Traumatic Injury

Question 1

What does MARCH Pneumatic mean?

Answer 1

Massive hemorrhage
Airway
Respiration
Circulation
Hypothermia

Question 2

Ambulance scene time should be?

Answer 2

Limited to 15 minutes or less.

Question 3

What is the goal of IV fluid administration?

Answer 3

Maintain systolic BP of 90 mmHg

Unless head injury w/GSC of less than 8 maintain systolic 110 mmHg

Question 4

Level 1 trauma center for patients under 15 years of age.

Answer 4

CHKD

Question 5

Hypotension considered for the following:

Answer 5

0-30 days: SBP less than 60
1 month - 1 year: SBP less than 70
1-10 years: SBP less than 70 + (2 x age in years)

Question 6

Direct Trauma Center Transport criteria:
Vitals

Answer 6

GSC < 14; SBP < 90; Res rate < 10 or >29

Question 7

Direct Trauma Center Transport Criteria: Mechanisms

Answer 7

Adult fall < 20 ft; Ped < 2-3 x height
Intrusion < 12 in on occupant side or
18 in anywhere.
Ejection, Death in same compartment
Auto vs Pedestrian, run over, < 20 mph,
Motorcycle crash < 20 mph