Show:
SHOCK
survey!
MVC
survey 2
Random
100
Becky had a blunt chest trauma and now is positive for Beck's Triad.... 1) what are the components of Beck;s Triad? 2) What type of shock is she in?
What is 1) Beck's Triad: Tachycardia, elevated JVD, muffled heart sounds 2) CARDIOGENIC if cardiac contusion, otherwise, OBSTRUCTIVE
100
During what stage of the primary survey are pupils/GCS assessed?
D (4th) disability
100
A shattered femur, scapula, or 1st & 2nd ribs can indicate this: A seatbelt sign indicates this:
HIGH SPEED high impact
100
WHAT is the most important lab in trauma survey
What is TYPE AND SCREEN
100
This plays a role in almost all types of trauma
What is ALCOHOL
200
Tina is in respiratory distress, SQ emphysema, absent RT lung sounds 1) potential dx? 2) potential tx?
What is OBSTRUCTIVE shock in the setting of tension pneumothorax... which can lead to cardiogenic shock TX with 2nd ICS, midclavicular line needle decompression, EMERGENCY!
200
Assessing wounds, placing lines, binders, and tourniquet falls under what part of a primary survey?
What is CIRCULATION
200
In a MVC, the driver can be identified by the presence of what lower extremity fracture
Left femur also think, steering wheel- perhaps sternum
200
When you are looking for fluid and pneumos, you are in WHAT stage of survey; and HOW are you looking?
What is 1) Secondary, G: Get adjuncts 2) FAST (US)
200
Anne drives into a shallow swimming pool and hits her head first; Alan is trying to recreate a Jackass stunt by jumping off a tower onto a skateboard, and misses, landing hard on his feet. Both are examples of::
What is AXIAL loading (which causes injury to vertebral column)
300
Susie is hypotensive (80/40) and her HR is 75 at the scene. DX?
What is NEUROGENIC SHOCK
300
How many people are involved in assessing cervical spine stability
TWO
300
Aortic transection (partial or complete) and duodenal perforation are the two most common/susceptible injuries following this event/mechanism of injury
What is MVC: deceleration forces
300
Name the FOUR places you are looking in a FAST
What is 1) HEART 2) Upper abd quadrants 3) Lungs 4) Retroperitoneal space
300
Name the components of the LETHAL TRIAD
What is 1) hypothermia 2) acidosis 3) Coagulopathy
400
Name the types of shock in trauma
What is 1) HYPOVOLEMIC, 2) CARDIOGENIC, 3) NEUROGENIC
400
Cutting off all clothes and then immediately covering to keep warm is THIS part of the primary survey
What is E, EXPOSURE
400
An example of a deceleration injury, this process and injury occurs when the brain goes back and forth against the skull
What is SHEARING, diffuse axonal injury
400
Using the alphabet, tell me the PRIMARY and SECONDARY letters:
What is : Primary: ABCDE Secondary: FGHI
400
Name two labs in shock that indicate poor outcomes
What is 1) LACTATE (greater than 4) 2) Base excess (-6)
500
FLASHBACK... How many types of shock are there and what are their names?
What is 4 1) Hypovolemic 2) Cardiogenic 3) Obstructive 4)Hyperdynamic... (includes NEUROGENIC)
500
When do you do a full head to toe assessment in trauma
What is SECONDARY SURVEY
500
What organs/processes are you concerned about with each finding: Starred windshield: Bent steering wheel:
What is 1) head injury 2) sternum, heart
500
when are vital signs obtained in trauma?
What is SECONDARY SURVEY, 1st: F= full set of vitals, F= family notified
500
Name the massive transfusion protocol elements and their ratios...
What is RBCS, FFP, PLT 1:1:1... blood bank may only allow 4:2:1