Chapter 25- Trauma Overview

Question 1

cavitation

Answer 1

results from the rapid changes in tissue and fluid pressure that occur with the passage projectile

can result in injury to internal organs distant to the actual path of the bullet

Question 2

primary blast injury

Answer 2

Injuries entirely due to blast

Question 3

secondary blast injury

Answer 3

Damage to body as a result of being struck by flying debri

Question 4

tertiary blast injury

Answer 4

When pt was hurled by force against stationary

Question 5

quaternary blast injury

Answer 5

miscellaneous injuries like burns, inhalation, poisoning, etc.

Question 6

what should you use for a penetrating injury to the neck?

Answer 6

an occlusive dressing

Question 7

hemothorax

Answer 7

when blood (instead of air) collects and causes interference with breathing

often caused by chest trauma

Question 8

when is air transport necessary?

Answer 8

Pt is in a remote area or trapped
Distance to trauma center is greater than 20-25 miles
The patient needs medical care and stabilization at the ALS level, and there is no ALS-level ground ambulance service available within a reasonable time frame.
Traffic conditions or hospital availability make it unlikely that the patient will get to a trauma center within the ideal time frame for the best clinical outcome.
There are multiple patients who will overwhelm resources at the trauma center(s) reachable by ground within the time window.
The EMS system requires bringing a patient to the nearest hospital for initial evaluation and stabilization, rather than bypassing those facilities and going directly to a trauma center