Emergency Medicine

Question 1

leading cause of unintentional injury

Answer 1

Motor vehicle crash

Question 2

injuries resulting in death occur more between the ages of? Most likely to get injured?

Answer 2

• 35-44

* males 2 times more likely

Question 3

Every hospital must maintain the following?

Answer 3

• specialty trained workforce that is prepared to provide a range of emergency care 24/7
• ensure access to the equipment that is needed to provide immediate lifesaving care to critically injured patients

Question 4

What must a level 1 trauma center have?

Answer 4

• Provides total care for every aspect of injury from prevention to rehab
• Specialists
• Open 24 hours
• Provide research and education
• meets minimum requirements for volume of trauma patients

Question 5

The sorting of patients based on their need for treatment and the resources
available to provide that treatment

Answer 5

Triage

Question 6

What is triage based on?

Answer 6

quick assessment (including vital signs) which allows the nurse to assign acuity level

Question 7

What is the number 1 triage priority? Primary survey

Answer 7

Airway blockage and C-spine injury

Question 8

What is the number 2 triage priority?Primary survey

Answer 8

Breathing - Ventilation, apply high flow O2

Question 9

What is the number 3 triage priority?Primary survey

Answer 9

Circulation - Perfusion, Bleeding, Hemorrhage control , Shock

Question 10

What is the number 4 triage priority Primary survey

Answer 10

Disability- determine neurologic deficits by assessing function via GCS
*AVPU

Question 11

When assessing a patient for disability/neurologic deficits, what should you look for?

Answer 11

o Alert – is the client alert and responsive?
o Verbal – does the client respond to verbal stimuli
o Pain – does the client respond to painful stimuli
o Unresponsive – is the client unresponsive to all stimuli, including pain?

Question 12

What is the number 5 triage priority?Primary survey

Answer 12

Exposure/environment - remove clothing to allow for further evaluation of injuries, hypo/hyperthermia

Question 13

All MCI are? Not all disasters are?

Answer 13

• All MCIS are disasters

* Not all disasters are MCIS

Question 14

Goal of response to any MCI?

Answer 14

Greatest good for greatest amount of people

Question 15

Disaster triage is only used when?

Answer 15

In the most catastrophic cases

Question 16

Goal of response to any disaster?

Answer 16

Greatest good for greatest amount of people rather than doing everything possible to save one life.

Question 17

In disaster triage, who gets delayed care?

Answer 17

• People who dont have high survival chance

* people who would consume too many resources

Question 18

Uses physiological parameters and is designed to be completed in 60 seconds or less

Answer 18

START - simple triage and rapid treatment

Question 19

What 3 observations is START based on?

Answer 19

1. respirations
2. perfusion/pulse
3. mental status

Question 20

What does a RED tag mean in disaster triage?

Answer 20

*Survivable life threatening injuries with a time limit that need to be seen IMMEDIATELY

Question 21

What are some indicators for a RED tag

Answer 21

• Respirations greater than 30
• Cap refill longer than 2 seconds
• Lack radial pulse
• Unable to follow simple instructions

Question 22

What does a YELLOW tag mean in disaster triage??

Answer 22

Ugent- can delay treatment for an hour or two, not expected to deteriorate soon

Question 23

What does a GREEN tag mean in disaster triage??

Answer 23

• Delayed
• Minor injuries
• Client can stand, walk and understand directions

Question 24

What does a BLACK tag mean in disaster triage??

Answer 24

• Dead/no further treatment

* Patients have no respirations, recieve airway repositioning, if still no respirations, black tagged