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TRAUMA > HEMORRAGE CONTROL 29-2 > Flashcards

HEMORRAGE CONTROL 29-2 Flashcards

(75 cards)

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1
Q

LEADING CAUSE OF PREVENTIBLE DEATH ON THE BATTLEFIELD?

A

HEMORRHAGE

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2
Q

PERCENT OF COMBAT FATALITIES FORWARD OF A MEDICAL TREATMENT FACILITY?

A

90 %

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3
Q

PERCENTAGE OF COMBAT CASUALTIES THAT NON SURVIVABLE INJURY?

-POTENTIALLY SURVIVABLE?

A

75% NON

25% POTENTIALLY SURVIVABLE

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4
Q

HEMORRHAGE THAT IS MOST COMMON CAUSE OF MASSIVE BLOOD LOSS IN COMBAT

-CAN OCCUR ON SCALP, TORSO, OR USUALLY FROM AN AMPUTATION OR OPEN FRACTURE.

A

EXTERNAL HEMORRHAGE

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5
Q

THIS TYPE OF HEMORRHAGE BECOMES FATAL IF A CASUALTY IS NOT MOVED EXPIDITIOUSLY TO PERFORM SURGICAL PROCEDURES DUE TO INABILITY TO SEE THE INJURY ITSELF.

A

INTERNAL HEMORRHAGE

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6
Q

TCCC APPROVED TOURNIQUETS

A

CAT

SOFF T

EMT

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7
Q

ARTERY FOR THE HAND

A

RADIAL/ULNAR

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8
Q

ARTERY FOR THE FOREARM

A

BRACHIAL

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9
Q

ARTERY FOR THE UPPER ARM

A

AXILLARY

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10
Q

ARTERY FOR THE LOWER LEG (NOT THIGH)

A

POPLITEAL

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11
Q

ARTERY FOR THE THIGH

A

FEMORAL

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12
Q

PRESSURE POINT OF THE HAND

A

WRIST

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13
Q

PRESSURE POINT OF THE FOREARM

A

INNER UPPER ARM

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14
Q

PRESSURE POINT FOR THE UPPER ARM?

A

AXILLA

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15
Q

PRESSURE POINT FOR THE LEG

A

POPLITEAL

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16
Q

PRESSURE POINT FOR THE THIGH?

A

GROIN CREASE

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17
Q

THIS HEMOSTATIC AGENT IS WIDELY USED IN THE D.O.D.

A

COMBAT GAUZE

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18
Q

GAUZE THAT WORKS AS A HEMOSTATIC AGENT WHEN COMBAT GAUZE IS NOT AVAILABLE.

-ACTIVE INGREDIENT OF CHOTOSAN

A

CELOX.CHITO GAUZE

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19
Q

FIRST EXPANDING WOUND DRESSING TO BE FDA CLEARED FOR LIFE THREATENING JUNCTIONAL BLEEDING.

COMES IN A SYRINGE APPLICATOR WITH COMPRESSED MINI SPONGES.

A

X-STAT

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20
Q

WOUNDS ASSOCIATED WITH:

  • GROIN
  • BUTTOCKS
  • PERNEUM
  • AXILLAE
  • BASE OF THE NECK

ARE ALL CONSIDERED THIS TYPE OF WOUND SITE DUE TO LACK OF ABILITY TO APPLY A TOURNIQUET.

A

JUNCTIONAL

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21
Q

CO.TCCC APPROVED JUNCTION TOURNIQUETS

A

COMBAT READY CLAMP (CROC)
JUNCTIONAL EMERGENCY TREATMENT TOOL
SAM JUNCTIONAL TOURNIQUET

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22
Q

HOW HIGH ABOVE THE BLEEDING SITE SHOULD YOU PLACE A TOURNIQUET

A

2-3 INCHES ABOVE

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23
Q

IF A TOURNIQUET IS APPLIED AND YOU CAN NOT CONTROL THE HEMMORRHAGE , WHAT SHOULD YOU DO?

A

APPLY A SECOND TOURNIQUET

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24
Q

WHEN HEMOSTATIC DRESSING IS APPLIED HOW LONG WILL YOU HOLD DIRECT PRESSURE FOR?

