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TRAUMA > Basics Of Trauma > Flashcards

Basics Of Trauma Flashcards

1
Q

When should consideration of the mechanism of injury begin?

A

During scene size up

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2
Q

What is index of suspicion?

A

An anticipation of possible injuries based on analysis of the event

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3
Q

The body compensates _____ for internal loss of blood.

A

Well

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4
Q

What is the goal of trauma system quality improvement?

A

Committees look at selected care modalities to determine if designated standards of care are being met

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5
Q

For trauma system QI, QI committees would study the application of?

A

Trauma triage criteria, performance of field skills, and amounts of time spent in various aspects of response, care and transport.

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6
Q

If system standards are not being met, the QI committees may suggest such steps as?

A

Continuing education programs or modification of protocols

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7
Q

The leading killer of persons under the age of 44 in the United States is?

A

Trauma

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8
Q

In the quality improvement process, committees look at selected care modalities to determine if designated standards of care are being met. These modalities are called?

A

Indicators

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9
Q

The trauma system is predicated on the principle that serious trauma is a?

A

Surgical disease

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10
Q

What is trauma?

A

A physical injury or wound caused by external force or violence

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11
Q

What type of trauma occurs when an object enters the body and exchanges energy with human tissue?

A

Penetrating trauma

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12
Q

What type of trauma occurs as the energy and forces of collision with an object - not the object itself - enters the body and damage tissue?

A

Blunt trauma

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13
Q

What was the role of the trauma care systems and development act of 1990?

A

It helped to establish guidelines, funding, and state-level leadership and support for the development of trauma systems

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14
Q

Life-threatening injuries account for less than ______ of all trauma patients

A

10%

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15
Q

Which level trauma center can handle all types of specialty trauma?

A

Level 1

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16
Q

Which level trauma center provides leadership and resource support to all other levels of their regional trauma system?

A

Level 1

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17
Q

At which type trauma center can handle all but the most seriously injured specialty and multisystem trauma patients?

A

Level II

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18
Q

Which level trauma center is a general hospital with a commitment to special staff training and resource allocation for trauma patients?

A

Level III

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19
Q

Which level trauma center is also known as a community trauma center?

A

Level III

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20
Q

In rural regions, a level _____ center may act as the regional trauma center because the incidence of serious trauma does not support any greater commitment.

A

III

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21
Q

________ have a commitment of trained personnel, equipment , and other resources to provide services not usually available at a general or trauma hospital.

A

Specialty centers

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22
Q

_______ are more likely to provide a higher level of intensive care and state-of-the-art injury management than other facilities are able to.

A

Specialty centers

23
Q

When should mechanism of injury be considered?

A

During scene size up

24
Q

What is the index of suspicion?

A

An anticipation of possible injuries based on analysis of the event

25
Q

The body compensates _____ for the internal loss of blood and ______ serious signs of injury until late in the shock process.

A

Well

Hides

26
Q

What is the golden hour?

A

From response time to patient getting into surgery

27
Q

Primary and rapid secondary assessments, emergency stabilization, patient packaging, and initiation of transport should be limited to how many minutes?

A

10

28
Q

What is the trauma registry?

A

It is a uniform and standard set of data collected by regional trauma centers

29
Q

What is used to determine how well a trauma system is performing and identifies factors that may contribute to or lessen chances of patient survival?

A

Trauma registry

30
Q

The leading killer of persons under the age of 44 in the United States is?

A

Trauma

31
Q

Certain trauma centers commit to special emergency department training and have a degree of surgical capability but usually stabilize and transfer seriously injured patients. These centers are designated:

A

Level III

32
Q

When determining the mechanism of injury, you will identify the?

A

Forces involved in the incident

33
Q

Limitations of the use of air medical transport include all of the following except?

A

Indirect route of travel

34
Q

In the quality improvement process, committees look at selected cafe modalities to detained if designated standards of care are being met. These modalities are called?

A

Indicators

35
Q

In which type of soft-tissue injury is the skin cut or torn, leaving a flap of skin attached?

A

Avulsion

36
Q

Why does capillary oozing from minor, open, soft-tissue trauma may not stop immediately?

A

Capillaries cannot contract

37
Q

Pain out of proportion to apparent injury?

A

Compartment syndrome

38
Q

A sprain is best described as?

A

Partial or complete tearing if ligaments of the joint capsule

39
Q

What feature of the cranium exacerbates the severity of intracranial trauma?

A

It is ridged and unyielding

40
Q

Based on your knowledge of anatomy of the head what is true of a epidural bleed?

A

Epidural bleed is more likely arterial than venous

41
Q

A trauma center that is committed to special emergency department training and has a degree of surgical capability but that usually stabilizes and transfers seriously injured patients is a level _____ trauma center.

A

III

42
Q

Upon arriving on a scene where the mechanism of injury indicates a potentially life-threatening injury, what will best deliver the care that is needed?

A

Call immediately for air medical to reduce golden hour

43
Q

Which of the following best describes what happens to the kinetic energy of a vehicle traveling at 65 miles per hour when it collides into a concrete barrier wall?

A

The body of the vehicle and its occupants absorb the energy

44
Q

What two factors proportionally affect the kinetic energy of a bullet fired from a gun?

A

Velocity and mass

45
Q

What injury is associated with the tertiary phase of a blast?

A

Entrapment

46
Q

What injury is associated with the pressure wave produced by a blast?

A

Pneumothorax

47
Q

In addition to handling all types of specialty trauma, which level of trauma center provides continuing medical and public education programs?

A

I

48
Q

Anaphylactic shock is a form of ____ shock.

A

Distributive

49
Q

The increase in myocardial contraction as a result of increased blood return to the heart describes?

A

Frank-starling law of the heart

50
Q

What finding indicates a progression from compensated shock to decompensated shock?

A

Dropping level of consciousness

51
Q

Under normal circumstances, at any given moment, most of the blood is in the _____ system.

A

Venous

52
Q

What is the importance of oxygen in cellular metabolism?

A

It prevents pyruvic acid from being converted to lactic acid

53
Q

When can resuscitative efforts be terminated?

A

Decapitation, incineration, trauma to the head or chest clearly incompatible with life, of standing order

TRAUMA (11 decks)

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