Chest Injuries
Abdominal/Genitourinary
Orthopedic
Environmental
Diagnostics/Treatment
100

Crepitus

sensation felt when broken bone ends grind together


100

The largest organ in the abdomen?

Liver


100

What is the slender S shaped bone attached by ligments to the sternum?

Clavicle

100
"No one is dead unless..."

"They are warm and dead." 

100
You have been dispatched to a cabin in the woods. Your patient claims he had been locked outside after losing his keys, and now he claims that his fingers feel weird. Upon inspection, you notice a waxy and firm feeling of the skin, and there are blisters scattered on his hands. The skin is mottled and cyanotic. 

Frostbite


Cover loosely with dry sterile dressing, support vital functions, transport 

200

S/S of Cardiac Tamponade


Beck Triad: JVD, narrowing pulse pressure, muffled heart sounds

200

If the patient suffers blunt trauma to the flank, expect

kidney injury

200

What is the zone of injury?

Injury to the surrounding soft tissues, especially to adjacent nerves and blood vessels

200

When core body temperature is less than 90 degrees F

Shivering stops and muscular activity decreases

200

You are dispatched to a football field for a local lacrosse game. The sixteen year old female is complaining of pain between her shoulder blades after reportedly taking a hit minutes ago. When asked to identify where she was hit, she gestures to her right upper abdomen. 

Galbladder injury/inflammation


Monitor and transport

300

S/S of Tension Pneumothorax


Bonus: Name the late and grave finding

Chest pain, tachycardia, marked respiratory distress, low or rapidly dropping oxygen saturation, absent or decreased breath sounds on the affected side, signs of shock, AMS, hypotension

B: Tracheal Deviation 
300
Improper lap belt can cause

Squeezed abdominal injuries, compressed great vessels, or fractures of lumbar spine

300

Two situations in which you must splint limb in position of deformity

When deformity is severe and when you encounter resistance/extreme pain when applying gentle traction to fracture 

300
Splash Effect

Indirectly struck by lightning when near an object that has been struck

300

You are dispatched to a school where a child is feeling ill. The boy says he feels terrible stomach pain, nausea, vomiting, and upon further assessment, you determine the abdomen is rigid and he has muscle spasms. When asked when this started, he said it was earlier this morning after he walked to school. 

Black Widow Bite

Transport 

400

Commotio Cordis


Bonus: Name the heart rhythm

Blunt injury that occurs during critical portion of heartbeat

B: Ventricular fibrillation 

400

Early signs of peritonitis


Bonus: Late signs  

Severe abdominal pain, tenderness, muscular spasm


B: Diminished bowel sounds, distended abdomen

400

S/S of dislocated joint

Marked deformity, swelling, pain aggravated by movement, tenderness on palpation, loss of normal joint motion, numbness or impaired circulation to limb/digit

400

Striking symptom of decompression sickness


Bonus: What is it also known as?

Abdominal and/or joint pain so severe the patient doubles over 


B: Bends

400

You have been dispatched to a patient stuck underneath a vehicle due to an MVC. As the patient is freed by the fire department and you are finally able to make contact, you notice cyanosis and hemorrhaging into the sclera of the eye. Upon further inspection, you realize veins in the neck are distended. 

Traumatic asphyxia

Provide ventilatory support

500
Name at least eight of the Deadly Dozen Chest Injuries

Airway obstruction, bronchial disruption, diaphragmatic tear, esophageal injury, open pneumothorax, tension pneumothorax, massive hemothorax, flail chest, cardiac tamponade, thoracic aortic dissection, myocardial contusion, pulmonary contusion

500

Difference between parietal peritoneum and visceral peritoneum 

Parietal peritoneum covers abdominal cavity and visceral peritoneum covers the abdominal organs

500

Define each of the following fractures: Epiphyseal, greenstick, oblique, comminuted, spiral, transverse

Epiphyseal - fracture in growth section of child's bone

Greenstick - incomplete fracture that passes partway through shaft of bone

Oblique - fracture broken at an angle across the bone

Comminuted - broken into more than two fragments

Spiral - fracture caused by twisting or spinning force

Transverse - fracture occurring straight across bone

500

S/S of HAPE

Shortness of breath, cough with pink sputum, cyanosis, rapid pulse

500
During a storm, kids continued to play baseball outside and lightning struck the area. When you arrive on scene, you find three patients. Upon assessment, Patient A is suffering from tetany and superficial burns, Patient B is claiming they don't know what happened and their fingers are tingling, and Patient C is unresponsive without a pulse and is apneic. 

Ensure scene safety, move patients to place of safety, reverse triage (C,A,B) begin CPR on C

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