Energy
If someone falls and lands on their feet, what type of injury should we be most concerned for?
Spinal injruy
What type of respirations will you see with rib fractures?
Shallow and rapid.
How do we treat for shock?
Rapid transport
Put the pt supine
High flow oxygen
Keep them warm
What fracture has the greatest potential for internal bleeding?
The pelvis.
What is the definition of a fracture?
A break in the continuity of the bone
What is the definition of work
Force acting over distance
Intra abdominal bleeding - What are early signs/symptoms vs late signs/symptoms?
Early- pain, distention, tachycardia, tachypnea
Late- Bruising, hypotension, AMS
How do we treat a sucking chest wound? (open pneumothorax)
Occlusive dressing
Plus c-spine if needed, ABCs, rapid transport, treat for shock
Approx. what percentage of blood does an adult have to lose to see signs and symptoms of shock?
20%
What component of blood is responsible for clotting?
Platelets
Your patient suffered a high mechanism injury to their C7. What should you be concerned for?
Paralysis of intercostal muscles
Your pt had a fall. You can only ask 3 questions about the fall. What are some of the most pertinent things you can ask?
Height of fall?
What part of the body did they hit?
What surface did they strike?
LOC?
Blood thinners?
How do we handle impaled objects that are still in the pt?
Stabilize the object and leave it there UNLESS it obstructs the airway or CPR.
Your pt has a femur fracture. How much blood should we estimate they have lost?
1 liter or more
What maneuver should you use to open the airway in a trauma pt?
Jaw thrust
Finish this sentence:
An object in motion will remain in motion....
until acted upon by an external force
If your pt has a closed skull fracture, where are 2 characteristic places you may see bruising?
Behind the ears (mastoid process bruising), around the eyes.
How do we treat avulsions?
Place the skin back where it should be, place sterile dressings over and secure.
What is Cullen's sign and what does it tell us?
Pt is bleeding internally
A healthy 15 YOM was tackled while playing football and is now in cardiac arrest. What condition is he likely suffering from?
Commotio cordis
What 2 types of MVCs have the greatest potential for multiple impacts?
Rollovers and rotational accidents
Low HR
High BP
Irregular respirations (Cheyne stokes)
How do we treat crush injuries to extremities?
Place tourniquets on crushed extremities, treat for shock
What is melena and what is it associated with?
Melena is black, tarry stools associated with a GI bleed.
If the skin is burned, what 3 things is the pt at risk for?
Hypothermia, hypovolemia, infection