NAME THAT TRAUMA
paradoxical chest wall movement.
flail chest:
three or more adjacent ribs that have been fractured in two or more places as a result of blunt or crush chest trauma, resulting in a “free” segment of the ribs.
fatty bone marrow migrate into systemic circulation
fat embolism
what type of OD impairs CBC and clotting?
Salicylate
Stream of positively charged particles that travel about an inch in the a
Alpha
-No penetration power past the keratinized layer of the skin
-Can be stopped by thin clothing or a sheet of notebook paper
-If ingested, inhaled, or introduced into an open wound, alpha radiation can be very damaging because of the energy transfer to the “delicate” cells of the lungs or internal organs
accumulation of air or blood in the pleural space resulting in a mediastinal shift
tension pneumothorax-------mediastinal shift and tracheal deviation toward unaffected side
compression and tissue ischemia resulting in restricted blood flow to muscle is called
traumatic rhabdomylosis
the patient has suffered an OD and the provider prescribed Flumazenil. What caused this OD?
what type of radiation penetrates the most?
Gamma?
Beta?
Alpha?
Gamma Xrays
performed to remove the air from the pleural space
needle decompression
fasciotomy
procedure in which the surgeon makes incisions on both the lateral and medial side of extremity down the fascia to pressure
The nurse is caring for an unconscious patient coming into the ED after taking an overdose of an unknown substance approximately 1 hour ago. Which of the following actions should the nurse take first?
A. Initiate gastric lavage
B. Insert two large-bore Ivs
C. Assess vital signs with pulse oximetry
D. Insert nasogastric tube
Answer: C
Rationale: Weak or absent respirations or low oxygen levels require immediate intervention before initiating interventions directed at the overdose.
§Several patients present to the triage nurse in an ED. They are complaining of skin redness, itching, vomiting, and diarrhea. What does the nurse suspect the patients have been exposed to?
§A. Radiation
§ B. Chemical agents
§C. Influenza
§D. Biotoxin agent
A.
Acute radiation syndrome (ARS) also known as radiation poisoning,
1-3L of retroperitoneal hemorrhage can be caused by what kind of trauma
pelvic fracture
what is coup and counter coup?
primary injury and secondary injury
§The nurse caring for a patient who has been involved in a high-speed MVC understands that the priorities of care include which of the following?
§1. Secure the airway
§ 2. Provide oxygen
§3. Control bleeding
§4. Expose the patient
§ 5. Perform GCS
§A. 1, 2, 4, 3, 5
§B. 1, 2, 3, 5, 4
§C. 4, 1, 2, 3, 5
§ D. 3, 1, 2, 5, 4
Answer: B.
The primary survey in trauma is prioritized via the ABCDE acronym. A. Secure the airway with C-spine precautions B. Evaluate ventilation and apply oxygen C. Evaluate perfusion, control bleeding, begin fluid resuscitation D. Assess neurological status E. Expose the patient for a complete evaluation and control hypothermia
a fx. that fails to heal in correct alignment
malunion
§The ED nurse is caring for a man who was thrown against a wall following an explosion and has a ruptured spleen. What is this injury considered?
§A. Primary blast injury
§ B. Secondary blast injury
§ C. Quaternary injuries
§D. Penetrating ballistic injury
A
The four basic mechanisms of blast/ explosion injuries are termed as primary, secondary, tertiary, and quaternary. “Blast Wave” (primary) refers to the intense over-pressurization impulse created by the explosion. Types of injuries include pulmonary barotraumas, TM rupture, abdominal hemorrhage and perforation, globe (eye) rupture, and concussion. Secondary injuries are caused by projectiles carried by the blast pressure wave. They can be caused by penetrating ballistic missiles. Quaternary injuries are all other injuries caused by the explosion such as burns.
Ebola, Zika, COVID19 are all examples of what?
Bioterrorism