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EMT Trauma-223 > EMT Trauma-223 > Flashcards

EMT Trauma-223 Flashcards

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1
Q

Compensated shock SS

A

HR-Mild Tachy, LOC, Lethargic, confused, combative, Skin- cool, delayed cap refill, BP normal to elevated.

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2
Q

What is true of epistaxis?

A

Worst anterior because of compromise to the airway

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3
Q

Dermatomes at umbilicus

A

T-10

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4
Q

Dermatomes at xiphoid

A

T-6

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5
Q

Dermatomes at nipple line

A

T-4

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6
Q

Definitive of a fracture

A

mid-shaft angulation

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7
Q

What part of the eye is a affected by chemical exposure

A

Conjunctiva

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8
Q

Vertigo is caused by a rupture of what part of the ear drum

A

The semi-circle canals

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9
Q

If 1000 Ml of blood is lost what vital sign could you expect

A

A decreased BP

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10
Q

The Liver is

A

a solid organ

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11
Q

Fact about drowning?

A

Fresh water drownings flushes surfactant and causes shunting

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12
Q

What is the least bad type of radiation exposure to external?

A

Alpha

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13
Q

Classification of rib bones?

A

Flat

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14
Q

Calcanean tendon allows for?

A

plantar Flexion

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15
Q

Ripping and tearing after a fall from a ladder might be?

A

A AAA, check for different pulse pressures

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16
Q

If a patient has an internal dfib where are the pads placed?

A

Use your pads and don’t place them over the defib.

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17
Q

What is a very ominous sign?

A

Rigid abdomen

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18
Q

Cause of a lower airway?

A

Hot steam

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19
Q

A patient with bad facial trauma would lead you to be concerned of?

A

Airway management

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20
Q

What injury could you expect if someone got hit on the left side?

A

Kehr’s sign, Spleen injury

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21
Q

Black charred skin

A

Full thickness

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22
Q

Knee is dislocated with no pulses

A

Try setting it once to get pulses back

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23
Q

In late decompensated shock you will see LOC because?

A

Not a high enough BP to allow for brain perfusion

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24
Q

What nerve is responsible for swallowing?

A

Hypoglossal XII

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25
Q

How to transport a pregnant patient on C-spine

A

Tilt the board to the left side

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26
Q

What injury could a FF have after being in a fire without their SCBA

A

Glottic injury

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27
Q

Why would a rapid trauma assessment be stopped?

A

Life threat found, sucking chest wound

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28
Q

How much fluid can the pericardial hold

A

60-100 ML

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29
Q

Zone of coagulation is located where?

A

The area with the greatest damage

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30
Q

What sign to be looking for with an abdomen injury?

A

Firmness

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31
Q

Carbon monoxide binds to hemoglobin

A

250 times

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32
Q

If JVD goes away upon inspiration what should be suspected

A

Pulsus paradoxus

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33
Q

Best drug for compensated shock

A

o2

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34
Q

What is the middle shaft fracture called?

A

Diaphysis

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35
Q

What is the tip of the shaft fracture called/

A

Epiphysis

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36
Q

What is one joint that should not be manipulated

A

Elbow

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37
Q

What should be taken into consideration with burn patients

A

Peds have a greater surface area to weight ratio

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38
Q

What is the law of kinetic energy?

A

1/2 the mass X velocity squared

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39
Q

Percentage of inspired air is oxygen?

A

21%

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40
Q

Severe allergic reaction caused by histamine release, exposure to antigen?

A

Anaphylactic

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41
Q

What happens at the cellular level during the 3rd stage of shock?

A

Disseminated intravascular coagulation

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42
Q

Jacksons thermal wound theory?

A

zone of burn injury patterns (bullseye pattern)

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43
Q

Most common injury to spinal cord?

A

C5-C7

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44
Q

True of peritonitis?

A

Localized via somatic nerve fibers

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45
Q

Burns associated with potassium

A

Hypovolemia

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46
Q

When would you not remove a helmet?

A

When the bad out weighs the good

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47
Q

If a patient has a bleed from the left AC what should you do?

A

Look for any other life threats

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48
Q

Where should an anterior needle D be performed

A

Mid clavicular 2nd intracoastal space above the 3rd rib

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49
Q

What is the top of the skin called?

A

epidermis

50
Q

What is the purpose of the dermis and epidermis?

A

Organ pertection

51
Q

What is a closed soft tissue collection of pooling blood outside the vessel?

A

Hematoma

52
Q

What is a breakage of veins and capaliiaries called

A

contusion

53
Q

What are factors of radiation exposures?

A

Time, Distance, shielding (not humidity)

54
Q

Hydrochloric acid

A

important if they have a respiratory complaint

55
Q

Important to understand about A and P for electrical burns?

A

The current travels with blood vessels and nerves.

56
Q

This medication could have a negative impact on bleeding?

A

Coumadin

57
Q

Liver damage from rapid deceleration

A

Ligamentum teres laceration

58
Q

Management for right radial laceration

A

Direct pressure

59
Q

Lac to soft tissue to the eye may result in from this type of injury?

A

Laceration to the cornea

60
Q

What part of the body doesn’t respond well to chemicals?

