(精选)Principles of Surgery (POS) Critical Care Review教学课件.ppt

a) admit, observe, repeat CXR 6-8 hrs. b) immediate aortography c) CT thorax with contrast d) L anterolateral thoracotomy e) b and c Which of the following is/are indications for emergent angiography in hemodynamically unstable patients with a pelvic ring fracture? a) grossly negative findings on DPL b) micro. positive findings c) grossly negative findings on DPL and continued bleeding requiring ongoing transfusion d) stable patient with an expanding hematomta Regarding liver trauma, which of the following statements is/are true? a) NOM is Rx of choice in stable pt. with isolated hepatic injury b) the Pringle maneuver can be performed for up to 90 min. without ischemic sequelae c) subcapsular hematomas discovered intraop should always be explored d) finger fracture technique for deep lacs is ineffective e) intraop packing, rapid closure, and resuscitation in the ICU has led to an increased mortality 27yo male suffers severe blow to head VSS, breathing spontaneously opens eyes to voice; mumbles words; withdraws to pain Which of the following is/are indicated in the initial evaluation and stabilization? a) CT head b) ETT and hyperventilation c) ICP monitoring d) burrhole on the right side e) A, B, C Which of the following is/are true re: peripheral arterial injuries? a) all patients have diminished or no pulses distal to the extremity b) if the injury cannot be repaired primarily, a prosthetic interposition graft should be used c) all patients with post. knee dislocations should undergo popliteal angio d) compartment syndrome is a contraindication to angiography e) completion angio. is not necessary after the insertion of an interposition graft if distal pulses are present Critical Care Cardiac Physiology PAWP ~ Left atrial pressure CVP ~ Right atrial pressure Exams Approaches to questions that give central pressure data Is the heart working well? Use the cardiac index/cardiac output If the CO is high look for distributive causes of shoc