what is the #1 cause of preventable deaths after trauma?
hemorrhage
what initital labs should be drawn when starting an IV in trauma?
type and cross
CBC for baselines
preg test for females
blod gases and lactate for shock
00:02
01:01
what are the 3 contra indications for a ...
what is the 1 cause of preventable deaths after trauma
what initital labs should be drawn when starting an iv in trauma
what are the 3 contra indications
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ATLS
what is the #1 cause of preventable deaths after trauma? - Answer hemorrhage
what initital labs should be drawn when starting an IV in trauma? - Answer type and
cross
CBC for baselines
preg test for females
blod gases and lactate for shock
what are the 3 contra indications for a foley in trauma? - Answer blood at eth urethral
meatus
perineal ecchymosis
high riding or non-palpable prostate
pelvic instability
if suspected doa retrograde urethrogram
what 2 x-ray studies should be done in blunt trauma cases? - Answer CXR
pelvic x-ray
think of them as adjuncts to the primary survey
what is teh algorithm for the primary survey? - Answer ABCDE
a head to toe physical and complete Hx (AMPLE)
what are the key questions to ask in regards to an automobile trauma? - Answer Truck
BEDDD
belt
ejection
direction of impact
deformity of steeringwheel
damage to automobile
you see contacts in on teh secondary survey, what do you do? - Answer remove them
to prevent injury in cases of edema
if a trauma patient deteriortes, what should you do first? - Answer reacess ABCDEs
what is adequate UOP in an adult trauma pt? child > 1 yr? - Answer 0.5 mL/kg/h
1 mL/kg/h
what is a good mnemonic for handoff of care for a trauma Pt? - Answer MIST
MoI (and time)
, Injuries found/suspected
Sx and Signs
Treatments initiated
for primary survey, describe what you do for ABCDE (each one, detailed) - Answer
Airway:
- ascertain patency
- assess for obstruction
Breathing:
- expose neck/chest
- determine rate/depth of respirations
- palpate the neck and chest
- percuss chest
-auscultate chest
Circulation:
- identify sources of hemorrhage
- identify potential sources of internal hemorrhage
- assess pulse quality rate, regularity
- asess skin color
- BP
Disability:
- GCS
- puplis
- acess for lateralizing signs of spinal cord injury
Exposure:
- completely expose pt but prevent hypothermia
adjuncts:
- ABG
- Co2 monitoring
- ECG
- insert urinary/gastric caths
- CXR, AP pelvis
- FAST/DPL
for secondary survey, describe what you do for each body area (detailed)? - Answer
head:
- inspect/palpate entire head
- pupils
-redo GCS
- assess eyes, ears, nose, mouth
- evaluate cranial nerves
Neck: inspect
- palpate trachea
- feel carotids, *LISTEN FOR BRUITS*
- CT neck
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