A

3 MINUTES

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25
WHENEVER YOU APPLY A TOURNIQUET (OR ANY INTERVENTION) AND THEN MOVE THE PATIENT, WHAT SHOULD YOU DO?
RE-ASSESS THE TOURNIQUET
26
AFTER ANY TOURNIQUET BOTH COMBAT AND JUNCTIONAL ARE APPLIED WHAT ARE SOME THINGS ASSESSED AND DOCUMENTED?
ASSESS FOR BLEEDING, DOCUMENT TIME PLACED
27
BREATHING MAINLY COMES FROM STIMULUS FROM THIS PART OF THE CNS?
MEDULLA AND/OR PONS
28
CHEMICAL STIMULI FOR BREATHING CAN BE FOUND IN WHAT VASCULATURE STRUCTURES?
CAROTID BODIES AND AORTIC ARCH
29
RESPIRATORY CENTER STIMULATION HAPPENS WHEN CO2 BEGINS BUILDING IN THIS THIS FLUID FOUND IN THE SPINE
CEREBRAL SPINAL FLUID
30
A PATIENT WITH A HYPOXIC DRIVE SHOULD NOT BE GIVEN WHAT?
100% OXYGEN BECAUSE IT CAN KILL THEIR RESPIRATORY CENTER AND KEEP THEM FROM BREATHING.
31
A PATIENT WITH HYPOXIC DRIVE WILL SATURATE AT WHAT PERCENTAGE USUALLY?
90-92%
32
``` BODY TEMPERATURE EMOTION PAIN HYPOXIA ACIDOSIS STIMULANT DRUGS ``` CAUSE RESPIRATIONS TO INCREASE OR DECREASE?
INCREASE
33
DEPRESSANTS SLEEP MEDS MORPHINE SULFATE THESE WILL CAUSE RESPIRATIONS TO INCREASE OR DECREASE?
DECREASE
34
NO OXYGEN AVAILABLE AT ALL
ANOXIIIA
35
REPRESENTS THE PERCENTAGE OF OXYGEN THAT A PERSON IS BREATHING IN A MEASURED SPACE.
FRACTION OF INSPRED OXYGEN (FIO2)
36
ABNORMALLY LOW OXYGEN IN THE TISSUES AND ORGANS
HYPOXIA
37
INSUFFICIENT OXYGENATION WITH INSUFFICIENT PARTAL PRESSURE O2 IN BLOOD
HYPOXEMIA
38
NON INVASIVE METHOD ALLOWING THE MONITORIN OF THE SATURATION OF A PATIENTS HEMOGLOBIN.
PULSE OXIMETER
39
PULSE OXIMETER BELOW WHAT PERCENT IS CONCERNINGAND A CLINICAL EMERGENCY?
90%
40
``` CARDIAC ARREST RESPIRATORY ARREST HYPOXEMIA (SAT <90% PO2 <58.5 HYPOTENSION <100MMHG LOW CARDIAC OUTPUT AND METABOLIC ACIDOSIS RESPIRATORY DISTRESS ( >24/MIN) ``` INDICATIONS THAT YOU SHOULD DO WHAT?
GIVE OXYGEN
41
A PATIENT SHOULD RECIEVE OXYGEN VIA ________FOR ANY OF THE FOLLOWING REASONS? - PHYSICAL TRAUMA - COPD - CLUSTER HEADACHE - SMOKE INHALATION - CARBON MONOXIDE POISONING
NON-REBREATHER
42
PATIENT IS MECHANICALLY VENTILATED VIA E.T TUBE, OR CRIC KIT USING THIS......
VENTILATOR
43
THIS DEVICE DELIVERS 100% OXYGEN AT 3 TIMES THE ATMOSPHERIC PRESSURE FOR A PATIENT AND IS USEFUL FOR THE FOLLOWING ISSUES. ``` DECOMPRESSION ILLNESS CARBON MONOXIDE POISONING RADIATION NECROSIS RECONSTRUCTIVE SURGERY INFECTIONS AND WOUNDS ```
HYPERBARIC OXYGEN
44
LONG TERM EXPOSURE TO OXYGEN THERAPY CAN CAUSE THIS.....
OXYGEN TOXICITY
45
MANUAL MANEUVERS FOR ASSESSING A PT AIRWAY
HEAD TILT CHIN LIFT JAW THRUST SELLICKS MANEUVER BURP MANEUVER
46
THIS MANAEUVER IMPROVES THE VISUALIZATION OF THLARYNX AND EASES INTUBATION. USUALLY WANT TO DISPLACE .5 TO 2.0 CM TO THE RIGHT.
BURP METHOD
47
SEILLICKS MANEUVER IS MAINLY TO AID IN WHAT PART OF AIRWAY ASSESSMENT/
TO ENSURE THAT AIR HAS NOT ENTERED THE STOMACH
