- What is the minimal urine output for an adult trauma patient?
- How much blood can be lost into the thigh with a closed femur fracture?
Can an adult lose enough blood in the “closed” skull from a brain injury to cause hypovolemic shock?
Absolutely not! But infants can lose enough blood from a brain injury to cause shock
- Can a patient be hypotensive after an isolated head injury?
- What is the brief ATLS history?
- In what population is a surgical cricothyroidotomy not recommended?
- What are the signs of a laryngeal fracture?
- What is the treatment of rectal penetrating injury?
- What is the treatment of EXTRAperitoneal minor bladder rupture?
- What intra-abdominal injury is associated with seatbelt use?
- What is the treatment of a pelvic fracture?
- Bleeding from pelvic fractures is most commonly caused by arterial or venous bleeding?
- If a patient has a laceration through an eyebrow, should you shave the eyebrow prior to suturing it closed?
- What is the treatment of extensive irreparable biliary, duodenal, and pancreatic head injury?
- What is the most common intra-abdominal organ injured with penetrating trauma?
- How high up do the diaphragms go?
Classic trauma question: “If you have only one vial of blood from a trauma victim to send to the lab, what test should be ordered?”
Type and cross (for blood transfusion)
- What is the treatment of penetrating injury to the colon?
- What is the treatment of small bowel injury?
- What is the treatment of minor pancreatic injury?
- What is the most commonly injured abdominal organ with blunt trauma?
- What is the treatment for significant duodenal injury?
- What is the treatment for massive tail of pancreas injury?
What is “damage control” surgery?
- Stop major hemorrhage and GI soilage
- Pack and get out of the O.R. ASAP to bring the patient to the ICU to warm, correct coags, and resuscitate
- Return patient to O.R. when stable, warm, and not acidotic
What is the “lethal triad”?
“ACH”:
- Acidosis
- Coagulopathy
- Hypothermia
(Think: ACHe = Acidosis, Coagulopathy, Hypothermia)
- What comprises the workup/treatment of a stable parasternal chest gunshot/stab wound?
- What is the diagnosis with NGT in chest on CXR?
- What films are typically obtained to evaluate extremity fractures?
- What finding on ABD/pelvic CT scan requires ex lap in the blunt trauma patient with normal vital signs?
- Can you rely on a negative FAST in the unstable patient with a pelvic fracture?
- Which lab tests are used to look for intra-abdominal injury in children?
- What is the treatment for human and dog bites?
- What percentage of pelvic fracture bleeding is exclusively venous?
- What is sympathetic ophthalmia?
- What can present after blunt trauma with neurologic deficits and a normal brain CT scan?
- What is the usual presentation of an anterior hip dislocation?
- What is characteristic regarding the appearance of a brown recluse spider?
- What does a brown recluse spider bite look and feel like?
- What drug is used to treat a brown recluse spider bite?
- What do black widow spiders look like?
- What are the symptoms of a black widow spider bite?
- How do you treat severe black widow spider bites?
What is the correct diagnosis?
Name the most likely diagnosis:
- 28-year-old female involved in a high-speed, side-impact motor vehicle collision (MVC); stable vital signs; CXR reveals widened mediastinum
- 21-year-old male involved in high-speed MVC with obvious unstable pelvis, gross blood from the urethral meatus, high-riding prostate on rectal exam
- 45-year-old female involved in high-speed MVC complains of abdominal pain and shortness of breath; decreased breath sounds on the left; CXR reveals the NGT coiled up in the left chest
- 56-year-old involved in a high-speed motorcycle collision complains of severe shortness of breath; on exam, the left chest wall moves inwards not outwards on inhalation
- 67-year-old involved in a high-speed MVC presents with a GCS of 5, bilateral periorbital ecchymosis, left mastoid ecchymosis, and clear fluid draining form the left ear
- 50-year-old female s/p high speed MVC with rib fractures and flail chest develops hypoxia 12 hours later in the ICU; CXR shows no pneumo- or hemothorax but reveals pulmonary infiltrates/congestion
- 29-year-old s/p a MVC arrives with hypotension, sats of 83%, JVD, decreased breath sounds on left
- 55-year-old male s/p 3-story fall reveals the NGT coiled up in chest on CXR
- 22-year-old male s/p MVC with transection of right optic nerve; progresses to blindness in the contralateral left eye 3 weeks later
- 8-year-old male s/p bicycle accident with handlebar to abdomen with duodenal hematoma
- 30-year-old male involved in a skiing collision with a tree, arrives in the ER awake (GCS of 15) but then gets confused and next goes unresponsive (GCS of 3)
Name the diagnostic modality: