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1. 20 y.o. patient with self-inflicted GSW to
Surgical Cric
face-se- vere tissue loss to mid-face and
jaw. Which air- way management
strategies is MOST important?
** Goal: Rapid access to the trachea in the
pres- ence of mid-face trauma allows for
adequate ventilation.
2. What age is appropriate for needle cric? < 12 years old
3. 20 y.o. patient with self-inflicted GSW to abdominal
face-se- vere tissue loss to mid-face and trauma from an
jaw. Which air- way management MVC. C/o
strategies is MOST important? How should severe back
you position the patient prior to es- pain and is
tablishing the airway? hypotensive.
What are
4. 34 week pregnant patient with blunt treatment
abdominal trauma from an MVC. C/o considera-
severe back pain and is hypotensive. tions?
Which of the following is contraindi- cated
initially?
5. 34 week pregnant patient with blunt
abdominal trauma from an MVC. C/o
severe back pain and is hypotensive.
What is this indicative of?
6. 34 week pregnant patient with blunt
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Place in high-fowlers position
Performing a pelvic exam to as- sess uterine injuries
placental abruption
U/S should be performed prior to pelvic exam
High-flow O2
Place patient in lateral decubitus position or place pillows to tilt the
spinal immobilized patient 15-30
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degrees
Start 2 large bore
7. GCS performed on a head trauma IVs 7
patient. Eyes open to cuticle pressure
(painful stimuli) Best verbal- Best eye opening=2
incomprehensible sounds Flexion Best verbal= 2
(decorticate posturing) (incomprehensible words)
What is his GCS? Best motor response=3 (flexion)
a. 6
b. 7
c. 8
d. 9
pH
8. Rhabdomyolysis may be seen in crush
injury, prolonged immobility,
hyperthermia, and drug or toxin
ingestion. The following values may
be increased in skeletal muscle
destruction, EX- CEPT:
**Remember: In Rhabdo, the patient is in
meta- bolic acidosis. CK, Potassium, BUN,
Creatinine, Phosphate, Uric
9. Rhabdomyolysis may be seen in crush Acid, AST, and ALT
injury, prolonged immobility,
hyperthermia, and drug or toxin
ingestion. What lab values are increased
as a result of rhabdo?
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10. Keep patient's head in neutral
midline position.