Radiology: Imaging Trauma Patients in a Deployed Setting
What is the lowest level of care (role) equipped with a Computed Tomography scanner?
What is "Role 3 and higher"
Which type of burn is NOT included in the estimation of Total Body Surface Area (TBSA) used for fluid resuscitation?
What is superficial (1st degree)
The _____________ is the best person to control the Military Working Dog; they have the most accurate information about past medical problems and the current situation, and they have first aid training and can assist in care.
Who is the dog handler
_____________ is the preferred resuscitation product for the pre-hospital treatment of patients in hemorrhagic shock.
What is LTOWB (low-titer O whole blood)
Which chemical irritant smells like rotten eggs?
What is hydrogen sulfide
Members of the trauma team should have _______ aprons and thyroid shields available near the trauma bay for radiation safety.
What is lead
_______________ is the most common infectious complication with pediatric burn patients and usually presents within 5 days of injury.
What is cellulitis
Use the _____________ vein for long-term fluid therapy, large volume fluid delivery, and repeated blood sampling on Military Working Dogs.
What is the external jugular
How often SHOULD titer and transfusion transmitted disease retesting be conducted?
What is 90 days
**Typically done annually due to limited testing availability while deployed**
Which of the following is the most commonly available antidote for cyanide poisoning?
What is hydroxocobalamin (Cyanokit)
While the FAST scan has been validated only in hemodynamically unstable blunt trauma patients, it has become a standard tool in the trauma bay and Emergency Department (ED) in most trauma patients. FAST stands for ___________________.
What is Focused Abdominal Sonographic Assessment for Trauma
Burn casualties with injuries greater than ________ Total Body Surface Area (TBSA) are at high risk of hypothermia.
What is 20%
Pulse oximetry probes used for people (typically finger probes) are best placed on the ___________ for optimal reliability in unconscious, sedated, or anesthetized dogs.
What is the tongue
If stored at room temperature, fresh whole blood must be destroyed if not used within what time period?
What is 24 hours
Which chemical irritant forms a strong base which can cause mucosal irritation, severe upper airway irritation, and alkali skin burns when reacting with water?
What is ammonia
When performing a FAST examination on a patient, you inspect the left upper quadrant. You are inspecting between which two organs?
What is spleen and kidney
At 8-12 hours post-burn, if the hourly IV fluid rate exceeds 1500 mL/hr or if the projected 24 hr total fluid volume approaches 250 mL/kg, initiate 5% __________ infusion for an adult burn patient.
What is albumin
Calculate the approximate safe but effective crystalloid bolus volume for a 55 pound Military Working Dog experiencing signs and symptoms of shock.
What is 550mL bolus
ADD a ZERO to the dog's body weight (in lbs)
How long can whole blood collected in the anticoagulant CPD be stored?
What is 21 days
The triad of severe cyanide toxicity consists of:
(Hint... cyanide halts cellular respiration and aerobic metabolism)
What is
Lactic Acidosis
Hypotension
Altered Mental Status
Distance is also protective from radiation exposure. If feasible based on the patient’s condition, any personnel without lead shielding should move a short distance away from the x-ray unit. The recommended minimal distance is ___________.
What is 6 feet
A patient has suffered burn injuries to the anterior of her face, neck, and torso (chest and abdomen). Calculate the patient’s initial burn size using the Rule of Nines.
What is 22.5%
Anterior Face: 4.5
Anterior Chest + Abdomen: 18
For PO supplementary analgesia of an injured Military Working Dog, administer _______________ 5-10ml/kg PO q8-12h for up to 5 days.
What is Tramadol
**Remember, avoid acetaminophen or ibuprofen in MWDs, as these drugs can cause liver toxicity**
A massive transfusion in children is defined as ____ ml/kg.
What is 40 mL/kg
Which chemical irritant has a sweet, pleasant smell of mown hay?
What is Phosgene