The Sunday Signs
It's My Term
What Do You Do?
Never Trauma Give You Up
Bleeding the Fifth
100
If a trauma patient has ineffective breathing (this can be slow or fast, shallow breathing), we should assist in ventilations after...
What is... controlling any bleeding and clearing the airway?
100
The bone found center mass in the anterior chest.
What is the sternum?
100
These are two times in which we would remove an impaled object from the patient.
What is 1) when airway is occluded/compromised and 2) when object is in the way of CPR and compressions need to be performed.
100
These are three ways in which we treat for shock...
What are: keep pt warm, provide O2, position of comfort
100
This is the term for coughing up blood (from the lungs).
What is hemoptysis?
200
These three things are signs of increasing intracranial pressure.
What are widened pulse pressure, hypertension, and irregular respirations? AKA Cushing's Triad.
Also don't forget rapidly deteriorating mental status which can clue you in earlier.
200
This is a definition of "index of suspicion."
What is a concern for underlying injuries?
200
You come across a patient who appears to have been ejected from a motor vehicle collision, is unconscious, and has an obvious deformity to right femur. These are the steps in your primary assessment.
What are:
-stabilize C-Spine
-Circulation: Blood Sweep/stop any bleeds
-check Airway
-check Breathing/assist if necessary
200
Evaluating an unrestrained driver he complains of a tearing sensation and you note unequal radial pulses.
What is Aortic Dissection?
200
Term to describe when blood enters the pericardial sac surrounding the heart.
What is cardiac tamponade?
300
Often lethal disruption of heart rhythm that occurs as a result of a blow to the area directly over the heart
What is commotio cordis?
300
When you assess the damage of a motor vehicle collision, you are looking for this. (Hint: PPE, scene safety, number of patients, consider ALS...)
What is Mechanism of Injury?
300
This is your treatment plan for a 73yof patient who was bitten by a rattlesnake on the right forearm while gardening. Pt is Alert with GCS of 15, complaining of pain at the site of the snake bite. You see redness and swelling at the site.
What is immobilize the affected arm and keep it level with heart or slightly below?
300
This should be done before and after splinting an injury.
What is checking for distal circulation?
300
This is the name of this bruising pattern seen below. (Also describe what causes it and if this bruising is an early or late sign).
What is Grey Turner's Sign?
(This can indicate bleeding within the peritoneum and it is a very late sign).
400
These are signs of a developing tension pneumothorax.
What are shortness of breath, absent lung sounds on affected side, tracheal deviation (late sign), JVD (late sign)?
400
These are four different solid organs found in the abdomen
What are Liver, Spleen, Kidneys, Pancreas, or Ovaries?
400
You respond to a 27 year old complaining of a .22 caliber gunshot wound. You note an entry wound on anterior RUQ and exit wound on patient's back (posterior). Pt is vitally stable with GCS of 15 and primary assessment is unremarkable. This is what you would perform during transport and also what would be in your index of suspicion.
What is a secondary trauma assessment? Index of suspicion should be high for internal bleeding in the abdomen and injury to vital organs.
400
Two fractures exist on a rib, which produces a free segment which cannot contribute towards lung expansion.
What is flail chest?
400
This is the name of this bruising pattern seen below. (Also describe what causes it and if this bruising is an early or late sign).
What is Cullen's sign?
(This can be caused by acute pancreatitis or bleeding within the peritoneum).
500
Long bone/joint immobilization should be performed before moving pt to med for transport. True/False/It Depends...
Splinting should be done before moving patient unless they are vitally unstable.
500
These are four different hollow organs found in the abdomen.
What are stomach, gallbladder, small intestine, large intestine, bladder, or uterus?
500
A patient has been shot through the right hip flexor and bright red blood is spirting out.
The first intervention for junctional wounds is
wound packing, pressure, consider hemostatic gauze
500
This is the definition of evisceration and how you should treat it.
What is the protrusion of internal organs through a wound. This is treated with moist, sterile dressing.
500
These are the names of the three meninges. And this one is the toughest of the three...
Starting with closest to the brain and moving outward, what are pia mater, arachnoid mater, and dura mater?
Dura mater is the toughest.