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Airway assessment
3. List down Mallampatis classes
- Class 1 : Complete visualization of soft palate
- Class 2 : Complete visualization of the uvula
- Class 3 : Visualization of only the base of uvula
- Class 4 : Soft palate is not visible at all
4. List 5 causes of anatomical difficulties intubation
- Obesity, Short or thick neck, Poor mobility of neck, Long or High arched palate, Macroglossia,
Protruding incisor teeth, Decrease in Atlanto-Occipital Distance
5. Draw Cormack & Lehane base on its grading
- Lateral edge of pectoralis major, Anterior edge of latissimus dorsi (Mid-Axillary line), 4/5th
Intercostal space (Nipple line)
- Closed using trocha, Open using incision till muscle layer
11. List 5 Indication of Chest tube
- Pneumothorax spontaneous (closed) pneumothorax
- Traumatic open pneumothorax
- Tension pneumothorax
- Hemothorax
- Empyema/Effusions
- Chylothorax
12. How do you suspect Tension Pneumothorax and its Immediate managements in Trauma, List 5
- Tachycardia, Hypotension , Respiratory distress, Tracheal deviation, Hyper-resonance
ipsilaterally, Diminished breath sounds ipsilaterally, EFAST
- Thoracocentesis at 2nd intercostal space
13. Definition of Massive Hemothorax and Flail Chest
- Massive Hemothorax : Blood loss in chest cavity 1500cc or more than 200cc/hr for 2-4
Hours
- Fractures of 2 or more ribs in 2 or more locations
14. Define Cardiac tamponade and Becks Triad
- Trauma causes accumulation of at least 75cc which impairs cardiac fillings resulting in
tamponade and obstructive cardiogenic shock
- Becks Triad : Muffled heart sounds, Hypotension and Distended neck vein
15. Define FAST literally and the probe locations accurately
- Focused Assesment with Sonography in Trauma
- Subxyphoid, RUQ (Hepatorenal/Morrisons), LUQ (Spleenorenal), Suprapubic (POD)
CT brain and Cervical clearance
16. Draw types of brain hemorrhages location
17. List all the need for Head CT Scan (Canadian and New Orleans Criteria)