Chapter 10 Trauma and Mobile Imaging

Question 1

When called to the emergency room, supplies needed may include:

Answer 1

Gloves, mask, protective gown, goggles

Question 2

List the guidelines that you should follow when caring for a patient with a traumatic injury.

Answer 2

1. Do not remove splints
2. Do not remove from stretcher or backboard
3. Never move neck or collar with cervical trauma
4. Request direction from ER when planning moves
5. Do not disturb impaled objects
6. Do not remove pneumatic aftershock garments
7. Have emergency stuff ready (oxygen etc… )
8. Work quickly and effectively

Question 3

List the possible members of the emergency room health care team.

Answer 3

ER Physician 
2 ER RN 
Respiratory therapist 
Anesthesiologist 
general surgeon (or specialty) 
Pediatric RN 
Radiology Tech 
Phlebotomist 
Admitting clerk 
House supervisor

Question 4

A radiographer must consider that all patients with head injuries may also have:

Answer 4

Cervical spine injury

Question 5

What precautions must be followed when taking radiographic exposures of a patient who has a head injury?

Answer 5

• Keep the head and neck immobilized until the physician in charge rules out cervical spine injury
• wear sterile gloves if patient has open wounds
• check patient’s vital signs frequently

Question 6

What precautions must a radiographer take when caring for a patient with a fractured extremity?

Answer 6

• Support the joint above and below the fracture and at the joints if moving a splinted limb.
• Do not remove splints without the direction of the physician in charge.
• Inform the patient before moving the fractured

Question 7

You have been assigned to radiograph Mr. J. J. He has been transported by the local police to the emergency room of the hospital in which you are employed. He is complaining of severe pain in his right leg. As you approach the patient, you notice that he is walking rapidly up and down the corridor. His head is bent and he is talking rapidly to persons who are not present. He occasionally stops, looks up at the ceiling, and shouts that he has to “get them.” Your best manner of dealing with this situation would be to do what?

Answer 7

Get an assistant, approach the patient from his or her side, stop slightly away from the patient, and explain your purpose.

Question 8

List the factors that you must consider when caring for the patient with acute abdominal distress.

Answer 8

blunt or penetrating trauma 
appendicitis 
bleeding ulcers 
ectopic pregnancy 
cholecystitis 
pancreatitis 
bowel obstruction

Question 9

Special care is necessary when caring for a patient whose brain or spinal cord might be injured because:

Answer 9

These tissues have very little ability to heal

Question 10

What is the leading cause of death for all persons under 44 years of age?

Answer 10

Trauma

Question 11

List some causes of injuries.

Answer 11

drowning 
car accident 
pedestrian accident 
falls 
assault 
blunt trauma 
choking 
work accidents 
smoke 
sports

Question 12

List the basic rules in trauma radiography

Answer 12

assess 
action plan 
determine mobility 
explain procedure 
determine equipment needed 
2 images at 90 degrees per body image 
include all anatomy

Question 13

Explain when the cervical collar may be removed on a trauma patient.

Answer 13

if the doctors order it removed