Mod 5 Multisystem Trauma Flashcards Preview

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Flashcards in Mod 5 Multisystem Trauma Deck (10):

Multiple trauma

-More than one serious injury


Multisystem trauma

-One or more injuries that affect more than one body system


The 3 most critical decisions to be made for any trauma patient

-Patient priority/severity
-Whether to limit scene time or not
-Which hospital or transport method is best for your patient


Valuable findings during an assessment of patient (physiologic conditions)

-Altered mental status (GCS 28) usually indicates shock. Slow respiratory rate (


Determining severity anatomic criteria

-All penetrating injuries head, neck, torso, and extremities proximal to elbow and knee
-Chest wall instability or deformity (flail chest)
-Two or more proximal long bone fractures.
-Crushed, degloved, mangled, or pulseless extremity
-Amputation proximal to wrist or ankle
-Pelvic fractures
-Open or depressed skull fracture


Determining severity mechanism of injury criteria

-Adults fall >20 feet (One story is equal to 20 feet)
-Children fall >10 feet or two or three times the height of the child
-High risk auto crash intusion (including roof) >12 in occupant site > 18 in any site
-Ejection (partial or complete) from auto mobile
-Death in same passenger compartment
-Vehicle telemetry data consistent with high risk of injury


What to limit scene treatment to for a critical patient

-Stabilizing the cervical spine during all interventions
-Suctioning the airway
-Inserting an oral or nasal airway
-Restoring a patent airway by sealing a sucking chest wound
-Ventilating with a BVM
-Administer O2
-Control bleeding
-Immobilize patient with cervical collar and a long backboard


Principles of multisystem trauma management

-Scene safety is paramount
-Ensure an open airway
-Perform urgent or emergency moves as necessary
-Adapt to the situation
-Overall goal is to treat immediate life threats
-Do not spend to much time at a scene treating patient injuries


Trauma score

-A system of evaluating trauma patients according to a numerical rating system to determine the severity of the patients trauma


Revised trauma score

-Glasgow coma scale 13-15 (4 points), 9-12 (3 points), 6-8 (2 points), 4-5 (1 point), 3 (0 points)
-Systolic blood pressure >89 mmHg (4 points), 76-89 mmHg (3 points), 50-75 mmHg (2 points), 1-49 mmHg (1 point), 0 (0 points)
-Respiratory rate 10-29/min (4 points), >29/min (3 points), 6-9/min (2 points), 1-5/min (1 point), 0 (0 point)