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EMS Protocols 2015 > Trauma Protocols > Flashcards

Trauma Protocols Flashcards

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1
Q

According to the General Trauma Recommendations protocol how many IV’s are recommended?

A

2 Large Bore

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2
Q

According to the General Trauma Recommendations protocol what should you obtain on trauma pts?

A 
2 Large Bore IV's
Cardiac monitor
Pulse Ox
O2 to maintain sats >94%
Capnography when indicated
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3
Q

According to the General Trauma Recommendations protocol for Spinal Immobilization where should you refer?

A

Spinal Immobilization protocol

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4
Q

According to the General Trauma Recommendations protocol what is the fluid bolus recommended for adults?

A

2 L NS fluid bolus to maintain SBP > 90mmHg

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5
Q

According to the General Trauma Recommendations protocol what is the fluid bolus recommended for pediatrics?

A

20 cc/kg NS fluid bolus to maintain SBP > 70 + 2(Age)

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6
Q

According to the General Trauma Recommendations protocol if your pt is not responding to fluid bolus what is your next treatment option?

A

Epinephrine Push Dose Presser

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7
Q

According to the General Trauma Recommendations protocol what should you consider as a possible cause for a trauma event?

A

Some trauma may have been caused by a medical event

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8
Q

According to the General Trauma Recommendations protocol what should you establish as soon as possible on each trauma pt?

A

Trauma Designation

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9
Q

According to the General Trauma Recommendations protocol where should the pt be transported?

A

Most appropriate facility

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10
Q

According to the General Trauma Recommendations protocol where should all Blunt Trauma Arrests be transported?

A

Closest Facility

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11
Q

According to the General Trauma Recommendations protocol where should all Penetrating Trauma Arrests be transported?

A

Closest Appropriate Trauma Center

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12
Q

According to the General Trauma Recommendations protocol what should be done for all pregnant trauma pts?

A

Appropriate spinal immobilization

Placed left lateral as best as possible

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13
Q

According to the General Trauma Recommendations protocol what 7 specific conditions have specific trauma recommendations in the trauma protocols?

A
  1. Amputations
  2. Burns/ Electrical
  3. Head/ Spinal Cord
  4. Musculoskeletal
  5. Drowning/ Near Drowning
  6. Opthalmic
  7. Thoracic/ Abdominal/ Pelvic
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14
Q

According to the Amputations protocol what 2 things should occur with amputated parts?

A
  1. Recover all parts if possible. Do not delay transport if there is a delay in recovering parts.
  2. Gently dress in sterile dressing, place in a zip lock bag or wrap in a towel, place in a cool location. DO NOT apply ice pack or ice directly.
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15
Q

According to the Amputations protocol if you are unable to stop the bleeding with compression what is your next course of action?

A

Utilize hemostatic dressing

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16
Q

According to the Amputations protocol if unable to stop bleeding after compression and hemostatic dressing what is your next course of action?

A

Utilize Tourniquet Skill

DO NOT remove after application and document application time.

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17
Q

According to the Burns/Electrical protocol general rules what should be done with clothing that is stuck to the burn?

A

Do NOT remove that area

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18
Q

According to the Burns/Electrical protocol general rules what should be done with superficial thickness burns?

A

Rinsed with sterile water

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19
Q

According to the Burns/Electrical protocol general rules at what % BSA can you rinse partial/ full thickness burns?

A

<20% BSA

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20
Q

According to the Burns/Electrical protocol general rules if the partial/ full thickness burn is >20% BSA what should you do instead of rinsing?

A

Cover with dry sterile dressings

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21
Q

According to the Burns/Electrical protocol general rules what should be done with chemical burns?

A

Dust off dry contents
Rinse for 30-60 minutes
Bring name of chemical if able

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22
Q

According to the Burns/Electrical general rules protocol what should be done with burns involving the eyes?

A

Remove contacts if it pertains

Rinse with sterile water

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23
Q

According to the Burns/Electrical protocol general rules protocol how should pt body temperature be handled?

A

Maintain normal body temperature (blankets, exterior climate)

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24
Q

According to the Burns/Electrical protocol what should you obtain for electrical burns/ electrocution patients?

