Trauma — Flashcards

Flashcard 81: Surgical evacuation for an epidural hematoma (EDH) is recommended whenever the GCS score is:

Answer: < 9 (or ≤ 8)

Extra: Indications for surgical evacuation of an epidural hematoma (EDH) per Brain Trauma Foundation (BTF) guidelines: 1. **Volume > 30 cm³**: Recommended regardless of the patient's GCS score. 2. **GCS score < 9**: Recommended if there is significant mass effect (thickness > 15 mm or midline shift > 5 mm). Patients with a GCS > 8, EDH volume < 30 cm³, thickness < 15 mm, and midline shift < 5 mm can be managed non-operatively with serial CT scans.

Flashcard 82: Grade _____ renal injury involves a renal cortical laceration < 1 cm in depth without urinary extravasation.

Answer: II

Flashcard 83: Grade _____ renal injury includes subcapsular, nonexpanding hematoma, without parenchymal laceration

Answer: I

Flashcard 84: The _____ fracture is a skull base fracture classically associated with motorcyclist injury.

Answer: Hinge fracture (Skull base)

Extra: A hinge fracture (transverse fracture of the base of the skull) is classically associated with motorcyclists. It often occurs due to a lateral impact to the head or an underrun accident (where the rider's head strikes the tailgate of a truck).

Flashcard 85: A ruptured subcapsular hematoma is suggestive of grade _____ splenic injury.

Answer: III

Flashcard 86: Which scoring system is used to assess risk of mortality in a burns patient?_____

Answer: Baux score

Flashcard 87: Periorbital _____, due to escape of air from the maxillary sinus on nose blowing may occur with zygoma #

Answer: emphysema

Flashcard 88: Parkland formula for electrical injury is _____ml/kg/TBSA% given IV until urine clears

Answer: 4

Flashcard 89: Pelvic fractures are classified under _____ colour in triage

Answer: Yellow

Flashcard 90: _____ is the most common cause of CSF rhinorrhea.

Answer: Trauma