Module 25: Orthopedic Trauma Flashcards

1
Q

Name the five types of orthopedic trauma

A

Open and closed fractures
dislocations
amputations
pathologic
sprains/strains

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2
Q

What is the difference between fixation and traction splinting?

A

Fixation: Facilitates movement and prevents any further injury. Ties something stable to side of injury. Most of the time we are splinting by fixation

Traction: A pulling force. ONLY used for mid shaft isolated femur fractures

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3
Q

what is false movement?

A

Movement at point where there is no joint

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4
Q

EMTs should splint when they see ___, ___, ___, ____, or ______, to an injured area

A

pain swelling crepitation bruising or deformities

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5
Q

Splinting prevents….

A

further damage from occurring
reduction in swelling
reduction in pain

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6
Q

What is a dislocation?

A

a joint out of place

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7
Q

Dislocations are usually in ___

A

ball and socket joints, like the shoulders and hips
also occasionally hinge joints, like elbows and knees

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8
Q

Compare greenstick, non-displaced, and displaced fxs

A

Greenstick: occurs mostly in children, bone bends before it breaks
Non-Displaced: Bones have not moved out of their position
displaced: Bones have moved out of their position

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9
Q

Name and define the four classifications of fractures

A

Transverse: Straight across
Oblique: Angular
Spiral: Twist and snap
Comminuted: Web-like

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10
Q

Compare a sprain to strain

A

Sprain: ligament, muscle to bone
Strain: tendon, muscle to muscle

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11
Q

What is the recipe for splinting?

A
  1. expose injured area and hold manual stabilization
  2. assess distal PMS
  3. measure and apply a splint
  4. reassess PMS
  5. Apply a cold pack
  6. transport decision
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12
Q

Twisting force typically results in ____ fx
High energy/crushing force typically results in ___fx

A

Spiral
Communited.

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13
Q

The shoulder girdle consists of the ___, ____, and ____

A

clavicle, humerus, scapula

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14
Q

The humerus is called the ____ while the radius and ulna are called the ___

A

arm
forearm

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15
Q

What is position of function?

A

Position phalanges should be put in during splinting. Roll of gauze under palm that allows them to curve

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16
Q

When can you pull long bones?

A

If there’s no pulse, or severely angulated

17
Q

When can you pull joints?

A

If there’s no pulse

18
Q

The feet should be kept ____ and the hips should be _____ for hip injuries

A

shoulder width apart
abducted

19
Q

What stretcher should be used for pts with a hip injury?

A

scoop stretcher

20
Q

What should you be looking for before using a traction splint?

A

isolated (no other fx)
mid shaft femur (cannot be proximal)
closed

21
Q

We splint joints how we find them unless…

A

there is no distal pulse

22
Q

Describe the general treatment for the following fx
pelvis
hip/proximal femur
mid-shaft femur
knee/patella
tibia/fibula
ankle/foot

A

pelvis: pelvic sling
hip/proximal femur: blanket roll
mid-shaft femur: traction splint
knee/patella: splint/relocation
tibia/fibula: splint
ankle/foot: pillow splint

23
Q

How should an amputated part be transported to hospital?

A

Wrap amputated part is saline moist bag
take first bag and place into second bag of ice

24
Q

How is compartment syndrome characterized (the five P’s)?

A
  1. pain out of proportion to injury
  2. palllor
  3. decreased sensation (paresthesia)
  4. Decreased power
  5. pulselessness
25
Q

The following items should be used for a suspected fracture to a forearm
rolling gauze
cold pack
sling
swathe
padded board

A

all of the above

26
Q

A 18-year-old hockey player has fallen in the ice and has a deformity to his left elbow. He has a present radial pulse and is able to move all his fingers, but he states he has lost feeling in his thumb, pointer and middle fingers. You should:

A

splint in position found

27
Q

You and your partner respond to a 86-year-old female in her kitchen who states she slipped. She denies a loss of consciousness and is complaining of extreme pain in the area of her left greater trochanter.

A

blanket roll