Up the Creek w/out a Paddle
Very, Very, Very Interesting
Clinical Signs of Badness
100
The trauma surgeon was busy checking out the circulating RNs helping out in the ER trauma bay and forgot to help the ER M.D. w/Manual In-Line Stabilization. What can possibly go wrong?
Aggravation of potential existing cervical spine injury.
100
_______ cannot be administered with the Belmont.
Platelets
100
You are the local hotshot, sleep deprived trauma surgeon, and your current patient's GCS is 15, he's neurologically stable, and he is in pain screaming- very loudly! However he is tachycardic, hypotensive, and his vitals are declining. You decide to intubate, but his FAST exam is positive. What do you do?
STAT to the OR for an Ex Lap
300
Joe Blow the local paramedic was busy at Dunkin Donuts and missed the recent trauma 911 call...his actions will likely contribute to which mortality statistic?
Hint: think Netflix mountain climbing documentary
the 2nd peak of death...from which the Golden Hour concept originates from and which the primary/secondary trauma assessment and DCS surgery try to mitigate
300
This cervical collar provides the most efficient neck support
Miami J Advanced Cervical Collar
300
Your patient on the OR table has a distended abdomen and a confirmed hemoperitoneum. She also has a hemopneumothorax. What ______ anesthetic should you definitely NOT administer?
volatile, nitrous oxide
500
Karen the ICU R.T. left work early again to go complain to the local Mickey D's Manager about the cold nuggets on her McDiet Salad...today she was supposed to do a 7 day post-op ventilator wean assessment for our trauma patient who would have likely failed....again. Which surgeon should Karen, the patient's RN, and intensivist consider calling if they were actually forward thinking and astute?
Cardiothoracic Surgeon
500
Trauma induced coagulopathy (TIC) is one facet of the trauma triad of death. In order to curb and possibly reverse TIC, continual blood restoration efforts must be vigilantly maintained even after discontinuing MTP, and the administration of ____ prior to surgery has also been shown as beneficial.
intravenous tranexamic acid (TXA)
500
Our patient who had a recent splenectomy is having some serious thromboembolic complications. Administration of ______ could have potentially prevented/treated this.
Heparin
“splenectomy increases the risk of (postoperative) thromboembolic complications” (Buzelé et al., 2016), and there are no treatment options for this other than the administration of low molecular weight heparin per Buzelé et al. (2016)