Rural Trauma
This is considered the "neglected disease" of the twenty-first century.
What is rural trauma?
This is the maximum ISS score.
What is 75?
Each emergency department nurse shall be current in this education.
What is TNCC?
Any condition that places the patient at risk for excessive bleeding due to a deficiency of blood clotting elements.
What is bleeding disorder?
Your patient was involved in a farming accident where he sustained an open femur fx and bladder injury. He was brought to your hospital by ambulance. At 3:58pm, on arrival to the ER, his vitals were: B/P 160/90, Pulse 92, RR 18, GCS=15. Based on the information provided, this should be reported for the "Initial ED/Hospital Pulse Rate" data field.
What is 92?
Delayed patient discovery, pre-hospital provider mobilization and response time, severe weather, injury severity recognition, and transport to higher level of care.
What are potential delays in care due to the rural/frontier setting?
The AIS body region a rib fracture be assigned to.
What is chest body region?
Patient-specific trauma data that is maintained by a health care facility, in a format prescribed by ruled promulgated pursuant to statute 34-12-54.
What is the Trauma Registry?
This, prior to injury, requires exogenous parenteral insulin or an oral hypoglycemic agent.
What is diabetes mellitus?
Angela is a 20 year old female brought to your ER due to injuries from a MVC that occurred on I-95 near Palatine, IL. Her home address is 123 First Street, Chicago, IL 60011. Based on the above information this field value should be reported for the "Incident Location Zip" data field?
What is not known/not recorded?
Although 15-20% of the nation's population lives in rural areas, more than this % of trauma deaths occur there.
What is 50%?
The odontoid is part of this AIS body region.
What is head and neck body region?
In South Dakota, these trauma hospitals must present evidence of current trauma hospital verification from the American College of Surgeons.
What are Level I, II, and III trauma hospitals?
History of a persistent elevation of systolic blood pressure >140 mmHg and a diastolic blood pressure >90 mmHg requiring an antihypertensive treatment.
What is hypertension requiring medication?
Olivia is a 15 year old who sustained multiple traumatic injuries in an ATV crash which happened on January 22, 2017 at 2245. She was brought to your facility by EMS and arrived to your ER on January 23, 2017 at 0012. This field value should be reported for the "ED/Hospital Arrival Date."
What is January 23, 2017?
A group of health care professionals, designated by the local hospital, who provide care to the trauma patient.
Who is the Trauma Team?
If a patient has a fracture of the T12 and L1, this many AIS body regions are involved.
What is two?
Any hospital seeking trauma center designation through in South Dakota must submit this to the South Dakota Department of Health.
What is a designation application?
This may be represented by the ability of the patient to complete activities of daily living and I marked YES if the patient prior to injury, was partially or completely dependent upon equipment, devices or another person to complete some or all ADLs.
What is functionally dependent health status?
Ed is an 85 y/o who was walking up the steps at church and fell backwards. He was unconscious and his total GCS was documented as 3 upon EMS arrival. A Trauma Team was initiated and waiting when he arrived March 1, 2018 at 0833. He was intubated by the CRNA at 0847. Ed was discharged by fixed wing to the tertiary care center at 1038. This field value should be reported for the "Total Ventilator Days" data field.
What is one?
It is responsible for development of its trauma team, the assignment of each team member's roles and responsibilities, and credentialing.
What is the health care facility?
The AIS post-dot of a subdural of 11 mm.
What is 5.
What is a Level IV (CTH) Trauma Center.
The patient has a DNR document or similar advance directive recorded prior to injury.
What is advanced directive limiting care?
An injured patient was brought to your ER by EMS after he tripped over his dog at home. He was diagnosed with a 2 rib fractures and was admitted to your hospital. His medical record documented that the patient’s history included a diagnosis of Type II diabetes for which he takes insulin, home oxygen dependency, and that he smokes e-cigarettes daily. What comorbid condition(s) does this patient have?
What is diabetes mellitus?