Trauma primary and secondary survey steps and surgical critical care management scenarios beyond the general Step 2 CK Surgery deck.
40 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the first priority in the primary survey (trauma ABCDE)?
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Airway maintenance with cervical spine protection- At what GCS score is a definitive airway indicated in a trauma patient?
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GCS 8 or less- When is an emergent cricothyroidotomy indicated?
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When the patient cannot be intubated and cannot be oxygenated- Where is a needle decompression performed for tension pneumothorax?
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Second intercostal space at the midclavicular line- How is tension pneumothorax diagnosed in a trauma patient?
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Clinically, based on exam findings, not by waiting for a chest x-ray- Which way does the trachea deviate in tension pneumothorax?
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Away from the affected side- What defines a massive hemothorax?
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Over 1500 mL of blood on initial chest tube output, or over 200 mL per hour for 2 to 4 hours- What is the initial management of an open pneumothorax?
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A three-sided occlusive dressing- What defines a flail chest?
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Three or more contiguous ribs fractured in two or more places each- What underlying injury is the main concern with flail chest?
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Pulmonary contusion- What are the three components of Beck's triad?
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Hypotension, jugular venous distension, and muffled heart sounds- What bedside test confirms suspected cardiac tamponade in a trauma patient?
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Focused echocardiography (the pericardial view of the FAST exam)- What is the purpose of the FAST exam in trauma?
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To detect free fluid in the abdomen or pericardium- What is the initial management step for circulation in trauma resuscitation?
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Place two large-bore IVs and give crystalloid fluid- What blood product ratio is used in a massive transfusion protocol?
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1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets
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