48
AIRWAY ADJUNCT MOST FREQUENTLY USED ARTIFICIAL AIRWAY DEVICE INSERTED BEHIND THE TONGUE PATIENT SHOULD BE UNCONCIOUS WITHOUT A GAG REFLEX. ALSO USED AS A BITE BLOCK FOR AN INTUBATED PATIENT
OPA
49
SOFT RUBBER LATEX TUBE PLACED IN THE NARES AND TO KEEP THE BACK OF THE TONGUE OFF OF THE OROPHARYNX.
NPA
50
A PATIENT WITH WHAT SORT OF FACIAL FRACTURE SHOULD NOT RECIEVE AN NPA?
BASILAR FACIAL FRACTURE
51
HOW DO YOU DETERMINE THE PROPER LENGTH OF AN NPA?
EARLOBE TO THE NOSE
52
THE MOST PREFERRED SUPRAGLOTTIC AIRWAY
I-GEL
53
WHY IS THE I GEL BETTER THAN THE OTHER BLIND INSERTION AIRWAYS?
DOESN'T NEED TO HAVE AN AIR FILLED CUFF. WHICH IS CONCERNING FOR MEDEVAC
54
INDICATION OF USING AN IGEL IS A PATIENT WHO?........
IS UNCONCIOUS WITHOUT SIGNICICATN DIRECT TRAUMA TO AIRWAY OR FACIAL STRUCTURES.
55
WHAT ARE THE I GEL SIZES
3,4,5
56
TYPICAL ADULT SIZE FOR IGEL'S
SIZE 4
57
ADULTS LARGER THAN 200 POUNDS GET WHAT SIZE IGEL
SIZE 5
58
ACCORDING TO ATLS, THE PREFFERED "DIFINITIVE AIRWAY IS THE:
ET TUBE
59
A PATIENT WITH THIS INFECTION SHOULD NOT BE INTUBATED WITH AN E.T. TUBE DUE TO THE RISK OF LARYNGEAL SPASMS?
EPIGLOTITIS
60
SIZES FOR E.T. TUBES MALE PREFERRED FEMALE PREFERRED UNIVERSALLY ACCEPTED
8. 0 7. 0 7. 5
61
WHAT BLADE ON THE LARYGOSCOPE IS STRAIGHT AND WHICH IS CURVED
STRAIGHT IS MILLER CURVED IS MACINTOSH
62
A PATIENT WHOSE ABOUT TO BE INTUBATED WITH AN ET TUBE SHOULD BE PUT IN THIS POSITION.....
SNIFFING POSITIION
63
A PATIENT SHOULD BE SUCTIONED FOR NO LONGER THAN HOW MANY SECONDS?
15 SECONDS
64
WHEN INSERTING THE LARYNGOSCOPE YOU WANT TO ENTER THE PATIENTS _________ AND THEN _______________ __________________
RIGHT SIDE OF THE MOUTH AND SWEEP CENTER OR MIDLINE.
65
PUSHING THE L-SCOPE AGAINST THESE CAN CAUSE FURTHER COMPLICATIONS AND POSSIBLE INJURY
THE TEETH
66
INSERTION OF THE E.T. TUBE SHOULD BE HOW LONG FROM COMING OFF 100% O2?
30 SECONDS.
67
THIS CAN BE USED IN PLACE OF AUSCULTATING THE PATIENTS LUNGS DUE TO ENVIRONMENTAL NOISE AFTER E.T. TUBE PLACEMENT.
CO2 METER (LAKERS)
68
AN IMPROPERLY PLACED E.T. TUBE COULD HAVE WHAT FINDINGS
AIR IN THE GUT OR ONLY ON THE RIGHT BRONCHUS
69
BLIND INSERTION AIRWAY DEVICE COMES IN 37 FR FOR ADULTS TO 6FT, AND 41 FR FOR PATIENTS UP TO 5 FT TALL. CONSISTS OF A CUFFED, DOUBLE LUMEN ****USED IN TRAPPED PATIENTS*****
COMBITUBE
70
HOW WOULD YOU CONFIRM A PROPERLY PLACED COMBITUBE?
ENTIDAL CO2 DETECTOR
71
AN EMERGENT AIRWAY WHEN ALL OTHERS HAVE FAILED?
SURGICAL CRICOTHYROIDOTOMY
72
TWO TYPES OF CRIC'S
NEEDLE AND SURGICAL
73
IF A CASUALTY CAN BE INTUBATED SHOULD YOU GIVE A CRIC?
NO
74
ACUTE LARYNGEAL DISEASE OF TRAUMATIC O INFECTIOUS ORIGINS ARE A CONTRAINDICATION OF THIS
CRIC
75
HOW LONG CAN A SURGICAL CRIC BE LEFT
24 HOURS AND REPLACED BY A TRACHEOSTOMY

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