PHTLS Class Lecture (Attempt) Flashcards

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1
Q

PHTLS GOAL

A

To improve PT outcomes by reducing mortality, treating injuries and minimizing damage resulting from trauma.

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2
Q

What two things may occur with large volume resuscitation with normal saline?

A

Hyperchloremia and metabolic acidosis.

Normal saline carries a pH of 5.5

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3
Q

PHTLS philosophy

A

Prehospital care practitioners must possess and apply critical thinking skills to rapidly make and carry out decisions that will enhance the survival of trauma PTs

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4
Q

A principle is

A

A principle is the basis for maximizing a patient’s chance of survival

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5
Q

A preference is

A

How the principle is implemented

Preferences may change depending on:
-Situation
-Patient Severity
-Prehospital care practitioner knowledge and skills
-Available resources

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6
Q

Assessment Concepts

A

Time Sensitivity of critical injuries

Identify PT acuity and transport to most appropriate facility

Need for systematic assessment to identify injuries order of priority and initiate management during assessment as required.

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7
Q

Reasons to upgrade airway:

A

Airway protection

Respiratory Failure

Expected course

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8
Q

Primary Brain Injury is

A

an injury that occurs at the time of the mechanism and results in mechanical injury.

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9
Q

Secondary Brain Injury is

A

caused by the physiologic response to the primary injury:
-injuries to structures that were not originally harmed by the primary injury.

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10
Q

Preventing secondary injury is

A

the primary focus for the prehospital practitioner managing traumatic brain injured PTs

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11
Q

Epidural Hematoma

A

Occurs above the Dura & moves side to side. Causes mass effect

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12
Q

Subdural hematoma

A
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13
Q

subarachnoid hemorrhage

A
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14
Q

hypotension in a patient with TBI is a Bad thing!

A
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15
Q

Signs of Herniation

A

-Dilated Pupil
-Weakness on one side of the body
-Babinski Reflex
-Abnormal Posturing
-Cushing reflex leads to Cushing’s Triad

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16
Q

Class IV Shock findings..

A

This class is marked by tachycardia, tachypnea, profound confusion, decreased systolic BP.

17
Q

Normal amount of Na+ in the body…

A

135-145 mEq/L

18
Q

Normal amount of Chloride in the body..

A

96-106 mEq/L

19
Q

Cord Concussion

A
20
Q

Cord Contusion

A
21
Q

Spinal Shock

A
22
Q

Cord Compression

A
23
Q

Cord Laceration

A
24
Q

Complete Cord Transection

A
25
Q

Incomplete Cord Transection

A
26
Q

Superficial Burn

A

involve only the epidermis.

RED and PAINFUL

27
Q

Partial-Thickness Burns

A

-Involve epidermis and varying portions of portions of the underlying dermis
-Will appear as blister

Blistering, Painful, Glistening Wound Bed

28
Q

Full-thickness Burns

A

Deep into the tissue and result in complete destruction of the epidermis and dermis

LEATHERY, WHITE AND CHARRED, DEAD TISSUE,VICTIMS WILL HAVE PAIN FROM BURNED AREAS ADJACENT TO THE FULL-THICKNESS BURN.

29
Q

Parkland Formula PG 445

A
30
Q
A
31
Q
A