Trauma-Trauma_Trauma-Trauma-Trauma-Traumelion
Rate these 3 things in order from easiest to control to most difficult to control:
Venous Bleeding
Capillary Bleeding
Arterial Bleeding
Capillary-Venous-Arterial
Is age a factor for determining whether or not resuscitative measures should be attempted?
No
True/False:
Weak central pulses is a sign of decompensated shock?
True
Cold, clammy skin is an early indicator of what?
Hypoperfusion/shock
What type of injury would most likely be defined as a "closed, soft tissue" injury?
Hematoma
Sometimes, when a patient is hemodynamically stable, but in a great deal of pain due to injury, it is prudent to initiate pain management interventions _______ the paitent is packaged for transport.
Before
Would a diaphragmatic rupture likely cause JVD?
Yes
Why is fluid or blood loss so much more significant in a peditric patient than an adult?
Children generally have limited fluid reserves/Small container reference
Cushings reflex would imply that the heart rate is _____.
Low, bradycardic, less than 60
As with most critical patients, the most important intervention for a patinet with a serious head injury is what?
Rapid transort to an appropriate trauma facility (Rapid transport works).
What else should you suspect when a patient is found unresponsive after a possible electric shock?
Cardiac involvment, arrhythrimias.
When compared to pediatrics, geriatric patients are more/less likely to shiver when becoming hypothermic?
Less
The most common cause of shock and death in the trauma patient is what?
Hemorrhage
True/False:
"Active rewarming is an appropriate intervention in the trauma patient if the patient begins to become hypothermic."
True
Given that it takes an extreme amount of blood loss for the patient to show signs of hemorrhage through vital signs, what would you expect to be happening to the Pulse Strength of a patient who has lost 1,000 mL of blood?
You would expect it to be decreasing.
When caring for a patient who was in a motorcycle crash, when it is indicated to remove the patients helmet?
When the helmet is impeding a necessary intervention.
The best method (besides suction) to clear the airway of a vomiting patient with spinal immobilization measures in place would be to do what?
Log roll the patient.
What type of injuries can cause a patient to lose their gag reflex (provided the patient still has a pulse)?
Head injuries
According to this test and probably some other sources, how much blood could an adult male patient lose into their abdomen before distenstion would BEGIN?
1.5 Liters
What assessment tool is taught to be useful in differentiating between a hemothorax and a pneumothorax, even if its real world application is not accurately portrayed?
Percuss the Chest
Which would be more likely to cause a pericardial tamponade;
-Low-Energy Penetration Trauma
-Blunt Force Trauma
Low-Energy Penetrating Trauma
Periorbital Ecchymosis is most indicative of what kind of skull fracture?
Basilar Skull Fracture
Capillary wahsout is a result of the relaxation of which capillary sphincters?
Post-capillary sphincters.
Which of these are more likely to cause an increase in heart rate when the body is in compensated shock;
-A decrease in pressure sensed by baroreceptros.
-The release of epinephrine due to DECREASED kidney perfusion.
A decrease in pressure sensed by baroreceptros
The ability to accurately evaluate spinal cord injuries may be inhibited if the patient has what other type of injuries?
Long bone injuries
When a patient is experiencing massive hemorrhage, what is the purpose of maintaining a blood pressure MAP of 65 mmHg (Permissive Hypotenstion)?
We want just enough fluid support to maintain a MAP of 65 mmHg because that is around the minimum necessary to perfuse the vital organs.
What are the 3 components of the Pediatric Assessment Triangle?
Appearance, Work of Breathing, Circulation
What intervention should you avoid if you suspect your patent has experienced a tracheo-bronchial disruption?
Any form of PPV
You are caring for a patient with a penetrating injury to the neck. The patient is tachycardic and complaining of severe gastrointestinal discomfort. What structure in the patients neck was MOST likely damaged?
Vagus Nerve
A patient who suffered an electrical burn has black, charred skin at the site of the burn. What level of thickness is this burn?
Full thickness.
It is important to remember that patients with severe thermal burns needs what kind of resuscitation?
Fluid resuscitation.
What blood vessels are completely unable to constrict?
Capillaries
You encounter a patient who was thrown off of a horse into a pole, and now has paradoxical movement on the left side of their chest. Along with pain management, what intervention will likely be of most benefit for the patients ventilations?
Positive Pressure Ventilations
It is acceptable to leave an extremity injury (Fracture/Dislocation) in the position you found it provided the patient has in tact motor function, sensation, and pulses in the affected extremity distally, unless the injury is a ______ _______ ______ _______, in which case, the injury should be reduced prior to transport if possible.
Mid-Shaft Femur Fracture
In the case of tracheobronchial injuries, where are most disruptions anatomically located?
Near the Carina