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)?
- Airway maintenance with cervical spine protection
- At what GCS score is a definitive airway indicated in a trauma patient?
- GCS 8 or less
- When is an emergent cricothyroidotomy indicated?
- When the patient cannot be intubated and cannot be oxygenated
- Where is a needle decompression performed for tension pneumothorax?
- Second intercostal space at the midclavicular line
- How is tension pneumothorax diagnosed in a trauma patient?
- Clinically, based on exam findings, not by waiting for a chest x-ray
- Which way does the trachea deviate in tension pneumothorax?
- Away from the affected side
- What defines a massive hemothorax?
- 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?
- A three-sided occlusive dressing
- What defines a flail chest?
- Three or more contiguous ribs fractured in two or more places each
- What underlying injury is the main concern with flail chest?
- Pulmonary contusion
- What are the three components of Beck's triad?
- Hypotension, jugular venous distension, and muffled heart sounds
- What bedside test confirms suspected cardiac tamponade in a trauma patient?
- Focused echocardiography (the pericardial view of the FAST exam)
- What is the purpose of the FAST exam in trauma?
- To detect free fluid in the abdomen or pericardium
- What is the initial management step for circulation in trauma resuscitation?
- Place two large-bore IVs and give crystalloid fluid
- What blood product ratio is used in a massive transfusion protocol?
- 1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets