Exam 4 Review - Trauma

Head/Spine

100

a significant role of the temoporal lobe

speech

200

2 signs of classic neurogenic schock that are different from hemorrhagic shock

bradycardia, skin flushed below the injury site

300

criteria to leave a helmet in place

Does not affect airway, Tight fitting, spinal alignment can be maintained, can be secured to SMR device

400

bleeding within the brain tissue

intracerebral hematoma

500

motor loss to one side of the body ipsilateral to the injury or hemisection of the cord

brown-sequard syndrome

Chest

100

2 injury pathologies causing JVD

cardiac tamponade, tension pneumothorax

200

this is the definition of flail chest

2 or more adjacent ribs fractured in 2 or more places. free floating segment

300

these findings indicate Beck's triad

muffled heart tones, hypotension, jvd

400

thorax receives a direct blow during the heart's repolarization and may initiate immediate cardiac arrest

commotio cordis

500

Severe force is applied to the thorax, forcing blood from the great vessels and back to into the head and neck

traumatic asphyxia

Burns

100

these types of burns get wet dressings

superficial

200

thermal burn most commonly associated with inhalation injury

steam burn

300

this is a criterion for major burns

table pg1903

400

difference in entrance vs exit burn in an electrical burn

entrance small, exit can be extensive and deep

500

estimate TBSA for burns to face, chest, abdomen, genitalia, anterior legs bilaterally

4.5, 9, 9, 1, 9 9 = 41.5

Face/Neck//GI/GU

100

flattened appearance of the face and loss of sensation over the cheek suggests this type of fracture

zygomatic fracture

200

alkali or strong acid eye burns should be irrigated for at least this long

20 minutes

300

an example of one complication, other than massive bleeding, that can occur if carotid or vertebral artery are injured

cerebral hypoxia, air embolism, infarct, permanent neurologic impairment

400

cardinal sign of injury to the genitourinary tract

hematuria

500

suspect injuries to either of these organs with lower rib fractures

spleen or liver

Soft tissue//Ortho

100

this fracture encircles the bone

spiral fracture

200

difference between dressing and bandage

dressing directly covers wound and controls bleeding. bandage keeps dressing in place

300

give me two findings of local infection and give me 2 findings of systemic infection

redness, erythema, streaks, pus, edema

fever, chills, hypotension, tachycardia

400

The destruction of muscle tissue leading to a release of potassium and myoglobin

rhabdomyolysis

500

The 6 P's of compartment syndrome

Pain, Pallor, Pressure, Paresthesia, Pulselessness, Paralysis