Trauma Emergencies (BJM, Chest Trauma)

Question 1

It refers to the collection of blood in the pleural space as a result of a penetrating or blunt chest trauma

Answer 1

Hemothorax

Question 2

Strain is usually caused by _____ or _____

Answer 2

overexertion; overextension

Question 3

A break in the integrity of a bone

Answer 3

Fracture

Question 4

It refers to the presence of air in the pleural space occurring simultaneously or from trauma

Answer 4

Pneumothorax

Question 5

Intermittent fluctuation and continuous bubbling are normal in a CTT.

Answer 5

False; continuous fluctuation and intermittent bubbling

Question 6

In chest trauma, pneumothorax is usually a result from a laceration in the __________

Answer 6

lung parenchyma

Question 7

It is the insertion of a tube into the pleural space to evacuate air or fluid. It has a one way, two way, and three way bottle systems.

Answer 7

Chest Thoracotomy Tube Insertion

Question 8

Mark the original fluid level, this serves as a basis for _________.

Answer 8

blood replacement

Question 9

The ligaments are partially torn or stretched. It is usually caused by a twisting of a joint beyond its normal range of motion.

Answer 9

Sprains

Question 10

In monitoring VS after CTT insertion, watch out for _____.

Answer 10

hypotension

Question 11

Treatment for soft tissue injuries and closed
fractures. PRICE stands for:

Answer 11

P – Protect the injury (stop using the injured limb, pad to protect)
R – Rest the injury
I – Ice; apply a wrapped ice pack
C – Comfortable support; apply a supportive bandage
E – Elevate to reduce swelling

Question 12

Support the affected body part _____ and _____ the fracture site when transferring.

Answer 12

above; below

Question 13

True or False: Put the bottle above the patient’s chest.

Answer 13

False; below

Question 14

It is a complete displacement or separation of a bone from its normal place of articulation

Answer 14

Dislocation

Question 15

3 classifications of pneumothorax:

Answer 15

1. Spontaneous
2. Open
3. Tension

Question 16

Joints most frequently affected by dislocation

Answer 16

Shoulder
Elbow
Fingers
Hips
Ankles

Question 17

These are injuries in the thoracic cavity, it may be blunt or penetrating.

Answer 17

Chest trauma

Question 18

It refers to the stretching or tearing of
muscles and tendon fibers

Answer 18

Strains

Question 19

Usual placement of CTT:
Pneumothorax: _____
Hemothorax: _____

Answer 19

2nd-3rd ICS MCL/AAL
6th-7th ICS MAL

Question 20

True or False: Teach coughing and ROM exercises at the affected arm.

Answer 20

True

Question 21

Drainage depends on:

Answer 21

gravity
mechanics of respiration
suction

Question 22

_____ confirms air in the pleural space and
mediastinal shift

Answer 22

X-ray

Question 23

It is a first aid procedure define as covering a break in the skin

Answer 23

Bandaging

Question 24

_____ acts as seal and permits air and fluid to drain from the chest and prevents air to move back.

Answer 24

Water

Question 25

CTT helps in regaining _____ pressure in the lungs by the use of a water seal drainage.

Answer 25

negative

Question 26

Fractures may be caused by _____ (projectiles, crush injuries) or by _____ (bones being pulled apart or rotational forces

Answer 26

direct trauma; indirect trauma

Question 27

Continuous bubbling: _________
Fluctuation stops: _________

Answer 27

air leak
tube is dislodged or lung has already reexpanded

Question 28

Have _____, _____, and _____ at the bedside in case of accidental dislodgement.

Answer 28

clamps, sterile gauze, bottle with NSS

Question 29

Treatment for soft tissue injuries and closed
fractures. PRICE stands for:

Answer 29

P – Protect the injury (stop using the injured limb, pad to protect)
R – Rest the injury
I – Ice; apply a wrapped ice pack
C – Comfortable support; apply a supportive bandage
E – Elevate to reduce swelling

Question 30

Aspiration of fluid or air in the pleural cavity

Answer 30

Thoracentesis

Question 31

Purposes of bandaging:

Answer 31

Help control bleeding
Stabilize the body part
Prevent infection