Ch. 12 Trauma MGMT

Question 1

Newton’s Three Laws

Answer 1

1) inertia, 2) F=MA, 3) “for every action, there is an equal and opposite reaction

Question 2

Predictable Patterns of Head-On Collisions. Two subgroups with three patterns.

Answer 2

Up and Over
1) chest 2) head 3) pelvis
Down and Under
1) femur 2) pelvis 3) ABD

Question 3

Predictable Injuries of Head-On Collisions. Two subgroups with four/three patterns.

Answer 3

Up and Over
1) pneumo 2) aortic arch tear 3) cervical 4) head
Down and Under
1) pelvis/femur(blood loss) 2) liver 3) spleen

Question 4

Predictable Injuries of Rear-end Collisions. 5 types:

Answer 4

1) C2 2) thoracic&lumbar spine fx 3) femur 4) lower extremity fx 5) 2nd impact injuries

Question 5

Predictable Injuries of T-bone collisions 7 types:

Answer 5

severe internal injuries i.e. pelvic fx, femur, liver/spleen, head, chest/flail segments, cardiac tamponade, hemo/pneumo

Question 6

Rollover Accidents 5 types:

Answer 6

axial loading, head, cervical, internal, ejection from vehicle

Question 7

Motorcycle Accidents. What type? What predictable injuries?

Answer 7

[up and over] 1) chest 2) head 3) pelvis

Question 8

Motorcycle Accidents.

Answer 8

helmet vs no helmet

Question 9

Agricultural Accidents considerations. 4.

Answer 9

1) delay in access and extraction 2) crush injuries due to heavy equipment 3) high rollover probability caused by high center of gravity 4) possible HAZMAT involvement

Question 10

Vertical deceleration. Children consideration.

Answer 10

head heavy, look for impact to head

Question 11

Vertical deceleration. Adult injuries

Answer 11

fractures to feet/legs; axial loading, vertical deceleration of organs, Colles’ fractures of wrists