Mass Casualty Management — Flashcards

Flashcard 1: The primary cause of early mortality in burns is _____

Answer: burn shock.

Flashcard 2: Phase II of damage control sx consists of secondary resuscitation to correct _____, coagulopathy, and acidosis

Answer: hypothermia

Flashcard 3: Phase III of damage control sx consists of _____ typically occuring 48 to 72 hours following initial and after successful secondary resuscitation

Answer: definitive surgery

Flashcard 4: Parkland formula for electrical injury is _____ml/kg/TBSA% given IV until urine clears

Answer: 4

Flashcard 5: Phase I of damage control sx consists of initial operative exploration to attain rapid control of active _____ and contamination

Answer: hemorrhage

Flashcard 6: 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 7: 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 8: _____ is the next best step to manage a case of intraperitoneal bladder rupture

Answer: Laparotomy

Flashcard 9: Deep partial thickness burns are _____ and are painful to pressure only

Answer: not blanchable

Flashcard 10: Massive transfusion (MT) is defined as the replacement by transfusion of _____ units of pRBCs in 24 hours or more than 4 units of pRBCs in one hour.

Answer: 10