12-1- 3

Question 1

In general, all trauma patients should receive supplemental ___________

Answer 1

oxygen

Question 2

Primary survey- Breathing

Answer 2

1- Look for tracheal deviation, an open pneumothorax or significant chest wounds, flail chest, paradoxical chest movement, or asymmetric chest wall
2- auscultation of both lungs
3- Consider chest tube placement
4- cover open wounds with three sided bandage

Question 3

Primary survey- B- Decreased breath sounds and hemodynamic compromise in trauma

Answer 3

• Can be a sign of pneumothorax or hemothorax.
• should be treated with needle decompression/ thoracotomy tube placement.

Question 4

Primary survey- B- If a flail chest is present and respiratory compromise, __________ should be provided.

Answer 4

positive pressure ventilation

Question 5

Primary survey- C- Any obvious hemorrhaging should be controlled by _______________

Answer 5

direct pressure
applying tourniquets to the extremities.

Question 6

In trauma, hypovolemia is addressed first with ______________–, but it should then be followed by blood products

Answer 6

1 L isotonic solutions, such as normal saline or lactated Ringer

Question 7

The components of the GCS are:

Answer 7

MOTOR 6
6 Follows commands
5 Localizes to pain
4 Withdraws from pain
3 Flexes in response to stimuli (decorticate posturing)
2 Extends in response to stimuli (decerebrate posturing)
1 Does not move in response to stimuli

VERBAL5
5 Coherent speech
4 Confused speech
3 Incoherent words
2 Incomprehensible sounds
1 No speech

EYES 4
4Opens spontaneously
3 Opens to noise
2 Opens to pain
1 Does not open

Question 8

Trauma adjunct- ECG adds what value in trauma

Answer 8

could see tamponade

Question 9

Trauma adjunct- Urinary Catheters can help in the evaluation of fluid status. However, care must be taken if a contraindication exists, such as _____________-

Answer 9

blood at the meatus
perineal ecchymosis
high-riding prostate

Question 10

By the end of the primary survey, the trauma patient should have

Answer 10

• recieved resuscitation
• immediately life-threatening condition should have been identified and addressed.

After completing the primary and secondary survey, there should be a decision on the patient’s disposition: to obtain additional studies, proceed to the OR, take the patient to the ICU, or even progress to discharge if appropriate.

Question 11

After the primary survey, the secondary survey is completed to ensure

Answer 11

a comprehensive evaluation and management of the patient’s injuries.