Mechanism of Injury
This type of collision transfers energy from the front of a vehicle
Frontal impact
The first priority in Trauma care
What is the airway
What is hemorrhagic (hypovolemic) shock
Most common cause of shock in trauma
This part of the spine is injured the most
The cervical spine
What sections make up the Glasgow Comma Scale
Eye opening response; Verbal response
Motor response
This type of trauma results from bullets or knives
Penetrating trauma
What is a tension pneumothorax
Absent breath sounds on one side and hypotension
What is tachycardia
Early shock usually produces this change in heart rate
The preferred method of spinal motion restriction for most patients today
What is maintaining spinal alignment with appropriate immobilization rather than routine long board use
What device is preferred to control severe extremity bleeding
The tourniquet
This type of crash mechanism has the highest risk for cervical spine injury
Rear-end collision
What are a sucking chest wound, respiratory distress and decreased breath sounds
3 signs of an open pneumothorax
What is hypotension
A late sign of shock
Name the 5 sections of the spinal column
Cervical; thoracic; lumbar; sacrum; and coccyx
Define the Golden Hour
The first 60 minutes after a severe injury
Name three criteria that suggest a high-energy mechanism
Ejection, death in the same passenger compartment, prolonged extrication, high speedimpact
2 or more adjacent ribs are fractured in 2 places
What is a flail chest
This shock may produce warm, dry skin after spinal chord injury
What is neurogenic shock
Provide two examples of a axial load injury
Diving accident; spear tackling
How long should the responding EMS team stay on the scene of a severe trauma incident
10 minutes
Should normal-appearing patients with high-risk mechanisms still get a full assessment and a trauma-center transport decision.
Yes
Name 3 immediate life threating chest injuries
Tension pneumothorax; open pneumothorax ; massive hemothorax; cardiac tamponade; flail chest; airway obstruction
What are 4 signs of compensated shock
Tachycardia; cool clammy skin; anxiety/restlessness and narrowed pulse pressure
Name 4 neurologic findings suggesting spinal chord injury
Paralysis; numbness, tingling; weakness; loss of bowel or bladder control; priapism; absent sensation
In NY State which mechanism creates the greatest percentage of EMS calls
Injury from a fall