Skip to Main Content
Home Books ABSITE Slayer

Trauma

Dale A. Dangleben; Rovinder Sandhu; Firas Madbak

  • Sections
  • Print
  • Get Citation

    Citation

    AMA Citation
    Dangleben DA, Sandhu R, Madbak F. Dangleben D.A., Sandhu R, Madbak F Dangleben, Dale A., et al.Trauma. In: Dangleben DA, Lee J, Madbak F. Dangleben D.A., Lee J, Madbak F Eds. Dale A. Dangleben, et al.eds. ABSITE Slayer New York, NY: McGraw-Hill; . http://accesssurgery.mhmedical.com/content.aspx?bookid=2500&sectionid=201385354. Accessed June 03, 2020.
    MLA Citation
    Dangleben DA, Sandhu R, Madbak F. Dangleben D.A., Sandhu R, Madbak F Dangleben, Dale A., et al.. "Trauma." ABSITE Slayer Dangleben DA, Lee J, Madbak F. Dangleben D.A., Lee J, Madbak F Eds. Dale A. Dangleben, et al. New York, NY: McGraw-Hill, , http://accesssurgery.mhmedical.com/content.aspx?bookid=2500&sectionid=201385354.

    Download citation file:

    RIS (Zotero)
    EndNote
    BibTex
    Medlars
    ProCite
    RefWorks
    Reference Manager
    Mendeley
    © Copyright
  • Tools
  • Search Book
  • Clip
Top

TEST TAKING TIPS

Test Taking Tips

  • Historically, there is always a question that tests your priorities in caring for the trauma patient. Do not get sidetracked! It is always primary survey with airway, breathing, and circulation.

  • Know how to calculate the Glasgow coma scale (GCS) score.

INITIAL MANAGEMENT

When does the first mortality peak for trauma occur?

  • Within seconds to minutes after injury

The trauma system and acute patient care has the greatest impact on patients in which mortality peak for trauma?

  • Second mortality peak (golden hour)

Most of the deaths during the second mortality peak for trauma occur from?

  • Hemorrhage, central nervous system injuries

When does the third mortality peak for trauma occur?

  • 24 hours after injury, from multisystem organ failure and sepsis

How long should the primary survey in the initial evaluation of a trauma patient take?

  • No more than 5 minutes, unless an intervention is needed.

What mnemonic is used to conduct the primary survey?

  • ABCDE: Airway, Breathing, Circulation, Disability, Exposure

What are the goals during airway assessment?

  • Secure the airway, protect the spinal cord

What is required for spinal immobilization?

  • A rigid cervical collar, use of a full backboard

Contraindications to nasotracheal intubation:

  • Apnea, maxillofacial fracture

What is the quickest way to test for an adequate airway in an awake, alert patient?

  • Ask a question, if the patient is able to speak the airway is intact.

Indications for a surgical airway:

  • Anatomic distortion as a result of neck injury, massive maxillofacial trauma, inability to visualize the vocal cords (blood, secretions, airway edema)

What are the goals during the breathing assessment?

  • Secure oxygenation and ventilation; treat life-threatening thoracic injuries

What should be done on physical examination to adequately assess breathing?

  • Inspection (air movement, cyanosis, tracheal shift, JVD, respiratory rate, asymmetric chest expansion, open chest wounds, use of accessory muscles of respiration)

  • Auscultation/ percussion (hyperresonance or dullness over lung fields)

  • Palpation (flail segments, subcutaneous emphysema)

What life-threatening conditions must be treated during the breathing assessment if encountered?

  • Open pneumothorax, tension pneumothorax, massive hemothorax

What is the most common cause for upper airway obstruction?

  • The tongue

What is the preferred emergency airway procedure?

  • Cricothyroidotomy

In a patient with poor peripheral upper extremity access, what alternative routes can be considered for intravenous access?

...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.

This site uses cookies to provide, maintain and improve your experience. MHE Privacy Center Close