Trauma — Flashcards

Flashcard 111: Deep second-degree burns involve the epidermis and the reticular dermis and have _____ capillary refill

Answer: no

Flashcard 112: In Adults, Needle thoracostomy is performed in _____ ICS Anterior to Mid-_____ line

Answer: 5th; axillary

Flashcard 113: Injury to Zone _____ of the retroperitoneum with a _____ hematoma should be treated surgically.

Answer: 2; pulsatile::pulsatile/non-pulsatile

Flashcard 114: Injury to Zone _____ of the retroperitoneum with a _____ hematoma should be treated surgically.

Answer: 2; pulsatile::pulsatile/non-pulsatile

Flashcard 115: Parkland formula for an adult with 2nd-degree burns is given by: _____ x weight in kg x % TBSA

Answer: 4

Extra: The **Parkland formula** is traditionally **4 mL** × weight (kg) × % TBSA. **Note on ATLS 10th Edition Update:** ATLS 10th edition now recommends starting resuscitation with **2 mL/kg/% TBSA** for thermal burns in adults to avoid "fluid creep" (over-resuscitation). However, the eponymous "Parkland Formula" still specifically refers to the 4 mL multiplier in standard textbooks (e.g., Bailey & Love, Sabiston) and most competitive exams. For **electrical burns**, the recommendation remains **4 mL/kg/% TBSA** regardless of the guideline used.

Flashcard 116: _____ hemorrhage is characterised by a _____ interval.

Answer: Extradural; Lucid

Flashcard 117: For patients with persistent air leak (>72 hours) and failure of the lung to expand fully after tube thoracostomy, _____ is recommended

Answer: Surgical intervention