Chapter 36: Multisystem Trauma and Trauma in Special Patient Populations

Question 1

multisystem trauma

Answer 1

when more than one major system is involved

Question 2

golden principles of prehospital multisystem trauma care

Answer 2

• ensure safety of the rescue personnel and the patient
• determine additional resources needed
• understand kinematics
• identify and manage life threats
• manage airway while maintaining spine motion restriction
• support ventilation and oxygenation
• control external hemorrhage and treat for shock
• perform a secondary assessment and obtain a medical history
• splint musculoskeletal injuries and maintain spine motion restriction
• make transport decisions

Question 3

abruptio placentae

Answer 3

the premature separation of the placenta from the uterine wall

Question 4

additional management considerations for pregnant trauma

Answer 4

• elevate right hip, lift backboard, manually displace uterus of patient more than 20 weeks of gestation
• maintain airway, ventilation, oxygenation
• asses circulation, anticipate shock
• perform visual exam of vaginal opening
• consider ALS intercept
• anticipate injuries and shock, aggressively manage mother

Question 5

assessment considerations for the pediatric trauma patient

Answer 5

PAT or PALS

Question 6

Pediatric Assessment Triangle (PAT)

Answer 6

appearance (overall mental status, body position, muscle tone), work of breathing (visual assessment, absence of breathing, decreased respiratory effort), circulation to skin (patients skin color)

Question 7

Pediatric Advanced Life Support (PALS) initial impression components

Answer 7

consciousness (overall mental status, body position, muscle tone), breathing (visual assessment, absence of breathing, decreased respiratory effort), color (patients skin color)

Question 8

management considerations for elderly trauma patients

Answer 8

• spine motion restrictions
• open and maintain clear airway
• ventilation and oxygenation
• prevent hypothermia
• splint fractures
• rapid transport

Question 9

emergency medical care for multisystem trauma and trauma in special patient populations

Answer 9

1. take standard precautions
2. establish and maintain spine motion precautions
3. maintain paten airway, adequate breathing, oxygenation
4. monitor airway, breathing, pulse, mental status for deterioration
5. control bleeding
6. treat for shock
7. identify other injuries and treat appropriately
8. transport immediately