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Trauma > Review > Flashcards

Review Flashcards

1
Q

How many goals of JTTS?

A

6

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2
Q

Establish and maintain a trauma outcomes database to analyze and evaluate clinical
decision-making and measure subsequent outcomes for improving treatment
modalities.

A

One of the goals of JTTS

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3
Q

Triage, what should not be considered?

A

Finality, continue to treat

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4
Q

5 principles of triage

A 
Degree of life threat posed by the injuries sustained
Injury severity
Salvageability
Resources
Time, distance, and environment
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5
Q

How do you choose CCP?

A

(a) Proximity to patients
(b) Proximity to vehicular access.
(c) Proximity to HLZ
(d) Geography, safety “geographic triage.”

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6
Q

Examples of immediate?

A

Massive hemorrhage
Shock
Anything needs to be treated within 2 hours
Tension pnuemo

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7
Q

Delayed?

A

Without shock

No compromised airway

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8
Q

Expectant burns?

A

> 85%

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9
Q

Primary triage?

A

Quick categorizing
Break down to smaller groups
Stop massive hemorrhage

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10
Q

Secondary triage?

A

Reevaluation

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11
Q

Tertiary triage?

A

Continue management

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12
Q

Any patient with UXO?

A

Segregate and treat last

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13
Q

Combat stress patient categories?

A

Light

Heavy

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14
Q

Heavy stress patient return to duty?

A

3 days

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15
Q

BICEPS stands for?

A 
Brief
Immediate
Central
Expectant (affirmation)
Proximal
Simple
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16
Q

Tactical field care vs concealment

A

look up

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17
Q

Tacevac is umbrella term for?

A

MEDEVAC

CASEVAC

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18
Q

4 choices for CCP choosing?

A

(a) Proximity to patients
(b) Proximity to vehicular access.
(c) Proximity to HLZ
(d) Geography, safety “geographic triage.”

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19
Q

Ech 1

A

Us, SOCOMs, CLS

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20
Q

Ech 2

A

CRTS (LHD, LHA, CVN) - Casualty receiving treatment ships

Med bat
Shock trauma (no
FRSS ( Forward deployed surgical suite - attached to med bat)

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21
Q

Ech 3

A

Fleet hospital, hospital ships (HIGHEST level of care in COMBAT zone)

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22
Q

FRSS stands for?

A

Forward deployed surgical suite

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23
Q

Definitive care OCONUS?

A

Ech 4

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24
Q

Rehab care CONUS?

A

Ech 5

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25
Q

Aeromedical ?

A

Fixed wing aircraft (intra theater to intra theater)

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26
Q

Standard, stokes, sked, improvised?

A

Different litters

27
Q

Liter carry for patients?

A

Feet first unless up hill

28
Q

MEDEVAC priorities? (UPR)

A

Urgent - 2 hours
Priority - 4 hours
Routine - 24 hours

29
Q

9 line needs Also?

A

A MIST report

30
Q

Medium energy example?

A

9mm, 357, 45

31
Q

High energy example?

A

.44, .50

32
Q

Secondary blast?

A

Fragments

33
Q

Tertiary blast?

A

You are blown to a wall

34
Q

Quartenary blast?

A

Burns

35
Q

Approved tourniquets?

A

Cat
Softt
EMT

36
Q

pressure dressing

A

Combat gauze
Chito/celox
Xstat

37
Q

What is FDA APPROVED

A

Xstat

38
Q

What does combat gauze have

A

khaloin

39
Q

Celox/chito is?

A

muco adhesive

40
Q

Application of tourniquets?

A

2-3 inches above
or
high and tight if can’t see

41
Q

Junctional

A

JETT
Sam
CRoC

42
Q

What is in cello/chito?

A

chotosan, a mucoadhesive, it functions independent of

the coagulation cascade

43
Q

What is best for Best for deep narrow tract Junctional wounds?

A

Xstat

44
Q

What is sellick;s maneuver for?

A

Prevention of gastric aspiration

applying gentle posterior pressure to the
patient’s cricoid cartilage

45
Q

What is BRUP method?

A

Key identification of the larynx for ease of intubation

46
Q

Advantages of npa?

A

ease and rapid, comfort

47
Q

contraindication for npa?

A

Suspected basilar skull fracture

48
Q

Igel advantage

A

gel cuffed (specifically for medievac)

49
Q

Igel size 5?

A

> 200 lbs

50
Q

ET tube indications?

A

cardiac arrest

51
Q

ET contraindications?

A

Epiglottitis
Obstructions
Lack of training

52
Q

Complications of ET?

A

Conversion of a cervical spine injury without neurologic deficit to one with
neurologic deficit

53
Q

Combitube complications?

A

Combitube™ includes an increased incidence of sore throat, dysphagia and
upper airway hematoma when compared to endotracheal intubation and LMA

54
Q

LTA stands for?

A

Laryngeal tube airway

55
Q

Emergency definitive airway?

A

Cric

56
Q

Why not to give Cric?

A

Laryngeal disease or trauma

57
Q

TXA is given no later than how many hours?

A

3 hours

58
Q

2 biggest predictors of poor outcome with head trauma?

A

ICP > 20

BP < 90

59
Q

FAST exam for évaluation of?

A

Pneumothorax - sep of pleural lining

60
Q

retrograde urethrogram

A

Used for signs of urethral injury from pelvic fracture

61
Q

AMPLE history happens when?

A

Between primary and secondary

62
Q

ABCDE of PHTLS?

A 
Airway
Breathing
Circulation
Deformities 
Exposure
63
Q

When trauma naked what are you concerned with at the end of the MARCH algorithm?

A

Hypothermia, TREAT THE PATIENT

64
Q

arrhythmia from hypothermia?

A

Osborne waves

Trauma (18 decks)

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