A

12 Lead

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25
According to the Burns/Electrical protocol if burn is greater than 10% BSA what treatment should you perform?
1-2 L IV NS fluid bolus (Adults) | 20-40 cc/kg NS fluid bolus (Pediatrics)
26
According to the Burns/Electrical protocol if probable airway burn what should you secure early?
Intubate to secure airway
27
According to the Burns/Electrical protocol if you are unable to secure an airway with a probable airway burn what should your course of action be?
Divert to closest ER for airway stabilization
28
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Head (front and back) account for?
9%
29
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Back account for?
18%
30
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Chest account for?
18%
31
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Right Arm account for?
9%
32
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Left Arm account for?
9%
33
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Perineum account for?
1%
34
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Right Leg account for?
18%
35
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Adult Left Leg account for?
18%
36
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Head (front and back) account for?
18%
37
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Back account for?
18%
38
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Chest account for?
18%
39
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Right Arm account for?
9%
40
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Left Arm account for?
9%
41
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Perineum account for?
1%
42
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Right Leg account for?
13.5%
43
According to the Burns/Electrical protocol Rule of 9's what percentage of BSA does the Pediatric Left Leg account for?
13.5%
44
According to the Burns/Electrical protocol what are the signs/symptoms of a Superficial Burn?
Painful No Edema Redness Blanches with pressure
45
According to the Burns/Electrical protocol what are the signs/symptoms of a Partial Thickness Burn?
Blistered Moist Painful
46
According to the Burns/Electrical protocol what are the signs/symptoms of a Full Thickness Burn?
Dry Discolored No Pain
47
According to the Head/ Spinal Cord Injury protocol what position should a pt with a head injury but no spinal cord injury be placed in?
Keep head of bed elevated >30 degrees
48
According to the Head/ Spinal Cord Injury protocol what is the overall capnography goal?
Maintain pCO2 of 35-39mmHg
49
According to the Head/ Spinal Cord Injury protocol what should be avoided?
Unwarranted Hyperventilation
50
According to the Head/ Spinal Cord Injury protocol what are the 3 Signs/Symptoms of Cushings Triad?
1. Hypertension 2. Bradycardia 3. Irregular respirations
51
According to the Head/ Spinal Cord Injury protocol what is the other name for Cushings Triad?
Cerebral Herniation Syndrome
52
According to the Head/ Spinal Cord Injury protocol if the pt presents with unequal pupils, posturing, and/or signs of Cushings Triad what is the treatment?
Hyperventilate to goal of pCO2 30-35mmHg
53
According to the Head/ Spinal Cord Injury protocol how should the respiratory rate be adjusted with assisted ventilations?
Adjust to capnography goal
54
According to the Head/ Spinal Cord Injury protocol what should be monitored for in a pt with head trauma who has been paralyzed to intubate?
Seizure
55
According to the Head/ Spinal Cord Injury protocol in a pt who has been paralyzed for intubation what are signs/symptoms of a seizure?
Dilated pupils | Tachycardia
56
According to the Musculoskeletal protocol what should what should be done with a foreign body lodged in a pt?
Never Remove | Stabilize in positoin
57
According to the Musculoskeletal protocol what should be done if you are unable to stop bleeding with compression?
Utilize hemostatic dressing
58
According to the Musculoskeletal protocol how should an open fracture wound be cared for?
Flush with 1 L Sterile Water | Apply Betadine soaked gauze
59
According to the Musculoskeletal protocol what should you assess and monitor distal to the injury?
Circulation Sensation Motor
60
According to the Musculoskeletal protocol if the extremity is pulseless what can you attempt to do?
Reduce the Fracture to regain a pulse
61
According to the Musculoskeletal protocol if the extremity is pulseless how many attempts to reduce a Fracture to regain a pulse do you get?
ONE
62
According to the Musculoskeletal protocol if pt has an unstable pelvic fracture what should you consider doing?
Pelvic binding with a sheet
63
According to the Drowning/ Near Drowning protocol what first treatment should you perform for the pt?
Warm pt | Refer to Adult Hypothermic or Pediatric Hypothermic protocol
64
According to the Drowning/ Near Drowning protocol why should you make every effort to transport these patients?
Some patients are stable shortly after an initial recovery period however a "Secondary Drowning" can occur within 12 to 72 hours after submersion
65
According to the Drowning/ Near Drowning protocol what is another name for a "Secondary Drowning?"
Post immersion syndrome
66
According to the Drowning/ Near Drowning protocol what is Post Immersion syndrome probably a form of?
Acute Respiratory Distress Syndrome (ARDS)
67
According to the Drowning/ Near Drowning protocol what is Poster Immersion syndrome probably caused by?
Pulmonary Injury
68
According to the Drowning/ Near Drowning protocol what treatment should all drowning pts receive?
Spinal Immobilization
69
According to the Drowning/ Near Drowning protocol at what temperature may the heart not respond to cardiac medications?
< 86 degrees F
70
According to the Drowning/ Near Drowning protocol until what temperature is reached should the pt only receive 1 course of ACLS drugs?
92 degrees F
71
According to the Drowning/ Near Drowning protocol if the pt has had a prolonged submersion/ hypoventilation what treatment option should be considered?
Sodium Bicarbonate
72
According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with an external hemorrhage?
Control with Compression
73
According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with an eviscerated bowel?
Cover with moist saline and secure
74
According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with any impaled objects?
DO NOT remove | Stabilize and secure
75
According to the Thoracic/ Abdominal/ Pelvic protocol what signs/symptoms should be closely monitored for?
JVD Tracheal alignment Subcutaneous emphysema Hypotension
76
According to the Thoracic/ Abdominal/ Pelvic protocol what treatment/ skill should be considered?
Needle decompression
77
According to the Thoracic/ Abdominal/ Pelvic protocol if traumatic cardiac arrest what treatment/ skill should be considered?
Bilateral needle decompression
78
According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with all penetrating chest wall defects?
Seal with pressure relief occlusive dressing as needed
79
According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with any flail segments?
Stabilize
80
According to the Thoracic/ Abdominal/ Pelvic protocol while stabilizing any flail segments what should be avoided?
Circumferential dressings
81
According to the Thoracic/ Abdominal/ Pelvic protocol if unable to stop bleeding with compression what treatment should be utilized?
Hemostatic dressing

EMS Protocols 2015 (8 decks)

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