Trauma Resuscitation
What is the best site for intraosseous (IO) access in adult trauma patients?
Proximal tibia
What nerve is most commonly injured in a midshaft humerus fracture?
Radial nerve
What is the recommended initial oxygenation device for trauma patients?
Non-rebreather mask
What is the triad of findings in obstructive shock caused by cardiac tamponade?
Beck's triad (Hypotension, Jugular venous distension, Muffled heart sounds)
What is the most commonly injured solid organ in blunt abdominal trauma?
Spleen
Which blood type is used in massive transfusion protocols when the patient’s blood type is unknown?
O negative
What is the most common complication of a posterior hip dislocation?
Avascular necrosis
What is the appropriate size of the endotracheal tube for an adult male trauma patient?
7.5-8.0 mm
What is the first-line fluid used in resuscitation for hypovolemic shock?
Crystalloids
What is the most commonly injured organ in penetrating abdominal trauma?
Small bowel
What type of blood product is preferred for rapid reversal of coagulopathy in trauma patients on warfarin?
FFP
What is the definitive management for a posterior knee dislocation with decreased pulses?
Answer: (treatment and next step)
Reduction and emergent vascular surgery consultation
Which airway maneuver should be used to protect the cervical spine in trauma patients?
Jaw thrust
What physical exam finding is a hallmark of distributive shock?
Warm extremities
What clinical finding in trauma is concerning for diaphragmatic rupture?
Bowel sounds in the chest
What is the most common electrolyte abnormality observed during massive transfusion protocols?
Hypocalcemia
What ligament is most commonly injured in an ankle inversion injury?
Anterior talofibular ligament
What type of airway management is preferred for trauma patients with facial trauma and airway obstruction?
Surgical airway (cricothyrotomy)
What is the shock index, and what does it indicate when elevated?
Heart rate / Systolic BP; Hypovolemia
What sign indicates retroperitoneal bleeding and appears as bruising around the umbilicus?
Cullen's sign
What is the recommended initial dose of TXA (tranexamic acid) in trauma patients with major hemorrhage?
1 gram
What is the first-line treatment for suspected scaphoid fractures, if imaging is negative but suspicion is high? (must be very specific in exact type of treatment)
Thumb spica splint
What is the name of the airway maneuver to open the airway in patients with suspected basilar skull fractures?
Chin lift
What blood pressure target is recommended in patients with blunt trauma and suspected traumatic brain injury to maintain cerebral perfusion?
SBP > 100 mmHg
What condition, characterized by severe abdominal pain, distention, and loss of bowel sounds, can result from blunt abdominal trauma and requires emergent surgery?
Abdominal compartment syndrome