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Treatment of a GSW to pancreatic tail with ductal injury?
Most prognostic variable within GCS?
Nerve injury with anterior hip dislocation?
Respiratory Quotient consistent with refeeding syndrome?
Most common lidocaine toxicity following skin tingling?
Etiology of tachypnea post femor fx?
Fat emboli syndrome
Etiology of epidural hemorrhage?
Middle meningeal artery
To of 80% circumferential injury to CBD?
Facial fx straight across upper maxilla?
Nerve Injury with midshaft humerus fx?
Nerve injured with anterior dislocation of the humerus?
What type of shock has increased mixed venous O2 sat?
Initial treatment of skin necrosis following coumadin therapy?
Stop coumadin and start heparin
Best indicator of adequate resuscitation in septic shock?
Main fuel of brain in prolonged starvation?
Most reliable indicator of successful endotracheal intubation?
End tidal CO2
- Eyes - none, to pain, to voice, open
- Motor - none, decer, decort, with pain, localize, voluntary
- Verbal - none, sounds, inappropriate words, confused, oriented
Definition of CPP?
MAP-ICP = CPP
Most common transfusion reaction?
What is mechanism?
Febrile non-hemolytic reaction
Recipient abs attack donor WBC in blood
Vitamin associated with peripheral neuropathy?
Etiology of transfusion related acute lung injury?
Donated Abs to recipient WBCs, clot the pulmonary capillaries
Shock with decreased CVP/CO/SVR?
Mechanism of TRALI?
Donated abs to recipient WBCs
Most common heart defect post MI?
(urine NA*Plasma Cr)/(urine CR*Plasma Na)
Receptor site of Norepinephrine?
What is the treatment for penetrating injury to the...
1. Right colon?
2. Transverse colon?
3. Left colon?
1 and 2 - primary repair
3. - diverting colostomy
What is the treatment of duodenal injury at...
1,3,4 - primary repair
2 - pyloric exclusion, gastrojejunostomy, and jejunal patch
What constitutes need for OR tx of subdural or epidural hematoma?
"significant neurologic degeneration"
Three most common sites of aortic transection
#1 Ligamentum arteriosum
#2 Aortic root
#3 Diaphragm hiatus
How do you most commonly dx a diaphragm injury?
See NGT above the diaphragm
What is a Jefferson fx?
C1 burst by axial loading
What 7 maneuvers decrease ICP?
1. Elevate HOB
2. Hyperventilation (temporary, decrease CO2 causes vasoconstriction.
3. Hypernatremia (140-150)
4. Mannitol 1g/kg
5. Barbituate coma (decrease metabolism)
7. Ventriculostomy (decrease ICP to 20)
Predominant characteristic of pneumothorax during anesthesia?
Increased inspiratory pressures
What is the Parkland formula?
fluid rate over 24hrs = weight (kg) x %TBSA x 4
Drug used to prevent PCP pneumomia?
What are Ranson's Criteria at admission?
When is the next value, and what are they?
What does Ranson's predict? -> mortality
Glucose, Age, Lactate, AST, WBC
- 48hrs -
- Calcium, Hematocrit, PaO2, Base defecit, BUN, Fluid Sequestration