DIC - CORRECT ANSWER-Excessive clotting > all clotting
factors used > no more clotting > excessive bleeding
Effects of coagulopathies - CORRECT ANSWER-Decreased
platelet count
Decreased fibrinogen
Decreased HnH
Increased PT, PTT
Increased Ddimer
Multi-Organ Dysfunction Syndrome (MODS) - CORRECT
ANSWER-Irreversible Shock resulting from Triad of Death
Symptoms start within the first week after trauma
Steps to control hemorrhage - CORRECT ANSWER-
Tourniquet
TXA
REBOA
,Permissive Hypotension
Resuscitative Endovascular Balloon Occlusion of the Aorta
(REBOA) - CORRECT ANSWER-Occlusion of the Aorta below
the diaphragm to reduce bleeding
Type A - CORRECT ANSWER-RBC: Type A, O
Plasma: Type A, AB
Type B - CORRECT ANSWER-RBC: Type B, O
Plasma: Type B, AB
Type AB - CORRECT ANSWER-RBC: Type A, B, AB, O
Plasma: AB
Type O - CORRECT ANSWER-RBC: Type O
Plasma: Type A, B, AB, O
Universal Donor of RBC and Plasma - CORRECT ANSWER-
Universal donor of RBC: O negative
Universal donor of Plasma: AB negative
Cryoprecipitate - CORRECT ANSWER-Concentrate of
coagulation factors obtained from fresh frozen plasma
Increases fibrinogen in the bloodstream
Blood Transfusion in Peds - CORRECT ANSWER-One unit of
blood is 10ml/kg
Complications of MTP - CORRECT ANSWER-Hypothermia -
warm all fluids and blood
Hypocalcemia - replace calcium
Acidosis - sodium bicarb
TRALI - stop transfusion, supplemental oxygen
Transfusion-Related Acute Lung Injury (TRALI) - CORRECT
ANSWER-Pulmonary edema due to rapid blood administration
Blood Loss Grades - CORRECT ANSWER-I - Loss of 15% with
normal BP
II - Loss of 15-30% with normal BP
III - Loss: of 31-40% with lowered BP
IV - Loss > 40% with hemodynamic instability
Permissive Hypotension - CORRECT ANSWER-Maintaining
BP as low as 70/40 so allow for clotting.
Contra-indicated in head injuries, peds, and elderly
SCIWORA - CORRECT ANSWER-Spinal Cord Injury WithOut
Radiological Abnormality
Common in Age < 2 yrs
Significance of Bariatric Patients - CORRECT ANSWER-
Increased HR and RR at baseline
Increased abdominal pressures
Increased risk of coagulopathies
SBIRT - CORRECT ANSWER-Comprehensive intervention to
deliver treatment for substance use disorders
Screening
Brief Intervention
Referral to Treatment
Triad of Abusive Brain Injury - CORRECT ANSWER-Subdural
Hemorrhage
Retinal Hemorrhage
Decreased LOC
Types of Stress Disorders - CORRECT ANSWER-State of
Crisis - Immediately after event
Acute Stress Disorder - Lasting at least three days
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