Trauma

Burns

100

what is the closest burn center to Humble?

Memorial Hermann TMC 

200

in the rule of 9's what percentage is the genitals

1%

300

For what degree burn is a dry dressing indicated, and when should a wet dressing be used?

<10 wet and >10 dry. AT-5

400

there are 7 burn center transport considerations. Name 3

2nd degree (Partial Thickness) - >15% BSA

3rd degree (Full thickness) - >5% BSA

Significant face, feet, hands, perineal burns

Electrical burns

Inhalation injury

Severe chemical burns

Associated significant injuries

500

State the parkland formula

4 mL × weight in kg × %TBSA burn. AT-5

Traumatic injuries

100

Can HFR field terminate traumatic CPR

No. Proc-10

200

In traumatic arrest, what is the correct treatment priority order compared to standard ABC's

CABC's. AT-1

300

in a snake bite, in what position would you want to transport the affected extremity

highest possible level

400

per protocol, when can we give fluids in multi systems trauma.

If radial pulse is absent AT-3

500

How should amputated part be transported if recovered?

Wrap amputated part in moist dressing and wrap in plastic bag

then

Place bag inside second bag with ice or ice packs

Signs & Syndromes

100

Battle Signs

Postauricular ecchymosis — bruising over the mastoid process

Classically associated with a basilar skull fracture

200

Grey-turner sign

Bilateral ecchymosis or discoloration of the flank.

This sign is classically associated with severe acute necrotizing pancreatitis

300

Kehr's Sign

Left shoulder pain when in Trendelenburg.

This sign is classically associated with bleeding from a splenic rupture.

400

Brown-Sequard Syndrome

Incomplete spinal cord injury.

Paralysis on the side of the lesion; loss of proprioception and vibration sense on the same side from damage to the dorsal column and a loss of pain and temperature sensation contralateral to the lesion

500

LeFort Classifications

• Le Fort I: The fracture extends through the piriform aperture superior to the maxillary alveolar ridge, then propagating through the anterior, medial, and posterolateral maxillary sinus walls.
• Le Fort II: The fracture involves the posterolateral maxillary sinus wall and anterior maxillary wall, extending through the inferior orbital rim into the orbital floor, medial orbital wall, and the region of the nasofrontal suture.
• Le Fort III: The fractures extend through the nasal bridge, medial orbital wall, posterior orbital floor, and lateral orbital wall near the frontozygomatic suture. The zygomatic arch is always fractured as well

Equipment

100

on an extremity needing a Tourniquet, where is the preferred placement based on protocol

2-3 inches above injury. Proc 7

200

Name the sight for needle decompression

second or third intercostal space anterior mid-clavicular. Proc-23

300

when using QuickClot combat gauze, how long do you hold pressure after packing the wound 

at least 3 minutes. PROC-8

400

there are 3 areas of the body HFR personnel are not allowed to pull out Taser probes, name all 3

breast area, groin and face. Proc-15

500

in current protocols, there are 4 reasons to use full spinal motion restriction. Name 2 of the 4. 

neurogenic shock, paralysis, neurological weakness, unconsciousness. PROC-11

Medications

100

TXA for epistaxis

100mg per nostril. 200mg total. MR38

200

TXA dose for hemorrhagic shock

2g over 3 mins IVP. MR38

300

normal saline

250ml repeat q 5. MR-33

400

Which medication is the preferred agent in treating shock regardless of etiology + dose for pain/sedation 

Ketamine 0.2mg/kg q 5 mins. MR-35

500

dose of tetracaine 

1-2 drops PRN. MR-31