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Complexities in Acute Care Part 2 > Crazy As Last Minute Stuff > Flashcards

Flashcards in Crazy As Last Minute Stuff Deck (19)
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1

Early Mobilisation Algorithms

Category C if the patient is

In prolonged bedrest / deconditioned

2

Early Mobilisation Algorithms

Category A if the patient is

Unconscious

3

Early Mobilisation Algorithms

Category B if the patient is

Awake and Physiologically Stable

4

For a category c; a deconditioned; patient we should prescribe

exercise

5

Approach to TBI management is recommended of a multidisciplinary team which can include

Neurointensivists, neurosurgeons, bedside nurses and respiratory therapists plus other randoms

6

INSPIRATORY MUSCLE TRAINING EVIDENCE by a systematic review by Moodie, Julie and Elkins

Significant improvement in strength but NO significant differences in likelihood of weaning, duration of ventilation and survival

7

What did evidence find for passive movements in early mobilisation

Found passive movements had 35% higher specific forces in comparison with the unloaded leg -> supporting the importance of early physical activity in deeply sedated ventilated ICU patients

8

WTF is minute volume?

Tidal Volume X RR

9

So for ventilators, tidal volume is usually what

8-12 mls / kg

10

So for ICP risk patients we can keep ____ movements

passive

11

WTF is PEARL

Pupils Equal and Reactive to Light

[asses reflexes/cranial nerves, looking at dilation / their reaction to light]

12

So when theres minimal displacement / highly fragmented bones, it can be managed with traction for like

6 weeks

13

Gotta do dem outcome measures for trauma patients

Functional Independence Measure
Berg Balance Scale

14

So with a type c pelvic fracture, they can be

unilaterally vertically unstable

bilaterally vertically unstable

or

associated with an ace tabular fracture

15

Force being transmitted through the femur as knees hit the DASHBOARD is likely to result in what fracture

Posterior Column Acetabular Fracture

16

Wtf is the pelvic ring

you know, the sacrum, illium, ligaments and shit

17

the venous network can be compromised with

pelvic fractures (dat Hb is going to get lowwww and affect physiotherapy)

18

HOLY SHT haemorrhage with pelvic fracture WUT DO?????

Pelvic binder / external fixateurs to stabilise and stem dat bleeding

19

Type A pelvic fractures , what kinds

# pelvis not involving ring (dem alvusion fractures)

or

stable minimally displaced pelvic ring fractures