm dry flushed skin, priaprism, unable to maintaim normothermia
What are signs/symptoms of neurogenic shock?
Calculation to find the lowest systolic blood pressure for pediatric trauma indicating shock state
What is 70 + (2 x age)
GCS score for a patient:
Opens eyes to voice
Confused to place and time
Responds to painful stimuli
What is 12? E = 3, V = 4, M = 5
A 20 year old male rodeo bull-rider who has been struck in the mid-abdomen by a bull. He arrives to the ED 12 hours later with abdominal guarding/tenderness, absent bowel sounds and rapid pulse with decreased BP. Name the sign that indicates a pancreatic injury with ecchymosis noted around the umbilicus?
What is Cullen's sign?
Grey-turners - flank ecchymosis from renal injury
Kehr's - left shoulder pain from diaphragmatic irritation of free fluid
Rovsing's sign - appy sign
An type of incomplete spinal cord injury typically caused by penetrating trauma that leads to loss of voluntary motor control on same side as the cord damage and loss of pain and temperature on opposite side
What is Brown Sequard Syndrome?
What are hypotension, deviated trachea, and JVD?
Name the leading cause of death in elderly trauma patients
What are falls?
50% of patients over the age of 75 years will die within one year of breaking a hip
Type of head trauma associated with initial LOC, then lucid interval, followed by rapidly decreasing LOC and possible seizure.
What is Epidural hemmorhage?
Injury found with pediatrics with there are neurological deficits without fractures noted on CT.
What is SCIWORA - Spinal cord injury without radiological abnormality?
The 5 P's of a neurovascular assessment for compartment syndrome
What are pulses, pallor, paresthesias, paralysis and pain?
What triage category (color) would you assign a 17-year-old male MCI victim who has is being carried by friends into the ambulance bay, has an impaled object in abdomen, responds to voice, RR 42, HR 136 and CRT 3 seconds.
What is Red (immediate)?
This type of posturing is considered more ominous; decorticate or decerebrate?
The minimum about of urinary output desired during fluid resuscitation of a pediatric trauma patient
What is 1-2 ml/kg/hr?
Name the four areas assessed for internal bleeding during a FAST exam
What are pericardial, perihepatic, perisplenic, and pelvic?
A 44 year old female has sustained 2nd degree burns covering estimated at 15% TBSA. Pt weighs 70 kg. What is the burn fluid resuscitation calculation? What is the amount you will give in the first 8 hours?
What is 4 x kg x % TSBA
4 x 70kg x 70% = 19600ml in 24 hours
first 8 hours = 9800ml