TCAR
- ANS-aphesis platelets
- ANS-coagulopathies
- ANS-Dakin's solution
- ANS-damage control resuscitation
- ANS-difference between a simple and tension pneumo
- ANS-Electrical alternans (alternating amplitude on EKG)
- ANS-empyema
- ANS-finger thoracotomy
- ANS-how does a negative pressure wound vac worl
- ANS-how to do internal cardiac massage
- ANS-how to perform FAST
- ANS-hydrogen peroxide
- ANS-impact in a coup-countrecoup injurt
- ANS-indication for ankle brachial indedx
- ANS-intractable pain
- ANS-invarably
- ANS-IVF to brain injured patients
- ANS-jack knife injury
- ANS-mesenteric injuries
- ANS-metabolic derangement
,- ANS-modality
- ANS-orthostatic hypotension
- ANS-permissive low bp
- ANS-simple v. tension v. open v. closed. v. hemothorax v. hemopneumothorax
- ANS-SIRS criteria versus qSOFA
- ANS-thorax
- ANS-uncal herniation
- ANS-what are considered "great vessels"
- ANS-what lab studies does a trauma patient need to gauge end points of resuscitation
- ANS-youtube "embrace life - always wear your seatbelt"
_PRBC - ANS-only blood product that carries oxygen
-6 - ANS-base deficit where you would suspect shock
-neurogenic/spinal shock
-monitoring for ascending weakness/paralysis/sensory loss
-edema & contusions always get worse before better - ANS-inpatient critical care of SCI
-underresuscitation if pt is in prerenal failure (hypoperfusion/hypovolemia. "tank isn't full")
**damage to nephron
rhabdo (myoglobinurenia)
IV contrsast,
nephrotoxic meds like gent/vanc
diabetes - ANS-causes of intrarenal failure
-what was the dose of energy?
-where did it go?
-what injuries are likely? - ANS-3 questions to ask in trauma
,ook at backside too b/c that is often missed - ANS-important assessment piece if pinned
...to blow off CO2....
...to create r. alkalosis...
...to compensate for m. acidosis....
,...caused by lactic acidosis....
...tdue to poor tissue oxygenation - ANS-purpose of hypERventilation
"blossom" over time - ANS-important to remember about contusions anywhere
"Blossoms" - ANS-hemorrhage/edema in SCI
"blossoms" over time
watch & supportive care - ANS-treatment for a lung or heart bruise
"front and back, inside and out"
-anterior 2/3 does movement (all the functions we'll really miss)
-posterior 1/3: proprioception, vibration, deep pressure (technically, you could live without"
*spinal tracks are grouped like bundles of cables
(upper extremity and torso wires are in the center, lower extremity/torso are at periphery" -
ANS-what is all you need to know in order to understand incomplete spinal cord syndromes
"get it out" but isn't always emergent
if acute, the shift is quick so needs rapid evacuation
if small/chronic. not rushed. not much shift
craiotomy and clot evacuation - ANS-intervention for "subdural hematoma"
"if you wouldn't put it in your eye, don't put it in a wound"
-tap water, commercial wound cleansers - ANS-tips for what you should use to clean a wound
"inside and out"
grouped like a bundle of cables
-upper extremity and torso "wires" are in the center
-lower extremity/torso are at the periphery - ANS-how are the spinal tracts grouped
"needle D" - ANS-how to convert a tension pneumothorax to a simple pneumo
"plumbing problem"
outflow obstruction - ANS-what is happening in postrenal failure
"pop the bubble" with needle/finger.
to restore CO. life saving - ANS-needle "d" for tension pneumo
"see-wohr-uh"
"SKee-wohr-ah"
SCI w/o radiographic abnormality - ANS-SCIWORA
"that's backwards"
so compensation CO.
, pt's is telling us that he's only maintaining CO by increasing HR - ANS-HR > SBP
"Why did you fall?"
