Chapter 27 - Trauma Overview: The Trauma Patient and the Trauma System

Question 1

the science of analyzing MoI

Answer 1

kinetics of trauma

Question 2

the branch of mechanics dealing with the motions of material bodies.

Answer 2

kinetics

Question 3

mass (wieght) x velocity (speed) ²

__________________________ =

                   2

Answer 3

kinetic energy

(weight in lbs)

(speed in ft per second)

Question 4

a body at rest will remain at rest, and a body in motion will remain in motion, unless acted upon by an outside force.

Answer 4

law of inertia

Question 5

vehicular collision - three impacts:

Answer 5

vehicle

body

organ

Question 6

Rupture of the lungs that occurs as the chest meets with blunt trauma after taking a deep breath, usually during a motor vehicle crash.

Answer 6

paper bag injury

Question 7

injury where the neck is hyperextended and the anterior spinal ligaments are often stretched or torn

Answer 7

whiplash

Question 8

SCIWORA

Answer 8

spinal

chord

injury

with

out

radiologic

abnormality

Question 9

a fall of ____ ft for an adult is considered severe

Answer 9

20ft

Question 10

a fall of _____ft, or 2-3x the height of the child is considered severe

Answer 10

10ft

Question 11

a fracture of the wrist bone is known as _______

Answer 11

colles or “silver fork”

Question 12

the path or motion of a projectile during its travel.

Answer 12

trajectory

Question 13

the way energy is transferred to the human body from the force acting on it

Answer 13

dissipation of energy

Question 14

factors that slow a bullet down, such as wind resistance.

Answer 14

drag

Question 15

the impact point of the bullet. the greater the size of the impact point, the more energy is transferred

Answer 15

profile

Question 16

the cavity in the body tissues formed by a pressure wave resulting from the kinetic energy of the bullet

Answer 16

cavitation

Question 17

a bullet that breaks up into small pieces or releases small pieces upon impact that increases body damage these pieces are called _______.

Answer 17

fragmentation

Question 18

every explosion has three phases:

Answer 18

primary

secondary

tertiary

Question 19

explosion injuries phase -
due to the pressure wave. these injuries primarily affect the gas-containing organs, such as lungs, stomach, intestines, inner ears, and sinuses. severe damage and death may occur from this phase without any external sign of injury.

Answer 19

primary phase

Question 20

explosion injuries phase -
due to flying debris propelled by the force of the blast, or blast wind. the injuries of this phase are obvious. most common are lacerations, impaled objects, fractures, and burns.

Answer 20

secondary phase

Question 21

explosion injuries phase -
occur when the patient is thrown away from the source of the blast. injuries are much the same as you would expect from ejection from a vehicle. the pattern is dependent on the distance thrown and the point of impact.

Answer 21

tertiary

Question 22

trauma center that can manage all types of trauma 24hrs a day, 7 days a week.

Answer 22

level 1 - regional trauma center

Question 23

trauma center that can manage most trauma with surgical capabilities 24hrs a day, 7 days a week. they are capable of stabilizing more specialized trauma patients and then transferring them to a level 1 center

Answer 23

level 2 - area trauma center

Question 24

trauma center that has some surgical capability and specially trained emergency department personnel to manage trauma. this type of center focuses on stabilizing the seriously injured trauma patient and then transferring to a higher-level center

Answer 24

level 3 - community trauma center

Question 25

trauma facility that is typically a small community hospital in a remote area capable of stabilizing seriously injured trauma patients and then transferring them to a higher-level trauma center

Answer 25

level 4 trauma facility

Question 26

specialty trauma centers may include:

1

2

3

4

5

Answer 26

neurocenters

burn centers

spinal cord injury centers

peds trauma centers

limb reimplantation centers