Notes in Chapter 14

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Published 11/02/2024 Primary survery includes ABCDEWhat therapeutic adjuncts should be placed during Primary survey?{{c1::Foley (urinary) and Gastric catheter (unless cont…
Published 11/02/2024 What are diagnostic adjuncts that can be done with the Primary survey?{{c1::Pulse oximetry, radiographs, and Focused Assessment by Sonography in Traum…
Published 11/02/2024 What should be done is a fracture is suspeccted on PE? {{c1::CT scan should be obtained}}
Published 11/02/2024 Resuscitation - Airway:Respiratory distress - {{c1::Nonrebreather mask }}Significant respiratory distress - {{c1::Assisted ventilation (Face mask…
Published 11/02/2024 Resuscitation - Circulation: Frank hypotension (defined clinically by a systolic blood pressure <{{c1::70 mmHg plus twice the age in years}})
Published 11/02/2024 Frank hypotension typically requires {{c1::40–60}} mL/kg of warmed {{c1::lactated Ringer’s solution}} followed by {{c2::10–20}} mL/kg of warmed {{c2::…
Published 11/02/2024 The minimum urinary output that indicates adequate tissue perfusion is:{{c1::2}} mL/kg/h in infants{{c1::1}} mL/kg/h in children{{c1::0.5}} mL/kg/h in…
Published 11/02/2024 Secondary survey:CT of the head should be performed whenever {{c1::loss of consciousness}} has occurred or if {{c1::the GCS score is <15.}}
Published 11/02/2024 It can be safely avoided* in children younger than 2 years of age with (1) {{c1::normal mental status}}(2) {{c1::no scalp hematoma except frontal}}(3)…
Published 11/02/2024 Thus, CT of the cervical spine should be considered* only if one or more of the following is present: (1) {{c1::altered mental status}}(2) f{{c1::ocal…
Published 11/02/2024 CT of the abdomen should be obtained(1) {{c1::in intubated patients}}(2) {{c1::with signs of internal bleeding (abdominal tenderness, distention, brui…
Published 11/02/2024 Nonaccidental Trauma should be suspected when (1) {{c1::the injury remains unexplained}}(2) {{c1::a lengthy delay occurs in obtaining treatment}}(3) {…
Published 11/02/2024 Thoracotomy is usually not required except formassive hemothorax ({{c1::20}} mL/kg) or ongoing hemorrhage ({{c1::2–4}} mL/kg/h) from the chest tube, p…
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