CHAPTER 7: Trauma

Learning Objectives: At the end of this chapter, the student will be able to:

I. Determine a systematic approach in the evaluation and resuscitation of the injured patient

a. Primary survey

i. Airway management and cervical spine protection

ii. Breathing and ventilation

iii. Circulation with haemorrhage control

iv. Disability

v. Exposure

b. Secondary survey

c. Mechanism of injury

d. Regional assessment of injury

II. Categorize the different classes of hemorrhagic shock

III. Recognize general principles in the management of trauma

a. Transfusion

b. Prophylactic measure

c. Operative approaches

d. Damage Control Surgery

e. Post-operative care

IV. Diagnose specific life-threatening injuries and determine the appropriate management

V. Recognize special groups of population and their distinct physiology

a. Pregnant patients

b. Geriatric patients

c. Pediatric patients
 TABLE OF SPECIFICATION
Topic/Course Title: 7 –Trauma
No. of Hours Taught: 12
Type of Exam: Long Exam
Faculty-In -Charge:  Dr Dy

LEVELS / SKILLS
Remembering Understanding Thinking
(Comprehension/ (Analysis/Synthesis/ TOTAL
(Knowledge)
Application) Evaluation)
SUBTOPICS
Item Item Item
No. No. No.
Placement Placement Placement No. of
of % of % of % %
or Question or Question or Question Items
Items Items Items
No. No. No.
3,12,22,
Evaluation 3 21, 35 13 4 1,2,4,13,
41-50
Classes of shock 9
General Principles 1 36 4 10,32,33,38 2 14,34
7, 19, 5,6,8,,11,15
Specific management 3 25,28,39 7 27,29,30,37, 14 17,18,20,23,
40 24,25,26,31
Special populations 1 16
TOTAL
CHAPTER 8: Burn

Learning Objectives: At the end of this chapter, the student will be able to:
I. Discuss the over-all pathophysiology of burns
a. Cellular effects
b. Physiologic effects
c. Jackson’s Theory of Thermal wounds

II. Classify burns according to mechanism of injury

a. Thermal or contact burns
b. Chemical burns
c. Electrical burn

III. Determine the degree of involvement by depth and their treatment

a. superficial epidermal thickness
b. Superficial partial dermal thickness
c. Deep partial dermal thickness
d. Full thickness

IV. Estimate the degree of involvement by %TBSA and corresponding fluid resuscitation
a. Rule of 9s
b. Rule of Palm
c. Lund & Browder

V. Enumerate the criteria of hospital admission and referral to burn centers

VI. Identify the 3 phases of burn wound management, its associated complications and treatment
1. Emergent phase/resuscitative phase
a. Cardiac
i. Fluid & electrolyte imbalance
ii. Hypovolemic shock
iii. Cardiac dysrhythmias
b. Respiratory
i. Upper RT injury
ii. Pulmonary edema
iii. ARDS
iv. pneumonia
v. Renal failure (Rhabdomyolysis)

2. Acute phase/wound healing phase

a. Infection (Wound Sepsis, catheter-related)
b. GI (Ileus, Curling’s ulcer)

3. Rehabilitative phase/restorative phase

a. Contracture
b. Psychological stress
 TABLE OF SPECIFICATION
Topic/Course Title: 8 - Burns
No. of Hours Taught: 6
Type of Exam: Long Exam
Faculty-In -Charge:  Dr Dy

LEVELS / SKILLS
Remembering Understanding Thinking
(Comprehension/ (Analysis/Synthesis/ TOTAL
(Knowledge)
Application) Evaluation)
SUBTOPICS
Item Item Item
No. No. No.
Placement Placement Placement No. of
of % of % of % %
or Question or Question or Question Items
Items Items Items
No. No. No.
Pathophysiology 8 9,10
Classification 12
Degree 16-20
% TBSA 1 1, 2,3 21-25
Hospital admission 11,
Burn management 4-7, 13-15
TOTAL