Brain Freeze
The first priority in caring for a patient with suspected traumatic brain injury (TBI).
What is airway and cervical spine stabilization?
What is cervical collar and spinal motion restriction?
Absent sounds on one side = .
What is pneumothorax?
The most reliable early sign of internal bleeding.
What is unexplained tachycardia?
This complication includes hypothermia, acidosis, coagulopathy, and now calcium abnormalities.
What is the Trauma Diamond of Death?
The earliest and most sensitive sign of neuro deterioration.
What is change in level of consciousness (LOC)?
The most common site of spinal cord injury (SCI).
What is C5-C7 cervical spine?
Hallmark sign of tension pneumothorax.
What is tracheal deviation away from affected side?
The most commonly injured organ in blunt trauma.
What is the spleen?
The most important intervention in uncontrolled external hemorrhage.
What is direct pressure or tourniquet application?
Hypertonic saline helps in traumatic brain injury by this mechanism.
What is creates an osmotic gradient to pull water out of cerebral tissue, reducing intracranial pressure (ICP)?
Shock type with hypotension + bradycardia after spinal cord injury (SCI).
What is neurogenic shock?
The definition of flail chest.
What is two or more adjacent ribs fractured in >2 places?
Kehr's sign = .
A patient has chest trauma + abdominal tenderness + unstable pelvis. The top nursing priority is ...
What is control hemorrhage and support circulation (MTP if needed)?
Advantage of hypertonic saline over mannitol in traumatic brain injury (TBI).
What is maintains intravascular volume and improves hemodynamics?
Turning technique for spinal cord patients.
What is logroll?
The intervention for open pneumothorax.
What is three-sided occlusive dressing?
Positive FAST means.
What is free fluid in the abdomen, likely hemorrhage?
A polytrauma patient is showing signs of chills, fever, leukocytosis, and serum lactate >2 after receiving some fluids. This care should also be initiated.
What is the Surviving Sepsis Campaign bundle (fluids, cultures, antibiotics, lactate, vasopressors)?
The complication you must monitor for with hypertonic saline.
What is hypernatremia (central pontine myelinolysis) if corrected too quickly?
ED priority intervention for suspected spinal cord injury (SCI).
What is maintain airway with cervical spine stabilization?
Beck's triad is indicative of this.
What is cardiac tamponade?
This should be avoided until cleared surgically in abdominal trauma.
What is oral intake? (Or NG/OG tube if basilar skull fracture present)
This fluid resuscitation strategy is recommended in polytrauma patient with TBI + hemorrhagic shock.
What is balanced resuscitation-- permissive hypotension in hemorrhage, but avoid hypotension in TBI (MAP > 65mmHg)?