A

eyes

61
Q

Cigarette lighter burn description

A

Red and painful with no blistering

62
Q

Where to check pulses on a adult trauma patient

A

Carotid

63
Q

Blood anterior chamber of front of iris?

A

hyphema

64
Q

can’t cool down

A

heat stroke

65
Q

partial thickness burn presents with?

A

Blistering

66
Q

Why use a short board for MVC

A

Because it immobilizes the c and thoracic spine

67
Q

When to post burn patients need nutrients

A

hypermetabolic phase

68
Q

Law of inertia

A

There are three collisions in every MVC

69
Q

Life threat during explosion

A

Damage to lungs

70
Q

Impulses from the skin to CNS

A

Afferent

71
Q

Impulses from brain to muscle

A

Efferent

72
Q

What vessels can’t constrict if lacerated

A

Capillaries

73
Q

After a clavicle fracture what vessel can be injured

A

Subclavian

74
Q

Where can arteries, veins, and nerves be found?

A

Under the ribs

75
Q

What is not an acceptable term to describe a burn

A

Mild

76
Q

Why is there a high BP in a dissecting aortic

A

Sympathetic nerve fibers stretching aorta

77
Q

Why a low BP in a tension Pnuemo

A

Increased intrathoracic pressure decreases blood return

78
Q

What social que might you take notice of if they look uncomfortable

A

A Female flexes her abdomen when you lift her shirt

79
Q

Tension Pnuemo creates what type of shock

A

Obstructive

80
Q

If a patient is severely injured and hypotensive what could be used

A

PASG

81
Q

Organ located in the retroperitoneal space

A

Kidney

82
Q

Hanging can be described as this type of injury

A

Distracting

83
Q

Hydrochloric acid exposure may cause what?

A

Systemic damage even if external signs are mild

84
Q

What can be true for facial traumas?

A

They can bleed a lot but are rarely a life threat

85
Q

If bleeding can’t be controlled by direct pressure what will be the next step?

A

Tourniquet

86
Q

How to open a trauma patient airway

A

Jaw thrust

87
Q

Why would fluid replacement be important during a hemorrhagic shock

A

to keep the pre-load

88
Q

Chemical exposure into respiratory tract management

A

ventilate and get ready to intubate

89
Q

How to handle amputated body parts

A

Wrap the bart in gauze that is moistened with gauze with NS or LR, then place the parts in a bag and on ice.

90
Q

Stage 1 of shock

A

vasoconstriction up to 15% blood loss

91
Q

Stage 2 of shock

A

Capillary and venule opening, 15-25% blood loss

92
Q

Stage 3 of shock

A

Disseminated intravascular coagulation, 25-35% blood loss

93
Q

Stage 4 of shock

A

Multiple organ failure, 35-45% blood loss

94
Q

Becks triad

A

JVD, muffled heart tones, narrowing BP

95
Q

Management of abdominal bleed

A

attempt to stabilize and rapidly transport for surgical interventions

96
Q

When the pressure goes up, the volume goes down. trapped gases expand when the pressure decreases to cause barotrauma.

A

Boyle’s Law

97
Q

Who is more susceptible to an inhalation injury

A

Peds

98
Q

The pressure exerted by each gas in a mixture of gases is the same pressure that the gas would exert if it alone occupied the same volume.

A

Dalton’s Law

99
Q

Most common organ in penetrating trauma

A

Liver (Ligamentum teres)

100
Q

A term related to blood in the eye

A

Hyphema

101
Q

This type of disability will make it more likely to be bedridden

A

Quadriplegic

102
Q

When given fluid replacement to an older person

A

be careful not to overload them

103
Q

This drug can reduce ICP and also increase CPP

A

Mannitol

104
Q

As the body compensates for shock, peripheral vasoconstriction happens leading to what

A

A switch from aerobic metabolism to anaerobic

105
Q

When responding to a call that involves severe energy injury what should be taken into account?

A

Scene safety

106
Q

If you have a patient that is pinned and requires extensive extrication what should you do?

A

Perform supportive care and call for an Engine Co. for further extrication

107
Q

You respond to a patient that is in respiratory distress, cyanosis, subQ emphysema what should be performed

A

Bilateral needle D

108
Q

What is a definitive sign of spinal injury?

A

Paralysis

109
Q

Your patient is complaining of redness on her wound following her injury that occurred yesterday, what would this tell you.

A

This is normal inflammation

110
Q

Considered a very important ALS skill

A

Needle D

111
Q

Burns that are associated with hyper K

A

Hypovolemia

112
Q

Caused by inflammation of the labyrinth in the inner ear or damage from a blast injury

A

Vertigo

113
Q

Post arrest care

A

1-2L, temp of 34 C

114
Q

During any trauma if a patient takes this it increases the severity

A

Blood thinners

115
Q

Parkland formula

A

4cc X BSA over 8 hours

116
Q

These cells are more susceptible to radiation exposure

A

Reproductive

117
Q

Primary blast can effect

A

hollow organs

118
Q

If you respond to a football game for a down player what should you consider

A

Consult with trainer as they have a better understanding with the equipment

119
Q

This condition the patient will have high potassium

A

Rhabdo

120
Q

treatment for cyanide poisoning

A

Sodium thiosulfate

EMT Trauma-223 (1 decks)

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