Chest Trauma
Golden Rules for Golden Hours
Where's My Leg?
Stars & Dents
100
These are the common thoracic trauma injuries
What are rib fractures and pulmonary contusions?
100
This is the number 1 rule.
What is ensuring safety of the team and patient?
100
This is the term for tearing away of soft tissue.
What is an avulsion?
100
A body in motion will remain in motion unless acted on by an outside force.
What is Newton's First Law of Motion?
200
This level of rib fracture is associated with higher mortality
What is Ribs 1-3
200
This should be assessed to determine the need for additional resources.
What is assessment of the scene situation?
200
This type of injury should be suspected in the event of crushing mechanism
What are the crush syndrome or traumatic rhabdomyolysis?
200
The types of injury in a MVC.
What are car, body, and organs?
300
At the level of ribs 10-12, this must also be considered,
What is abdominal trauma?
300
Beyond safety -- this is the overarching Golden Rule.
What is "do no further harm?"
300
Moving the injured extremity may increase the risk of _______
What is re-bleeding?
300
Signs of external vehicular damage that should raise your index of suspicion for injuries.
What are vehicle axle displacement, rollover, deformity > 20" into vehicle?
400
Suspect this when the trachea is no longer midline.
What is tension pneumothorax?
400
This is important in understanding the spectrum of injuries
What are the kinematics or MOA?
400
This management action slows down the metabolism in the amputated part and prolong the window of time for re-implantation.
What is placing the part in an ice water bath?
400
This should be taken into consideration with any penetrating trauma involving ballistics.
What is cavitation?
500
These are the signs of cardiac tamponade.
What are: Decreased arterial pressure Distended neck veins Muffled heart sounds Pulseless electrical activity
500
This is the window of time from time of arrival that a critical patient should be transported for definitive care.
What is ten minutes?
500
This action should proceed management of the injured extremity or looking for this injury.
What are the primary survey and ABCs?
500
Internal vehicular signs that should raise your index of suspicion for injury.
What are: Intrusion into pax compartment Collapsed steering wheel Starred windshield Cracked dash Broken seat/seatbelts/pedels
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