Term
| Most serious blunt trauma..... |
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Definition
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Term
| Apnea, hypoventilation and hypoxia occurs.... |
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Definition
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Term
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Definition
Restrained - Chest and abdominal injuries
- Lower spine fractures |
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Term
| Pediastrian vs auto (peds) - Low speed |
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Definition
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Term
| Pedestrian vs auto (peds) high speed |
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Definition
Multiple trauma
- head and neck injuries
- upper and lower extremity injuries |
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Term
| Length of infant's and 18 month old trachea |
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Definition
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Term
| Concerning decreased pulse pressure |
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Definition
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Term
| Lower limit of normal systolic blood pressure is |
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Definition
| 70 mmHg + 2x age in years |
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Term
| Normally diastolic pressure should be |
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Definition
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Term
| At what volume bllod loss is hypotensin seen? |
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Definition
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Term
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Definition
| 20 cc/kg x 3 to replace 25% blood loss |
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Term
| Acceptable systlic blood pressure after resusciataion |
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Definition
| 90 mm Hg plus 2x the age in years |
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Term
| Mobility of mediastinal structures |
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Definition
| Makes child more sensitive to tension pneumothorax and flail chest, |
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Term
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Definition
Diaphragmatic rupture
- aortic transection
- major tracheobronchial tears
- flail chest
- cardiac contusions |
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Term
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Definition
The presence of blood in the peritoneum does not mandate surgery.
however surgery is indicated
- leukocytosis
- feces
- vegetable fibers
- bile |
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Term
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Definition
Not adequately studied
=However may be used to identify abd blood |
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Term
| Common peds small intestine injury that does not require surgery |
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Definition
| Duo hematoma - treated non-surgically |
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Term
| Pancreatic injuries in children |
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Definition
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Term
| Common trauma related surgical injuries |
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Definition
Small bowel perf at the ligament of treitz,(late finding)
- mesenteric and small bowel avulsions (late finding)
-Bladder rupture (shallow pelvis) |
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Term
| Lap belt injuries cause what type of injuries in children? |
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Definition
| Enteric disruptions with chance fractures |
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Term
| Cerebral blood flow and children |
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Definition
Normal cerebral blood flow increases proportionately to nearly twice tha of adult levels by the age of 5 years, and then decreases
This puts the brain at greater susceptibility to cerebral hypoxia. |
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Term
| Consider intracranial monitoring |
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Definition
GCS < 8
- Motor score 1 or 2
- Multiple injuries with brain injury
-Abn Brain CT scan |
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Term
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Definition
5- Approp words, social smile, fixes and follows
4 - Cries but is consolable
3 - Persistent irritability
2 - Restless, agitated
1 - None |
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Term
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Definition
| C2 on C3 in 20 % of children up until 16 years |
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Term
| Pelvis and femur fractures |
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Definition
| Less blood loss disproportionately than adults (drops HCT about 4) |
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Term
| Levels of the pregnant uterous |
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Definition
12 weeks Intrapelvic-
20 weeks umbilicus-
34-36 weeks costal margin- |
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Term
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Definition
The bowel rises making injury less likely in blunt trauma.
However - upper stabbing leads to bowel injury |
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Term
| Blood loss without changes in VS in the pregnant patient |
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Definition
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Term
| Blood pressure return to normal systolic and diastolic pressures |
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Definition
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Term
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Definition
Forward flexion with uterine rupture and abruptio
Lap belt too high - uterine rupture |
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Term
| Pregnancy and penetrating injury |
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Definition
| Mother usually does fine but fetus suffers |
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Term
| Hemorrhagic shock and survival of mother and fetus |
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Definition
| High maternal survival but 80% fetal death |
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Term
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Definition
Higher incidence in profound shock, -
Abdominal tenderness-
Guarding, -
Rigidity, -
Rebound tenderness, - |
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Term
| Other signs of uterine rupture |
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Definition
Abdominal fetal lie, -
Easy palpation of fetal parts (extrauterine location), -
Inability to palpate uterine fundus. |
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Term
| X-ray evidence of uterine rupture |
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Definition
Extended fetal extremities, -
Abn fetal position, -
Free intraperitoneal air. |
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Term
| When should heart tones be monitored? |
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Definition
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Term
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Definition
70% will bleed thus 30% will not, -
Uterine tenderness, -
Frequent uterine cotractions, -
Uterine ultrasound may show the lesion. |
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Term
| Continuous fetal monitoring should begin at |
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Definition
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Term
| Uterine contractions vs uterine tetany |
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Definition
| Premature contractions vs placental separation |
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Term
| Why fibrinogen is ordered in trauma labs |
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Definition
Placental separation, -
Amniotic embolism, -
Both may lead to DIC |
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Term
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Definition
As little as .07 ml blood can sens 70% of rh neg women.
All rh neg pregn women should be considered for immunoglobulin therapy. This should be instituted in the first 24 hours |
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