Shared Flashcard Set

Details

Trauma
RPM clerkship
8
Medical
Professional
12/04/2012

Additional Medical Flashcards

 


 

Cards

Term
What is the physiologic approach to the evaluation and management of the injured patient?
Definition
  • ABCDE
  • Airway maintenance with cervical spine protection
  • Breathing and ventilation with life-threatening chest injury management
  • Circulation with hemorrhage control
  • Disability or neurologic status with intracranial mass recognition
  • Exposure/environment with maintenance of normal body temp
Term
5 priorities in Primary Survey of a trauma patient
Definition
  1. Airway
  2. Breathing
  3. Circulation
  4. Disability
  5. Exposure
Term
Steps/methods of airway management (6)
Definition
  1. Visualize the airway.
  2. Start with supplement O2 by nasal cannula or face mask for conscious patients.
  3. If pt is unconscious do jaw-thrust maneuver and provide respiratory support. (can also do OP or NP airway if needed.)
  4. Intubate if necessary.
  5. If unable to intubate, perform surgical airway (cricothyroidectomy).
  6. Maintain cervical spine stabilization/immobilization in trauma patients until spinal injury has been r/o. However, never allow this concern to delay airway management!
Term

When does a patient need to be intubated?

When does a patient need a surgical airway?

Definition
  • Patient needs to be intubated if there is:
    • apnea
    • signifcantly depressed mental status (GCS<8)
    • impending airway compromise (ex. maxillofacial trauma or inhalation injury in fires)
  • Patient needs surgical airway (cricothyroidectomy) if he cannot be intubated secondary to upper airway trauma or obstruction.
Term
Glasgow coma scale - how many points are possible? what three areas are tested and how many points can be assigned for each one?
Definition
  • 15 total points possible
  • Eyes - 4 points possible
  • Verbal - 5 points possible
  • Motor - 6 points possible
  • Mnemonic: 4 eyes, Jackson 5, V6 engine
Term
Glasgow coma scale - how is eye response scored?
Definition
  • spontaneous eye movement = 4 pts
  • eyes respond to command = 3 pts
  • eyes respond to pain = 2 pts
  • no response = 1 pt
Term
Glasgow coma scale - how is verbal response scored?
Definition
  • Oriented = 5
  • Confused speech = 4
  • Inappropriate words = 3
  • Incomprehensible = 2
  • None = 1
Term
Signs of pericardial tamponade
Definition
  • hypotension
  • equal breath sounds
  • JVD
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