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What are the three stages of shock?
Compensated, decompensated and irreversible shock
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RUQ, LUQ, LLQ, LRQ
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What is one of the most commonly fractured bones in the chest?
The clavicle
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What is your indication for TXA?
Severe/uncontrolled hemorrhage
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What is the time on-scene for trauma vs. medical
10 mins trauma
15 mins medical
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What is another way of describing shock?
A state of systemic hypoperfusion
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What nerves innervates your diaphragm?
C-3, C-4, C-5
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What is the definition of a flail chest?
2 or more ribs that are broken in 2 or more places
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When giving medications what MAP are we targeting in a trauma scenario?
Minimum 65, no more than 90
Slide 23 Trauma Shock Bleeding
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If you have a patient in an mvc complaining of chest pain and has hypotension, what type of transport decision do you make?
Load & Go
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Name all distributive shock and what they have in common
Psychogenic, anaphylactic, neurogenic, septic. There is systemic vasodilation in each one
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What do cullen & grey-turner sign have in common?
Internal Bleeding
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What is the most common cause of traumatic aortic disruption?
High-speed motor vehicle crashes
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What does TXA do to your body when administered?
Decreases the body breaking down its own clots
Slide 24 Trauma Shock Bleeding
If someone suffers primary and secondary blast injuries, when should you transport?
Load & Go
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Why is there elevated lactic acid in shock?
Because the body switches from aerobic metabolism to anaerobic metabolism
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What is the criteria for an adult to have fallen from a great height?
20 feet
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Name 2 or more things that would lead to suspect a myocardial contusion?
Crash >20mph, ectopic activity, reentry pathway, dysrhythmia, edema, a blunt force impact
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What is your dose for TXA? After how long is it no longer effective?
1g over 10 minutes. <3 hours for best results
When someone has a revised trauma score of 1, is this a load & go or stay & play?
Load & Go
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What four things does your body use to respond in shock?
1. Baroreceptors 2. Adrenal response 3. Pituitary response 4. RAAS
Slide 10 of Trauma Shock Bleeding
What are your four hollow abdominal organs?
Small & large intestines, bladder, stomach
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What is one intervention that is most important and unique to commotio cordis?
Pericordial thump or AED also acceptable
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How does TXA help prevent hypothermia and acidosis in the trauma triad?
It helps prevent blood loss whihc reduces the other two
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What are the four things the textbook says that would make you load & go?
Alerted mental status, airway/breathing compromise, multisystem trauma, circulatory compromise
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