Chest Trauma — Flashcards

Flashcard 1: extended FAST incorporates _____ and right thoracic views to assess for pneumothorax and haemothorax.

Answer: Left

Flashcard 2: Chest strapping or splinting should be _____ in the management of a flail chest.

Answer: avoided::performed/avoided

Flashcard 3: The most common internal organ affected in a primary blast injury is the _____

Answer: Lungs

Flashcard 4: Voluntary splinting as a result of pain, mechanically impaired chest wall movement and the associated lung contusion are all causes of _____ in flail chest

Answer: respiratory failure

Flashcard 5: 'Pincer contusions' may be seen in trauma to the _____

Answer: lungs

Flashcard 6: Management of flail chest with respiratory failure is _____

Answer: IPPV

Flashcard 7: Parkland’s formula for fluid resuscitation in burns: _____

Answer: 4 mL × weight (kg) × % TBSA

Extra: The calculated volume (typically Ringer's Lactate) is administered as follows: - First half: Given over the first 8 hours from the time of injury. - Second half: Given over the next 16 hours.

Flashcard 8: AAST Kidney Injury Scale: A laceration extending into the renal collecting system is classified as Grade _____.

Answer: IV

Extra: AAST Kidney Injury Scale: Grade I: Contusion or non-expanding subcapsular hematoma. Grade II: Non-expanding perirenal hematoma or laceration <1 cm deep (no extravasation). Grade III: Laceration >1 cm deep (no extravasation). Grade IV: Laceration extending through cortex, medulla, and collecting system; OR segmental vascular injury. Grade V: Shattered kidney OR hilar vascular avulsion/devascularization.

Flashcard 9: _____ is the next best step to manage a case of intraperitoneal bladder rupture

Answer: Laparotomy

Flashcard 10: While deep partial thickness burns _____ heal without scarring, simple partial thickness burns do heal without scarring

Answer: do not