Flashcards in Trauma Deck (76)
The unintentional or intentional wound or injury inflicted on the body against which the body cannot defend itself.
What is the leading cause of death of people between the ages of 1-44?
T or F. The bulk of MVCs are minor?
True, 230k of people who people who sustain a MVC are hospitalized, but 1.1M are treated and released from an ED
By 2020, what is predicted to be the 3rd largest contributor to the global burden of disease?
Traffic collusions, they disable 20 to 50M people a year globally.
T or F. Approx. 475,000 TBIs occur among children ages 0-14 years, and ED visits account for more than 90% of the TBis in this age group?
What is the leading cause of TBIs?
Falls; rates are highest for children 0-4 and adults 75 yrs and older.
T or F. Trauma is responsible for 80% of all teenage deaths and 60% of all childhood deaths?
Trauma is responsible for approx. 20% of all healthcare costs in the US?
T or F. Anytime anyone is critically ill or injured, they become hyperglcemic?
The metabolic response to trauma occurs in 3 phases, what are they?
Ebb, Catabolic, Anabolic
What is the duration of the Ebb phase?
What is the duration of the catabolic phase?
What is the duration during the anabolic phase?
What is the role of the Ebb phase?
Maintain blood volume, release catecholamines
What is the role of the catabolic phase?
What is the role of the anabolic phase?
Replace lost tissue
Hard to detect. When unrecognized, it is one of the major causes of death in trauma patients
T or F. Abdominal trauma is the 2nd leading cause of preventable trauma deaths?
T or F. Increased incidences of death are due to increased hemorrhage and delay in receiving surgical intervention?
True, signs of bleeding that aren't detected contribute to increased cause of death.
T or F. Injury of abdominal structures causes death primarily as a result of hemorrhage?
Damage to solid and vascular organs vs. damage to hollow organs?
Damage to solid and vascular organs can result in hemorrhage and stroke; damage to hollow organs can result in spillage of contents, peritonitis, and stroke.
T or F. Hemorrhage in the true abdomen may lead to abd. distension?
True. However, extensive bleeding in the retroperitoneal space may go undetected.
What are common S/S of Abdominal Trauma?
Pain, External signs of injury (abrasions, bruising, open wounds, bleeding), Shock
What are common S/S of Shock?
Distended or rigid abdomen, pain on palpitation, rebound tenderness
What is the most reliable indicator of Intra-abdominal hemorrhage?
The presence of Shock w/o an identifiable source.
What should you always worry about in regards to Chest Trauma?
There are 4 types of Chest Trauma, what are they?
Pleural disruption, Aortic rupture, Flail Chest, Pulmonary Contusion.
Air enters as the result of perforation via the lung or chest wall. The injury may be the result of penetrating trauma, spontaneous rupture of an emphysematous bleb, or spontaneous without any apparent cause.
Pleural disruption can cause:
Pneumothorax or Tension Pnemothorax