1) Intro

Question 1

Trauma def:
Trauma’s 2 categories:

Answer 1

= Physical injury or wound caused by external force or forces
= Penetrating & Blunt

Question 2

Penetrating:

(under penetrating) Perforating:

Answer 2

= object enters body & exchanges energy directly w/ human tissue causing damage or injury (goes in w/o exit)
= goes in & exits of body

Question 3

What concept is to remind prehospital providers to hasten care and delivery to a trauma center.

Answer 3

Platinum Period

Question 4

A helpful tool to identify risk elements associated with trauma is the

Answer 4

Haddon Matrix.

Question 5

Standards established by your system’s medical direction to assist you in determining which PTs require urgent transportation to a trauma center:

Answer 5

Trauma Triage Criteria

Question 6

The most cost-effective, and best way to reduce trauma morbidity is

Answer 6

Prevention

Question 7

The collection of data to identify the existence, significance, and characteristics of a disease or disease process is called

Answer 7

Surveillance.

Question 8

A medical facility that commits resources to address the most common trauma emergencies w/ surgical capability available 24 hours a day, 7 days a week, is classified as a Level

Answer 8

Level II trauma center.

Question 9

Definitive trauma care is only available at facilities w/ rapid access to

Answer 9

Surgery.

Question 10

The health care surveillance process, put in place for trauma systems, is called

Answer 10

the Registry.

Question 11

Blunt trauma:

Answer 11

= Injury caused by the collision of an object with the body in which the object does not enter the body

Question 12

Any eye trauma PT:
Zofran contra=

Answer 12

= vomiting &/ B/c +ocular pressure
= prolonged QT

Question 13

Subdural venous nature hematoma shows symptoms:
Epidural bleed arterial nature hematoma shows symptoms:

Answer 13

= 2-3 or 3-6hrs for symptoms
= immediately

Question 14

Pressure injury can:

Answer 14

= explode skin off (usually jumpers)

Question 15

Morphine & fent drop BP by:

Answer 15

= body releasing Histamines

Question 16

Life threatening injuries %:
Most-life threatning trauma occurs to:
Vol per lung & body:
lethal blood loss:

Answer 16

= <10% traumas
= head and/or chest
= 3L per lung & 5L per body
= >40% or ~2L

Question 17

1st doc to classify trauma as a disease was:
1st EMT orange book

Answer 17

= the “white paper 1966”
1st EMT orange book

Question 18

Public health care model:

Answer 18

= Surveillance, Risk identification, intervention dev, implement, Eval/

Question 19

Implementation:

Answer 19

= putting effective safety measures EX roads,

Question 19

Surveillance:

Answer 19

= collection of data Epidemiology=study of disease based on med survey

Question 20

Risk analysis:

Answer 20

= Examines & determines factors that impact dev

Question 21

Intervention dev:

Answer 21

= dev/mod of programs to reduce both incidence & seriousness of trauma

Question 22

Evaluation:

Answer 22

= Repeat surveillance “good on paper but what about practice”

Question 23

(Trauma centers) Lvl 1:
Lvl 2:

Lvl 3:
Lvl 4:

Answer 23

= 1 (18tx) med-uni teaching, best care, everything to Neurovascular
= 2 (23 tx) everything BUT neuro, area trauma, surgical care capable all times, typically not teaching
= 3 general hospital w/ some special staff, TIB-FIB, try avoid w/ severe
= 4 basic ER, can stable but bandage, foot ran over

Question 23

Specialty Centers:

Answer 23

= Neuro, Burn, Pedi trauma, Hand & limb replant microsurgery, Hyperbaric oxygen

Question 23

Triaging:

Answer 23

Jump start triage, NO IVs, “Bright lights & cold steel”

Question 24

CUPS:
C:
U:
P:
S:

Answer 24

= Categories of PT severity
= Critical: ABCs FUCKed
= Unstable: hypotension, comp to decomp
= Potentially unstable: pelvic fracture, stable can unstable
= Stable: stable ex toenail fracture

Question 25

Golden Period “hour”:
Platinum 10:

Answer 25

= incident to surgery time 1 Hr from Crash to EMS to PT to surgery
= no more than 10 mins on scene

Question 26

QA QI should NEVER be

Answer 26

punitive

Question 27

mechanism of injury (MOI):

Answer 27

the circumstances and events by which an injury occurs.

Question 28

index of suspicion:

Answer 28

Info gathered regarding the scene & MOI for mental summation of suspected injuries based on your event analysis

Question 29

Scene Oversight:

Answer 29

If 1st on the scene, estab/ scene oversight (command) & report your scene findings to dispatch. When additional resources arrive, transfer command & begin PT care. If the incident command system is already in place and operating, report to the incident commander & begin your assignment (usually PT care).

Question 30

(2021,National Guide for Field Triage Guide criteria’s) Red Criteria:
Red injury pattern:

Answer 30

Red: PTs at high risk for serious injury.

Question 30

(2021,National Guide for Field Triage Guide criteria’s) Red Criteria:
Red Vitals & Mental:

Answer 30

Red: PTs at high risk for serious injury.

Question 31

(2021,National Guide for Field Triage Guide criteria’s) Yellow Criteria:
Yellow Judgement:

Answer 31

Yellow: PTs at moderate risk for serious injury.

Question 32

(2021,National Guide for Field Triage Guide criteria’s) Yellow Criteria:
Yellow MOI:

Answer 32

Yellow: PTs at moderate risk for serious injury.

Question 33

!Haldon Mix

Answer 33

.

Question 34

Dr. R. Adams Cowley & founder of:
Dr. Cowley 2 concepts that helped drive modern trauma care:

Answer 34

= Trauma DR/Flight-medic & Shock Trauma Center in Baltimore
= 1 “Golden Hour” & 2 Trauma Medi-Evac establishment of a network of helicopters operated by the Maryland State Police that would transport trauma patients from the scene directly to the Shock Trauma Center in Baltimore

Question 35

EMS trauma care began & classified trauma as disease w/:

Modern-med dev/ed & applied model & its 5-steps to reduce trauma:

Answer 35

= White paper “Accidental Death & Disability: The Neglected Disease of Modern Society.” followed by Highway Safety Act of 1966.
= “public health care model,” & 5 steps: surveillance, risk ID, intervention development, implementation, & evaluation.

Question 36

Founded Shock Trauma Center & Trauma Medivac systemin Baltimore:
Established Trauma Medi-vac system initially by :

Answer 36

= Dr. R. Adams Cowley
= network of helicopters op/ed by Maryland State Police to transport trauma PT from scene directly to Shock Trauma Center in Baltimore

Question 37

Answer 37

Question 38

Answer 38