Soft Tissue Injuries

Question 1

_________ is the largest organ in the body

Answer 1

Skin

Question 2

Skin regulates the body’s _____________

Answer 2

Tempature

Question 3

Three layers of the skin

Answer 3

Epidermis
Dermis
Subcutaneous Layer

Question 4

Adipose tissue is in the ______________

Answer 4

Subcutaneous layer

Question 5

Connective tissue is in the __________________

Answer 5

Dermis

Question 6

Horny layer is in the _________________

Answer 6

Epidermis

Question 7

Granular layer is in the ___________________

Answer 7

Epidermis

Question 8

Blood vessels are in the ____________________

Answer 8

Dermis

Question 9

Lymph vessels are in the ______________

Answer 9

Dermis

Question 10

Hair Follicles are in the __________________

Answer 10

Dermis

Question 11

Sweat glands are in the __________________

Answer 11

Dermis

Question 12

Dermis is held together by a protein called _______________

Answer 12

Collagen

Question 13

Pain and touch receptors are in the __________

Answer 13

Dermis

Question 14

Collagen and fat cells make up the __________

Answer 14

Subcutaneous layer

Question 15

Edema is more likely to occur where and why?

Answer 15

Lower legs because there is less room for muscles to swell.

Question 16

Causes of burns

Answer 16

Thermal, chemical, electrical or radiation

Question 17

CMS

Answer 17

Circulation, motor function, sensation

Question 18

In a burn patient check the airway for:

Answer 18

Singed nose hairs, facial burns and soot in mouth

Question 19

Onset of shock caused by burns usually occurs ___________

Answer 19

Hours later

Question 20

Do not ____ or ______ an open wound to remove foreign objects. However you can do what?

Answer 20

Do not rub or wash. You may remove loose material.

Question 21

Bandages vs dressings

Answer 21

Dress a wound, Bandage a dressing

Question 22

Wrap dressings from ___ to _____ to help reduce swelling

Answer 22

distal to proximal

Question 23

Dress an abdominal evisceration using _________

Answer 23

Occlusive dressing

Question 24

Why is early shock difficult to identify in pediatrics

Answer 24

increased ability to vasoconstrict their peripheral vasculature and increase heart rate after blood loss

Question 25

Pediatrics are more prone to injury from blunt trauma because _________

Answer 25

Proportionately larger livers and organ size.

Question 26

Why are children more prone to heat loss?

Answer 26

Larger surface area compared to body volume.

Question 27

relieve pressure on abdominal evisceration by _____________

Answer 27

Positioning patient with knees flexed

Question 28

Care for amputated parts and large pieces of avullsed skin

Answer 28

Wrap in dry sterile dressing, Place in water tight container, Place that container into a second container. Then place on ice.

Question 29

Burns are classified by 3 things:

Answer 29

Type, Degree of damage and Extent (Rule of Nines)

Question 30

Burns involving the top layer of skin (Name and Presentation)

Answer 30

Superficial [1st Degree] | Redness on skin i.e. sunburn

Question 31

Burns involving both epidermis and dermis (Name and Presentation)

Answer 31

Partial Thickness [2nd Degree] | Mottled moist skin with blisters. Extremely painful

Question 32

Burns involving all layers of skin, possibly into organs and bone (Name and Presentation)

Answer 32

Full Thickness [3rd Degree] | Dry, hard and dusky. White or charred in color. Painless

Question 33

Remove wet chemicals such as acid by _________

Answer 33

Flushing with water

Question 34

Remove dry chemicals by _____________

Answer 34

Brushing chemical off, then flushing with water

Question 35

Two major exceptions to not removing impaled objects

Answer 35

1. An impaled object in the chest that interferes with CPR | 2. An impaled object in the cheek. Bleeding could interfere with airway and is easier to control once object is removed.

Question 36

Why do injuries that breech the pleural membrane disrupt the breathing process.

Answer 36

The lungs rely on negative pressure inside the chest to draw in air,

Question 37

When air is able to enter the pleural cavity but not escape it causes a;

Answer 37

Tension pnuemothorax.

Question 38

Unique threat from injuries to the veins of the neck:

Answer 38

Air being sucked into the hear resulting in a PE

Question 39

Extreme Respiratory distress, Distention of jugular veins and tracheal deviation would be a sign of:

Answer 39

Severe tension pnuemotharax

Question 40

Before you apply an occlusive dressing you should immediately ___________________

Answer 40

Cover wound with a gloved hand

Question 41

with open neck injuries apply pressure to________________

Answer 41

one side of neck, as not to cut off blood flow to brain

Question 42

Complications of a crush injury

Answer 42

Lack of blood flow Breakdown of muscle leading to Acidosis Build up of toxins Renal failure

Question 43

Newtons 1st Law

Answer 43

Law of inertia. An object will remain at rest or move at a constant speed in a straight line unless it is acted on by an unbalanced force.

Question 44

Newtons 2nd Law

Answer 44

Force = Mass x Acceleration [deceleration]

Question 45

Newtons 3rd Law

Answer 45

For every action, there is an equal and opposite reaction.

Question 46

Law of Kinectic Energy

Answer 46

K.E. = .5 x ( Mass x [Velocity Squared] )

Question 47

HPTM

Answer 47

High Performance Trauma Management

Question 48

Four components of HPTM

Answer 48

Recognition, Treatment, Packaging, Transport

Question 49

Goal On Scene time for HPTM

Answer 49

<15 minutes

Question 50

Blood Pressure

Answer 50

<60 Systolic

Question 51

Single entrance wound to the chest gets a __________ dressing

Answer 51

3 sided (occlusive) dressing

Question 52

Multiple wounds to the chest receive a ____________dressing

Answer 52

4 sided dressing

Question 53

Make a note of _______ when you apply a tourniquet

Answer 53

The time

Question 54

Rule of Nines - Adult Leg

Answer 54

9% Front, 9% Back

Question 55

Rule of Nines - Adult Arm

Answer 55

4.5% Front, 4.5% Back

Question 56

Rule of Nines - Adult Chest

Answer 56

9%

Question 57

Rule of Nines - Adult Back

Answer 57

9% Upper, 9% Lower

Question 58

Rule of Nines - Adult Abdomen

Answer 58

9%

Question 59

Rule of Nines - Adult Head

Answer 59

4.5% Front, 4.5% Back

Question 60

Rule of Nines - Adult Frank and Beans

Answer 60

1%

Question 61

Rule of Nines - Child Leg

Answer 61

8% Front, 8% Back

Question 62

Rule of Nines - Child Arm

Answer 62

4.5% Front, 4.5% Back

Question 63

Rule of Nines - Child Head

Answer 63

7% Front, 7% Back

Question 64

Rule of Nines - Child Torso

Answer 64

18% Front, 18% Back

Question 65

Rule of Nines - Infant Head

Answer 65

9% Front, 9% Back

Question 66

Rule of Nines - Infant Torso

Answer 66

18% Front, 13% Back

Question 67

Rule of Nines - Infant Buttocks

Answer 67

2.5% Per Side