Shock & Perfusion
A trauma patient is tachycardic, pale, anxious, with normal blood pressure after a high-speed MVC.
What is compensated hemorrhagic shock?
A patient has severe arterial bleeding from the leg and is also complaining of shortness of breath. This is treated first.
What is massive hemorrhage control (tourniquet)?
This finding suggests worsening chest injury even if the airway remains open.
Increase work of breathing
This sign commonly in an MVC That's on the abdomen suggests possible internal injury from blunt trauma.
Seatbelt sign.
Focusing on a broken arm while missing shock is this cognitive error.
Tunnel vision
This is the earliest reliable indicator that a trauma patient is entering shock.
What is tachycardia (or changes in perfusion/skin signs)?
This is the biggest mistake when managing airway in trauma patients with suspected spinal injury.
What is failing to open the airway due to spinal concerns?
A patient with chest trauma has normal breath sounds initially but deteriorates during transport. This highlights the importance of this.
Reassessment
These four areas are where blood commonly hides in trauma.
What are chest, abdomen, pelvis, and thighs?
Failing to identify a life threat because of a dramatic but non-lethal injury is this error.
Distracting injury
A patient with a femur fracture becomes increasingly restless and pale despite minimal external bleeding.
What is internal hemorrhage leading to shock?
This airway technique is preferred in trauma when spinal injury is suspected.
What is the Jaw Thrust
This type of chest injury may present with paradoxical movement of the chest wall.
Flail Chest
This area of the body can hold large amounts of blood without obvious external bleeding.
The Pelvis (or indication of using pelvic binder)
A provider avoids using a tourniquet due to fear of causing harm, despite severe bleeding.
What is failure to control hemorrhage appropriately?
This body system begins to fail first when perfusion drops in trauma.
What is the brain (mental status changes)
Clothing is removed to assess injuries, but the patient begins to shiver and deteriorate. This complication is occurring.
What is hypothermia?
What is treatment for sucking chest wound
Chest vent
What Quadrant is appendix in?
RLQ
A provider treats injuries in the order they are found instead of by severity.
What is failure to prioritize life threats?
A trauma patient’s worsening tachycardia and narrowing pulse pressure indicate progression to this stage.
What is decompensated shock?
This is the correct priority order of the primary survey including hemorrhage.
XABCDE (what does each letter mean)?
This condition should be suspected when chest trauma is accompanied by shock and respiratory distress.
Tension Pneumothorax
What is center/ where quadrant meet.
umbilicus
Why is it important to cover and warm trauma Patient
Cold Blood Doesn't Clot.