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Trauma Emergencies Flashcards

6 cards from real CEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Trauma Emergencies flashcards as text

  1. A patient presents with a traumatic amputation of the right hand. What is the proper preservation method for the amputated part before replantation?

    Answer: Wrap in dry sterile gauze, place in a sealed bag, then place the bag on ice

    The amputated part should be wrapped in moist sterile gauze, placed in a sealed bag, and then placed over ice to prevent direct freezing and tissue maceration.

  2. A burn patient has burns covering the entire anterior trunk, both arms completely, and the head. Using the Rule of Nines, what is the TBSA burned?

    Answer: 45%

    Anterior trunk = 18%, both arms = 18% total (9% each), head = 9% = total 45% TBSA using the Rule of Nines.

  3. For fluid resuscitation of a burn patient, the Parkland formula calculates volume based on which variables?

    Answer: TBSA burned (%) and weight (kg): 4 mL × kg × %TBSA of LR in 24 hours

    The Parkland formula is 4 mL × weight (kg) × %TBSA burned of lactated Ringer's, with half given in the first 8 hours and the second half over the next 16 hours.

  4. A patient with a stab wound to the right chest has decreased breath sounds on the right, hypotension, and tracheal deviation to the left. What is the immediate priority?

    Answer: Needle decompression at 2nd ICS right MCL

    This presentation is classic for right-sided tension pneumothorax; immediate needle decompression is required before imaging to prevent cardiovascular collapse.

  5. Damage control surgery (DCS) in trauma is characterized by which primary principle?

    Answer: Controlling hemorrhage and contamination quickly, then closing and resuscitating before definitive repair

    DCS involves a rapid initial surgery to control bleeding and contamination, temporary abdominal closure, ICU resuscitation to correct the lethal triad, and then planned reoperation for definitive repair.

  6. Which clinical finding is most indicative of a ruptured spleen following blunt abdominal trauma?

    Answer: Left upper quadrant pain with Kehr's sign (referred left shoulder pain)

    Kehr's sign is left shoulder pain caused by irritation of the left hemidiaphragm from splenic hemorrhage, a classic finding of splenic injury.