Multiply Injured Patient

Question 1

What is a trauma network?

Answer 1

Includes all providers needed for trauma cases: pre-hospital services, smaller local trauma units and larger trauma centres, and rehabilitation services

Question 2

What is a major trauma centre?

Answer 2

Provide multi-specialty hospital care to seriously injured patients, optimised for the provision of trauma care

Question 3

What is a pre-alert team made up of?

Answer 3

ED,
Anaesthetics,
Radiology,
Surgical specialities

Question 4

What does the paramedic mention at point of handover?

Answer 4

Time of injury, 
Mechanism of injury, 
Suspected serious injuries, 
Viral signs,
Interventions carried out

Question 5

In a trauma assessment what is a primary survey?

Answer 5

ABC

- detects and treats immediate threats to life

Question 6

In a trauma assessment what is a secondary survey?

Answer 6

Identification of all injuries and more detailed history

Question 7

ABCDE stands for in primary surgery of trauma patient?

Answer 7

Airway with C-spine control 
Breathing with O2,
Circulation with haemorrhage control,
Disability, 
Expose and Environement

Question 8

when should ABC in trauma be used?

Answer 8

In a catastrophic haemorrhage control

Question 9

A C spine is needed in injuries with?

Answer 9

There was a dangerous mechanism,
Reduced conscious levels,
Injury above clavicle,
Neurological signs

Question 10

Blood tests for circulation assessment?

Answer 10

Blood gas,
Lactate,
Haemoglobin

Question 11

Circulation 5 sites for blood loss?

Clue- on the floor and 4 more

Answer 11

Floor, 
Chest, 
Abdomen,
Pelvis, 
Long bones

Question 12

How to monitor volume replacement?

Answer 12

Viral signs,
Urine output,
Lactate

Question 13

Lethal triad in blood loss patients?

Answer 13

Coagulopathy,
Acidosis,
Hypothermia

Question 14

Assessment of Disability in a trauma patient

Answer 14

AVPU, 
GCS, 
Pupils,
Tone and reflexes, 
Log roll

Question 15

DEFG in trauma assessment?

Answer 15

DONT
EVER
FORGET
GLUCOSE

Question 16

Bed side tests that are useful in trauma assessment?

Answer 16

ECG,
arterial blood gas,
Urine dipstick

Question 17

Modern scans used initially in a trauma patient?

Answer 17

FAST scan (Focused Abdominal Scan in Trauma),
CT

Question 18

Common transfers made in a trauma patient?

Answer 18

Theatre (operative management),
Interventional radiology (control of bleeding),
ITU (intracranial pressure monitoring)