mechanical versus medicinal
medicinal = rx, syncope, dissy, pacemaker dysfunction, hypovolemia, stroke/TIA, seizure,
infection, intoxication, dysrhythmia, orothstatic hypotension - ANS-question to ask if a pt falls
"You are the most valuable piece of equipment in the trauma room" - ANS-what is the most
valuable piece of trauma equipment
(SBP + 2DBP)/3
pressure felt by organs - ANS-calculate MAP
(SpO2 - SvO2) x hemoglobin x 1.36 x CO x10
*tells us opportunities for intervention to reverse oxygen debt. multiple places for us to provide
interventions
*example = PRBC/plamsa - ANS-calculate VO2
` - ANS-indications for MRI, CT, US, CXR
`125ml - ANS-blood loss in a single rib fracure
+2 adjacent rib fracture
free floating sternum - ANS-definition of flail chest
+2 to -2 - ANS-normal base deficit
= septic risk
* thinn ethnoid bone is the only thing that separate sthe sterile brain from the dirty nose
*risk of nasla tube getting into the brain - ANS-problem of head injury where the ethmoid
bone/cribicorm break
>20 -30 mm hg
if they suspect compartmetn syndrome, the person might go straight to OR rather than measure
pressure - ANS-compartment pressure that indicates ischemia
$300 - 1million - ANS-first year cost of SCI
0 - 5 mm hg - ANS-normal compartmetn pressure
0 - 5mm hg - ANS-normal intraabdominal pressure
0-15 mm hg - ANS-normal ICP
- ANS-aphesis platelets
- ANS-coagulopathies
- ANS-Dakin's solution
- ANS-damage control resuscitation
- ANS-difference between a simple and tension pneumo
- ANS-Electrical alternans (alternating amplitude on EKG)
- ANS-empyema
- ANS-finger thoracotomy
- ANS-how does a negative pressure wound vac worl
- ANS-how to do internal cardiac massage
- ANS-how to perform FAST
- ANS-hydrogen peroxide
- ANS-impact in a coup-countrecoup injurt
- ANS-indication for ankle brachial indedx
- ANS-intractable pain
- ANS-invarably
- ANS-IVF to brain injured patients
- ANS-jack knife injury
- ANS-mesenteric injuries
- ANS-metabolic derangement
,- ANS-modality
- ANS-orthostatic hypotension
- ANS-permissive low bp
- ANS-simple v. tension v. open v. closed. v. hemothorax v. hemopneumothorax
- ANS-SIRS criteria versus qSOFA
- ANS-thorax
- ANS-uncal herniation
- ANS-what are considered "great vessels"
- ANS-what lab studies does a trauma patient need to gauge end points of resuscitation
- ANS-youtube "embrace life - always wear your seatbelt"
_PRBC - ANS-only blood product that carries oxygen
-6 - ANS-base deficit where you would suspect shock
-neurogenic/spinal shock
-monitoring for ascending weakness/paralysis/sensory loss
-edema & contusions always get worse before better - ANS-inpatient critical care of SCI
-underresuscitation if pt is in prerenal failure (hypoperfusion/hypovolemia. "tank isn't full")
**damage to nephron
rhabdo (myoglobinurenia)
IV contrsast,
nephrotoxic meds like gent/vanc
diabetes - ANS-causes of intrarenal failure
-what was the dose of energy?
-where did it go?
-what injuries are likely? - ANS-3 questions to ask in trauma
,ook at backside too b/c that is often missed - ANS-important assessment piece if pinned
...to blow off CO2....
...to create r. alkalosis...
...to compensate for m. acidosis....
,...caused by lactic acidosis....
...tdue to poor tissue oxygenation - ANS-purpose of hypERventilation
"blossom" over time - ANS-important to remember about contusions anywhere
"Blossoms" - ANS-hemorrhage/edema in SCI
"blossoms" over time
watch & supportive care - ANS-treatment for a lung or heart bruise
"front and back, inside and out"
-anterior 2/3 does movement (all the functions we'll really miss)
-posterior 1/3: proprioception, vibration, deep pressure (technically, you could live without"
*spinal tracks are grouped like bundles of cables
(upper extremity and torso wires are in the center, lower extremity/torso are at periphery" -
ANS-what is all you need to know in order to understand incomplete spinal cord syndromes
"get it out" but isn't always emergent
if acute, the shift is quick so needs rapid evacuation
if small/chronic. not rushed. not much shift
craiotomy and clot evacuation - ANS-intervention for "subdural hematoma"
"if you wouldn't put it in your eye, don't put it in a wound"
-tap water, commercial wound cleansers - ANS-tips for what you should use to clean a wound
"inside and out"
grouped like a bundle of cables
-upper extremity and torso "wires" are in the center
-lower extremity/torso are at the periphery - ANS-how are the spinal tracts grouped
"needle D" - ANS-how to convert a tension pneumothorax to a simple pneumo
"plumbing problem"
outflow obstruction - ANS-what is happening in postrenal failure
"pop the bubble" with needle/finger.
to restore CO. life saving - ANS-needle "d" for tension pneumo
"see-wohr-uh"
"SKee-wohr-ah"
SCI w/o radiographic abnormality - ANS-SCIWORA
"that's backwards"
so compensation CO.
, pt's is telling us that he's only maintaining CO by increasing HR - ANS-HR > SBP
"Why did you fall?"
mechanical versus medicinal
medicinal = rx, syncope, dissy, pacemaker dysfunction, hypovolemia, stroke/TIA, seizure,
infection, intoxication, dysrhythmia, orothstatic hypotension - ANS-question to ask if a pt falls
"You are the most valuable piece of equipment in the trauma room" - ANS-what is the most
valuable piece of trauma equipment
(SBP + 2DBP)/3
pressure felt by organs - ANS-calculate MAP
(SpO2 - SvO2) x hemoglobin x 1.36 x CO x10
*tells us opportunities for intervention to reverse oxygen debt. multiple places for us to provide
interventions
*example = PRBC/plamsa - ANS-calculate VO2
` - ANS-indications for MRI, CT, US, CXR
`125ml - ANS-blood loss in a single rib fracure
+2 adjacent rib fracture
free floating sternum - ANS-definition of flail chest
+2 to -2 - ANS-normal base deficit
= septic risk
* thinn ethnoid bone is the only thing that separate sthe sterile brain from the dirty nose
*risk of nasla tube getting into the brain - ANS-problem of head injury where the ethmoid
bone/cribicorm break
>20 -30 mm hg
if they suspect compartmetn syndrome, the person might go straight to OR rather than measure
pressure - ANS-compartment pressure that indicates ischemia
$300 - 1million - ANS-first year cost of SCI
0 - 5 mm hg - ANS-normal compartmetn pressure
0 - 5mm hg - ANS-normal intraabdominal pressure
0-15 mm hg - ANS-normal ICP
