ATLS MODULE 8 - MUSCULOSKELETAL TRAUMA
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
what are potentially life threatening extremity injuries? Correct Answers
major arterial hemorrhage, bilateral femoral fractures, crush syndrome
what long bone fractures can be significant? Correct Answers
hemorrhage from all long bone fractures can be significant, and femoral
fractures often result in significant blood loss into the thigh
Red text
a properly applied tourniquet must include arterial inflow... what
happens if you only occlude venous system? Correct Answers increase
hemorrhage and result in a swollen cyanotic extremity
the risks of tourniquet use increase over time... if it must remain in place
for a prolonged period to save a life, what choice is made? Correct
Answers choice of life over limb is made
what do you do if a fracture is associated with an open hemorrhaging
wound? Correct Answers realign and splint it while a second person
applies direct pressure to the open wound
in patients with amputated extremities... who is not a candidate for
replantation? Correct Answers pt with multiple injuries who require
, intensive resuscitation and or emergency surgery for extremity or other
injuries
red text
in patients who may be a potential for replantation of amputated
extremity, how do you initially manage the wound? Correct Answers
thoroughly wash the amputated part with isotonic solution (ringers
lactate) and wrap it in moist, sterile gauze... then wrap it in moistened
steril towel, place in plastic bag and transport with pt in an insulated
cooling chest with crushed ice
*be careful not to freeze it though
people with bilateral femur fractures vs unilateral femur fractures
Correct Answers they are at significantly greater risk for significant
blood loss, severe associated injuries, pulmonary complications,
multiple organ failure, and death
What can crush syndrome lead to? Correct Answers aka traumatic
rhabdomyolysis
*if left untreated, can lead to acute renal failure and shock
*muscular insult is a combo of direct muscle injury, muscle ischemia,
and cell death with release of myoglobin
what is indicative of rhabdomyolysis when myoglobin levels arent
available? Correct Answers dark amber colored urine + serum creatine
kinase of 10,000 U/L
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
what are potentially life threatening extremity injuries? Correct Answers
major arterial hemorrhage, bilateral femoral fractures, crush syndrome
what long bone fractures can be significant? Correct Answers
hemorrhage from all long bone fractures can be significant, and femoral
fractures often result in significant blood loss into the thigh
Red text
a properly applied tourniquet must include arterial inflow... what
happens if you only occlude venous system? Correct Answers increase
hemorrhage and result in a swollen cyanotic extremity
the risks of tourniquet use increase over time... if it must remain in place
for a prolonged period to save a life, what choice is made? Correct
Answers choice of life over limb is made
what do you do if a fracture is associated with an open hemorrhaging
wound? Correct Answers realign and splint it while a second person
applies direct pressure to the open wound
in patients with amputated extremities... who is not a candidate for
replantation? Correct Answers pt with multiple injuries who require
, intensive resuscitation and or emergency surgery for extremity or other
injuries
red text
in patients who may be a potential for replantation of amputated
extremity, how do you initially manage the wound? Correct Answers
thoroughly wash the amputated part with isotonic solution (ringers
lactate) and wrap it in moist, sterile gauze... then wrap it in moistened
steril towel, place in plastic bag and transport with pt in an insulated
cooling chest with crushed ice
*be careful not to freeze it though
people with bilateral femur fractures vs unilateral femur fractures
Correct Answers they are at significantly greater risk for significant
blood loss, severe associated injuries, pulmonary complications,
multiple organ failure, and death
What can crush syndrome lead to? Correct Answers aka traumatic
rhabdomyolysis
*if left untreated, can lead to acute renal failure and shock
*muscular insult is a combo of direct muscle injury, muscle ischemia,
and cell death with release of myoglobin
what is indicative of rhabdomyolysis when myoglobin levels arent
available? Correct Answers dark amber colored urine + serum creatine
kinase of 10,000 U/L
