Risk Factors & Miscellaneous
Signs and Symptoms
Random Knowledge
Pathophysiology
Treatment Options
100

Another name for Suspension Trauma

Harness Hang Syndrome

100

Time onset of symptoms for suspension trauma

As little as 3 minutes

Average between 5-20 minutes.

100

This practice during ancient Roman times likely led to suspension trauma death?

Crucifixion 

100

Classification of hypotension contributing to suspension trauma

Orthostatic hypotension 

100

The 2 primary goals of Suspension Trauma rescue

To return oxygen supply to the brain and other vital organs while preventing Reflow Syndrome.

200

These harnesses are designed for prolonged support

Front attached harnesses

200

6 signs and symptoms of low flow states

SOB

Tachycardia 

Diaphoresis 

Nausea

Pallor 

Dizziness

200

The proper way to mix a bicarb infusion

What is:

1L D5W bag

Withdraw 150ml of D5W

3 amps

200

Two categories of blood flow contributing to suspension trauma

Low flow

No flow

200

Treatment should/can be initiated when?

PRIOR to

DURING and

AFTER patient movement,

300

These higher risk harnesses create pressure on what areas of the body?

Chest Wall

Femoral Triangle

300

These events often precede the fall (in the harness) that precedes suspension trauma

Trauma, hypoglycemia, fatigue, hypothermia, or fear

causing the individual to fall

300

You should have a high index of suspicion of this common, well understood hematological condition that can occur with suspension trauma

Blood Clots

DVTs

PEs

300

Toxic byproducts that can reach dangerous levels within a short period of time in suspension trauma

K+

Lactic acid

CO2

300

In the unconscious patient, prior to pick off or release, consider this treatment

Bilateral Tourniquets

400

Populations at risk for suspension trauma

rescuers working in a harness

industry employees working in a harness

climbers/cavers in a harness

patients being extricated in a harness

400

A high index of suspicion for developing this if they have been suspended for a prolonged period and are experiencing any symptoms of extremity LOW or NO flow states

Reflow syndrome

400

Following a suspension trauma, the victim should be moved to a hospital with these capabilities

Trauma Services

Dialysis

400

The usual cause of cardiac arrest in a suspended victim who you witnessed to go unconscious

Hypoxic arrest

400

These 4 movements help prevent suspension trauma and reflow syndrome

Seated position

Cycling of legs

Push offs

Use of prusik

500

5 risk factors for developing suspension trauma

Inability to move the legs

Hypothermia

Pre-existing heart disease and lung disease 

Dehydration

Blood loss

500

Reflow syndrome causes this

Trapped blood be allowed to flow back rapidly to the rest of the body

The presence of the K+, Lactic acid, CO2 in this blood can cause multisystem organ disfunction

500

Limb then heart then brain circulation compromise 

The progression of suspension trauma

500

Prolonged limb immobilization or limb strangulation causes this

Tourniquet effect

Greater than 20% circulating volume can be confined to the lower limb that is vertically immobilized

500

The 5 treatment options for minimizing reflow syndrome in an unstable patient

Bilateral TK


IVF

CaCl

Bicarb

Ventolin