Trauma Overview

Question 1

How to traumatic injuries occur?

Answer 1

Body’s tissue exposed to energy levels beyond their tolerance

Question 2

What is the mechanism of injury

Answer 2

The way traumatic injuries occur

Question 3

What are the 3 types of energy

Answer 3

Kinetic
Potential
Energy of work

Question 4

What is work? Describe it

Answer 4

Work is force acting over a distance

Force that bend, pull, compress tissues beyond their limits result in injury

Question 5

Kinetic energy?

Answer 5

Energy of moving object

Question 6

What constitutes non significant injury

Answer 6

Injury to isolated body part

Fall without losing consciousness

Question 7

What constitutes significant injuries?

Answer 7

Injury to more than one body system (multisystem trauma)

Fall from heights, motor vehicle, common sense

Question 8

What causes blunt trauma?

Answer 8

Result of force to the body that causes injury without penetrating soft tissues

Usually object making contact with body

Question 9

What are the 5 types of vehicle crashes

Answer 9

Frontal 
Rear-end
Lateral
Rollovers
Rotational

Question 10

3 types of collisions

Answer 10

Car against another object
-look the car to see the MOI more crushed car=more dmg to person duh

Passenger against interior of car

Passengers internal organs against solid structure of body

Question 11

Which type of crash causes the most MOI

Answer 11

Rotation

Question 12

In a frontal crash what should you check

Answer 12

Check the restraint system

See if patient was restrained and air bag deployed

Question 13

What is the result of second collision and third collision respectively

Answer 13

Extremities

Internal organs

Question 14

What height should children be in the back seat

Answer 14

Children shorter than 4 for 9

Question 15

When you do a quick evaluation of car what should you look for?

Answer 15

Look for contact points between the patient and the vehicle

Question 16

Which crash causes the most whip lash

Answer 16

Rear end crash

Question 17

Which crash is from side impacts

Answer 17

Lateral crashes

Question 18

If there is a substantial intrusion into patient compartment in lateral crash what you should you suspect?

Answer 18

Lateral chest, ab injury
Possible fracture on the lower extremities
Organ dmg from 3rd collision

Question 19

Which type of cars is prone to rollovers

Answer 19

Large trucks

Sport utility vehicles

Question 20

What to examine in car vs pedestrian crash

Answer 20

Speed of vehicle
Whether patient was flown into air!
Whether patient was struck and pulled under vehicle
:0

Question 21

What should you automatically suspect in car vs bicycle crash

Answer 21

Spinal injury unless proven otherwise in hospital

Question 22

What protection does person have when riding motorcycle

Answer 22

Helmet
Leather or abrasion resistant clothing
Boots

Question 23

When assessing the scene for car vs motorcycle crash what should you look for

Answer 23

Deformity of vehicle
Side of most dmg
Distance of skid on the road
Deformity of objects
Extent and location of deformity in helmet

Question 24

4 types of motorcycle vs car crash?

Answer 24

Head on crash
Angular crash
Ejection
Controlled crash

Question 25

Describe head on crash for motorcycle vs car crash

Answer 25

Motorcycle crashes into car,car stops while bike keeps on moving forward

Question 26

Describe Angular crash for motorcycle vs car crash

Answer 26

Motorcycle crashes into car at an angle causing crushing injury to lower extremities

Question 27

Describe controlled crash for motorcycle vs car

Answer 27

Technique used to separate the rider from the body of motorcycle

Question 28

At what height does a fall become significant?

Answer 28

20 ft

Question 29

What poses the greatest life threat for a fall?

Answer 29

The internal injuries

Question 30

3 factors to consider for a fall?

Answer 30

Height of fall Type of surface struck Part of body that hit first and the path of energy displacement

Question 31

What is the second leading cause of trauma death?

Answer 31

Penetrating trauma Blunt trauma is number 1

Question 32

What causes low energy penetrating trauma?

Answer 32

Sharp edges of object moving through body

Question 33

What causes cavitation

Answer 33

Results from rapid changes in tissue and fluid pressure that occurs with the passage of the projectile

Question 34

What causes the bullet to do more dmg speed or mass?

Answer 34

Speed

Question 35

4 types of blast injuries and explain plz

Answer 35

Primary blast injury- injury from the blast wave itself Secondary blast injury- injuries due to missiles being propelled by blast force Tertiary blast injury- Injury due to impact with another object Quaternary blast injury- collateral injuries like burn, crush injury, toxic inhalation

Question 36

Which organs are more substible to pressure change

Answer 36

Organs with air Lungs Middle air GI Ear most sensitive

Question 37

What causes pulmonary blast injuries?

Answer 37

Short range exposure to detonation of explosives

Question 38

3 main priorities in trauma care

Answer 38

Your safety Safety of crew Saftey of patient

Question 39

When patient experienced a significant MOI what should you focus

Answer 39

Rapidly perform a physical examination !

Question 40

If patient experienced a non significant injury focus on

Answer 40

The chief complaint

Question 41

What makes up an open chest wound?

Answer 41

Penetration or perforation of the integrity of chest

Question 42

What are the solid organs of abdomen? What about the hollow organs?

Answer 42

Solid: Liver, spleen. Pancreas, kidneys Hollow organs: stomach, large and small intestine, bladder

Question 43

What makes up a level 1 facility?

Answer 43

Serves large cities and populated areas Provides every aspect of trauma care Usually university based hospital

Question 44

What makes up a facility 2?

Answer 44

Located in less less populated areas | Provides initial definitive care

Question 45

What makes up a level 3 facilitiy?

Answer 45

Provides assessment, resuscitation, emergency care, stabilization Transfers to level 1 or 2 when necessary

Question 46

What makes up a level 4 facility?

Answer 46

Found in remote outlying ares Provides advanced trauma life support