14272997
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| 1. TRUE/FALSE? A. Trauma is the commonest cause of death in childhood in the developed world. | True |
| 1. TRUE/FALSE? B. A secondary survey involves assessment of airway, circulation and breathing. | False. A secondary survey involves a thorough head to toe examination including inspection of all orifices (ears, nose, and urethral meatus) to look for potential injuries in trauma cases. This follows a primary survey which involves assessment and stabilization of airway, breathing and circulation. |
| 1. TRUE/FALSE? C. Radiological tests are not a part of primary survey in trauma cases. | False. X-ray of the chest, pelvis and cervical spine (lateral view) are an essential part of the primary survey. |
| 1. TRUE/FALSE? D. Children have a small mandible as compared to adults. | True. Children have a small mandible as compared to adults. Exercise caution if doing the chin lift manoeuvre as you may inadvertently cause airway obstruction by applying pressure on soft tissues. |
| 1. TRUE/FALSE? E. Cuffed tubes are preferred in young children for intubation. | False. Uncuffed tubes are preferred in young children for intubation in view of the risk of pressure necrosis associated with cuffed tubes. |
| 1. TRUE/FALSE? F. Nasopharyngeal airways are contraindicated in fracture base of skull. | True. Nasopharyngeal airways are contraindicated in cases of fracture base of skull as are nasogastric tubes. Suspect fracture of the skull base in case of any bleeding from the ears, nose or throat. |
| 1. TRUE/FALSE? G. A surgical cricothyroidotomy is not anatomically feasible in children under 12 years of age. | True. A cricothyroidotomy is not anatomically feasible in children under 12 years of age owing to lack of space between the thyroid and cricoid. |
| 1. TRUE/FALSE? H. A fall in blood pressure is an early indicator of shock. | False. Fall in blood pressure is a late manifestation of shock. Early indicators include elevation in pulse rate and narrowing of pulse pressure. |
| 1. TRUE/FALSE? I. Fluid bolus should consist of half normal saline in children. | False. Fluid bolus should consist of isotonic solutions such as normal saline or Ringer Lactate in children. Never use hypotonic solutions such as half normal saline for intravenous fluid bolus at any age. |
| 1. TRUE/FALSE? J. The intra osseous route is useful for emergency fluid resuscitation in case of failure to obtain intravenous access. | True. The intra osseous route is useful for emergency fluid resuscitation and drug administration in case of failure to obtain intravenous access. |
| 2. What is the AVPU scale for assessing level of consciousness? | A: Child is Alert V: Child responds to Voice P: Child responds to Pain U: Child is Unresponsive P is approximately GCS level 8, if child scores P or U they will need airway protection |
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