Basics Of Trauma

Question 1

When should consideration of the mechanism of injury begin?

Answer 1

During scene size up

Question 2

What is index of suspicion?

Answer 2

An anticipation of possible injuries based on analysis of the event

Question 3

The body compensates _____ for internal loss of blood.

Answer 3

Well

Question 4

What is the goal of trauma system quality improvement?

Answer 4

Committees look at selected care modalities to determine if designated standards of care are being met

Question 5

For trauma system QI, QI committees would study the application of?

Answer 5

Trauma triage criteria, performance of field skills, and amounts of time spent in various aspects of response, care and transport.

Question 6

If system standards are not being met, the QI committees may suggest such steps as?

Answer 6

Continuing education programs or modification of protocols

Question 7

The leading killer of persons under the age of 44 in the United States is?

Answer 7

Trauma

Question 8

In the quality improvement process, committees look at selected care modalities to determine if designated standards of care are being met. These modalities are called?

Answer 8

Indicators

Question 9

The trauma system is predicated on the principle that serious trauma is a?

Answer 9

Surgical disease

Question 10

What is trauma?

Answer 10

A physical injury or wound caused by external force or violence

Question 11

What type of trauma occurs when an object enters the body and exchanges energy with human tissue?

Answer 11

Penetrating trauma

Question 12

What type of trauma occurs as the energy and forces of collision with an object - not the object itself - enters the body and damage tissue?

Answer 12

Blunt trauma

Question 13

What was the role of the trauma care systems and development act of 1990?

Answer 13

It helped to establish guidelines, funding, and state-level leadership and support for the development of trauma systems

Question 14

Life-threatening injuries account for less than ______ of all trauma patients

Answer 14

10%

Question 15

Which level trauma center can handle all types of specialty trauma?

Answer 15

Level 1

Question 16

Which level trauma center provides leadership and resource support to all other levels of their regional trauma system?

Answer 16

Level 1

Question 17

At which type trauma center can handle all but the most seriously injured specialty and multisystem trauma patients?

Answer 17

Level II

Question 18

Which level trauma center is a general hospital with a commitment to special staff training and resource allocation for trauma patients?

Answer 18

Level III

Question 19

Which level trauma center is also known as a community trauma center?

Answer 19

Level III

Question 20

In rural regions, a level _____ center may act as the regional trauma center because the incidence of serious trauma does not support any greater commitment.

Answer 20

III

Question 21

________ have a commitment of trained personnel, equipment , and other resources to provide services not usually available at a general or trauma hospital.

Answer 21

Specialty centers

Question 22

_______ are more likely to provide a higher level of intensive care and state-of-the-art injury management than other facilities are able to.

Answer 22

Specialty centers

Question 23

When should mechanism of injury be considered?

Answer 23

During scene size up

Question 24

What is the index of suspicion?

Answer 24

An anticipation of possible injuries based on analysis of the event

Question 25

The body compensates _____ for the internal loss of blood and ______ serious signs of injury until late in the shock process.

Answer 25

Well | Hides

Question 26

What is the golden hour?

Answer 26

From response time to patient getting into surgery

Question 27

Primary and rapid secondary assessments, emergency stabilization, patient packaging, and initiation of transport should be limited to how many minutes?

Answer 27

10

Question 28

What is the trauma registry?

Answer 28

It is a uniform and standard set of data collected by regional trauma centers

Question 29

What is used to determine how well a trauma system is performing and identifies factors that may contribute to or lessen chances of patient survival?

Answer 29

Trauma registry

Question 30

The leading killer of persons under the age of 44 in the United States is?

Answer 30

Trauma

Question 31

Certain trauma centers commit to special emergency department training and have a degree of surgical capability but usually stabilize and transfer seriously injured patients. These centers are designated:

Answer 31

Level III

Question 32

When determining the mechanism of injury, you will identify the?

Answer 32

Forces involved in the incident

Question 33

Limitations of the use of air medical transport include all of the following except?

Answer 33

Indirect route of travel

Question 34

In the quality improvement process, committees look at selected cafe modalities to detained if designated standards of care are being met. These modalities are called?

Answer 34

Indicators

Question 35

In which type of soft-tissue injury is the skin cut or torn, leaving a flap of skin attached?

Answer 35

Avulsion

Question 36

Why does capillary oozing from minor, open, soft-tissue trauma may not stop immediately?

Answer 36

Capillaries cannot contract

Question 37

Pain out of proportion to apparent injury?

Answer 37

Compartment syndrome

Question 38

A sprain is best described as?

Answer 38

Partial or complete tearing if ligaments of the joint capsule

Question 39

What feature of the cranium exacerbates the severity of intracranial trauma?

Answer 39

It is ridged and unyielding

Question 40

Based on your knowledge of anatomy of the head what is true of a epidural bleed?

Answer 40

Epidural bleed is more likely arterial than venous

Question 41

A trauma center that is committed to special emergency department training and has a degree of surgical capability but that usually stabilizes and transfers seriously injured patients is a level _____ trauma center.

Answer 41

III

Question 42

Upon arriving on a scene where the mechanism of injury indicates a potentially life-threatening injury, what will best deliver the care that is needed?

Answer 42

Call immediately for air medical to reduce golden hour

Question 43

Which of the following best describes what happens to the kinetic energy of a vehicle traveling at 65 miles per hour when it collides into a concrete barrier wall?

Answer 43

The body of the vehicle and its occupants absorb the energy

Question 44

What two factors proportionally affect the kinetic energy of a bullet fired from a gun?

Answer 44

Velocity and mass

Question 45

What injury is associated with the tertiary phase of a blast?

Answer 45

Entrapment

Question 46

What injury is associated with the pressure wave produced by a blast?

Answer 46

Pneumothorax

Question 47

In addition to handling all types of specialty trauma, which level of trauma center provides continuing medical and public education programs?

Answer 47

I

Question 48

Anaphylactic shock is a form of ____ shock.

Answer 48

Distributive

Question 49

The increase in myocardial contraction as a result of increased blood return to the heart describes?

Answer 49

Frank-starling law of the heart

Question 50

What finding indicates a progression from compensated shock to decompensated shock?

Answer 50

Dropping level of consciousness

Question 51

Under normal circumstances, at any given moment, most of the blood is in the _____ system.

Answer 51

Venous

Question 52

What is the importance of oxygen in cellular metabolism?

Answer 52

It prevents pyruvic acid from being converted to lactic acid

Question 53

When can resuscitative efforts be terminated?

Answer 53

Decapitation, incineration, trauma to the head or chest clearly incompatible with life, of standing order