trauma

Question 1

signs and symptoms of open pneumo

Answer 1

dyspnea, cyanosis, gurgling/sucking chest sound, tachypnea and grunting, absent breath sounds on affected side

Question 2

interventions for open pneumothorax

Answer 2

occlusive dressing taped on 3 sides
high flow oxygen
chest tube

Question 3

signs and symptoms of pneumothorax

Answer 3

Severe respiratory distress, dyspnea
Tracheal shift towards uninjured side
Decreased/absent breath sounds
Distended neck veins
Hyper-resonance on injured side
Dyspnea or sudden chest pain extending to shoulders
Tachypnea and Tachycardia
Hypotension and cyanosis are late signs

Question 4

intervention for tension pneumo

Answer 4

needle thoracentesis
chest tube
high flow oxygen

Question 5

signs and symptoms of hemothorax

Answer 5

Signs/Symptoms:

• Hypovolemic shock
• Decreased breath sounds
• Tracheal deviation
• Dyspnea
• Tachypnea
• Chest pain
• Restlessness
• Dullness on percussion

Question 6

paradoxical chest wall movement

Answer 6

Flail chest - 2 or more broken ribs

Question 7

flail chest interventions

Answer 7

high flow oxygen
intubate/ventilate
fluid resuscitation
analgesia to improve ventilation

Question 8

cardiac tamponade

Answer 8

compression of the heart due build up of fluids or blood between the myocardium and pericardium

Question 9

becks triad

Answer 9

hypotension
JVD
muffled heart sounds

Question 10

treatment for cardiac tamponade

Answer 10

pericardiocentesis

Question 11

interventions for abdominal trauma

Answer 11

ABC's 
serial abdominal exams 
sterile dressings 
NG/OG 
foley catheter 
antibiotics

Question 12

cushings triad

Answer 12

hypertension
bradycardia
respiratory depression

Question 13

epidural hemorrhage

Answer 13

instant

Question 14

signs and symptoms of subdural hematoma

Answer 14

unexplained headache
personality changes
increased ICP
hemiparessis/plegia

Question 15

causes of diffuse axonal injury

Answer 15

fast deceleration

brain bouncing