Trauma Miscellaneous
Large volumes of IV fluid and administration of sodium bicarb are two treatments to preserve renal function with this condition
What is rhabdomyolisis?
Acceptable: heat stroke
Acceptable: Fall(trauma) with missed dialysis
Medics should expect the receiving hospital to order this diagnostic test for any patient with a chest trauma, chest tube, needle decompression, intubation, or has difficulty breathing.
What is a chest xray?
This is ranked 3rd as cause of death in trauma patients...
What is abdominal trauma?
Injuries to this system cause pain often described as sharp shooting, lightning, fire or tingling...
What is a nerve injury?
Irregular breathing
bradycardia
widening pulse pressure
What are the signs and symptoms associated with head/brain injury
Cushing's triad
A condition where increased pressure within a muscle compartment puts pressure on the nerves, blood vessels, and muscles inside.
Pain without relief that is disproportionate to the injury and is often the first symptom associated with this condition
What is compartment syndrome?
2nd intercostal space mid clavicular
Needle Decompression
diffuse abd pain indicating blood, fluid or succus in the peritoneal cavity.
What is peritonitis?
Deep venous thrombosis
Fat embolism
Compartment syndrome
Hemorrhage
Wound infection
Crush injury
What are possible complications of ortho injury ?
These three things are the primary components inside the cranium.
What are the brain, blood and CSF.
What are the following possible examples of: Atelectasis, infection, DVT, PE or sepsis...
What are complications or secondary injuries/effects from trauma?
pulse deficits or blood pressure discrepancies noted between the upper extremities or between upper versus lower extremities are associated with this
May have radiating back pain
What is aortic dissection?
this diagnostic test, usually done in the Emergency department is used to rule out solid organ injury in the abdomen
What is abdominal CT Scan? Extra credit- is this a contrasted or non-contrasted test? Answer: IV contrast only
Used to treat bilateral complicated femurs fractures.
Buddy splint, or splint to the board. Pain managment
Headache, changes in behavior, changes in LOC, nausea, and/or vomiting
What are early signs of increased intra-cranial pressure?
This sign is generally the last one seen in a patient who develops compartment syndrome
What is pulselessness?
This condition may also be referred to as a "lung bruise" and is associated with ineffective ventilation and blood tinged sputum
What is a pulmonary contusion?
pain to RUQ; rigidity, guarding and hypotension
What are signs of liver injury?
Opiates, NSAIDS, Sedatives, dissociatives, Muscle Relaxants,
What are pain management modalities for orthopedic trauma?
Used to reduce intracranial pressure with longer duration and reduced risk of renal damage.
What is a hypertonic saline?
Two main types of physical trauma are: .
What is blunt force trauma and penetrating trauma.
This often associated with severe rib fractures or misplaced chest tubes...feels like rice crispies under the skin.
What is sub-q emphysema?
Signs and symptoms may be subtle and include increasing abdominal pain, abdominal distention, guarding, rigidity, fever, hypo or absent bowel sounds and intractable vomiting.
Typically associated with injury from seatbelt or other blunt force trauma.
What is bowel injury?
Increased pain and swelling, dispite intervention.
Dramatic change in vital signs.
Change in physical assessment.
What are signs and symptoms for which you would notify the doctor?
Traditional first line treatment prehospital for ICP
after airway and ventilation management with EtCO2
May cause renal issues
What is Mannitol?