Trauma

Question 1

MOI

Answer 1

index of suspicion is your awarness and conern for potentially serious unseen injuries

Question 2

Multi-system trauma

Answer 2

when more than one body system is injured

Question 3

platinum 10

Answer 3

minutes on scene time

Question 4

Golden 60

Answer 4

minutes to reach definitive care

Question 5

definitive care

Answer 5

treatment to conclusively manage patients condition

Question 6

Trauma Centers

Answer 6

Level I: fully staffed specialty, normally colleges
Level II:
Level III:
Level IV: Can stabilize enough to transfer

p. 923 table 25-2

Question 7

Blunt vs Penetrating

p.904, p.913

Answer 7

Blunt trauma: direct force to the body but leaves the surface intact
Penetrating Trauma: passes through the surface to injure underlying soft-tissue organs, and body cavities
-Punctures
-Impalements
Cavitation from a gun-shot wound(GSW)

Question 8

Falls can be fatal

p.913

Answer 8

account for:
-height of fall
-type of surface struck
-part of body that hit first

Question 9

falls

Answer 9

> 20ft are considered significant falls
pediactrics =>10ft or 2-3x childs height

Question 10

questions for falls

Answer 10

• mechanical falls?(slip or trip)
• weakness led to fall
• syncopal episode
• LOC after impact
• take any blood thinners?

Question 11

DCAPBILS-IC

Answer 11

Deformities
Contusion
Abrasions
Punctures/Penetrations
Burns
Tenderness
Lacerations
Swelling
Instability
Crepitus

Question 12

Bleeding

Answer 12

hemorrhage=bleeding
no perfusion means cells will begin
* 4-6 min in the heart
* 15-20 min in the lungs
* 45 min in the kidneys
* 3 hrs in skeletal muscle

Question 13

Internal vs External

Answer 13

• blood will look different on different surfaces
• body cant tolerate losing more than 20% (2 pints or 1 liter) of blood
• don’t wait until the vital signs decrease to notice poor perfusion

Question 14

Management