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Trauma

  1. Types of shock
    • Hypovolemic
    • Distributive (vasogenic)
    • Cardiogenic
    • Spinal/Neurogenic
  2. Stages of Shock
    • Compensated / Nonprogressive
    • Decompensated / Progressive
    • Irreversible
  3. Signs and symptoms of shock
    • Loss of sympathetic tone
    • Hypotension
    • Skin condition
    • Bradycardia
  4. Early / Compensated shock
    Signs and symptoms
    • Narrow pulse
    • + Orthostatic tilt test
    • Tachycardia
    • Pale, cool skin
    • Diaphoresis
    • No ALOC
    • Anxious / apprehensive
    • Stable BP
    • Dry mucosa
    • Thirst
    • Weakness
    • - Cap refill
  5. Late / Progressive shock
    Signs and symptoms
    • Tachycardia
    • Pale, cool skin
    • Diaphoresis
    • Decreased ALOC
    • Hypotension
    • Nausea
    • Cyanosis
  6. Changes associated with compensated shock
    • Signs and symptoms of early shock
    • BP: normal to high
  7. Management of shock
    (compensated / decompensated)
    • Recovery
    • Fluid replacement
  8. Transportation considerations for Trauma
    • Rapid transport to trauma center
    • Air Medivac
    • **does this pt. need surgery NOW!!**
  9. Changes associated with decompensated shock
    • Signs and symptoms of late shock
    • BP: low
  10. Changes associated with usage of a pneumatic anti-shock garment (PASG)
    • Increased arterial BP 
    • Increased systemic vascular resistance
    • Immobilization of pelvis & lower extremities
    • Increased intra-abdominal pressure
  11. PASG
    indications
    • Hypoperfusion w/ unstable pelvis
    • Decreased systemic vascular resistance
  12. PASG 
    contraindications
    • Pregnancy
    • Impaled abdominal or evisceration injury
    • Ruptured diaphragm
    • Cardiogenic shock
    • Pulmonary edema
  13. Subdural hematoma
    A collection of blood on the surface of the brain
  14. Trauma pt's w/ unexplained shock should be assumed to have:
    • Intrabdominal hemorrhage
    • (retroperitoneal space)
  15. Cushing's triad is a sign of
    Increased intracranial pressure
  16. Hypertension (high BP)
    Bradycardia (slow HR)
    Widening pulse pressure
    Cushing's triad
  17. Hypertension
    Bradycardia
    Bradypnea
    Hyperthermia
    Cushing's reflex
  18. Poor perfusion to the brain
    Cushing's reflex
Author
readyreg29
ID
284879
Card Set
Trauma
Description
Trauma
Updated

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