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TRAUMA > HEMORRAGE CONTROL 29-2 > Flashcards

HEMORRAGE CONTROL 29-2 Flashcards

1
Q

LEADING CAUSE OF PREVENTIBLE DEATH ON THE BATTLEFIELD?

A

HEMORRHAGE

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2
Q

PERCENT OF COMBAT FATALITIES FORWARD OF A MEDICAL TREATMENT FACILITY?

A

90 %

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3
Q

PERCENTAGE OF COMBAT CASUALTIES THAT NON SURVIVABLE INJURY?

-POTENTIALLY SURVIVABLE?

A

75% NON

25% POTENTIALLY SURVIVABLE

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4
Q

HEMORRHAGE THAT IS MOST COMMON CAUSE OF MASSIVE BLOOD LOSS IN COMBAT

-CAN OCCUR ON SCALP, TORSO, OR USUALLY FROM AN AMPUTATION OR OPEN FRACTURE.

A

EXTERNAL HEMORRHAGE

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5
Q

THIS TYPE OF HEMORRHAGE BECOMES FATAL IF A CASUALTY IS NOT MOVED EXPIDITIOUSLY TO PERFORM SURGICAL PROCEDURES DUE TO INABILITY TO SEE THE INJURY ITSELF.

A

INTERNAL HEMORRHAGE

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6
Q

TCCC APPROVED TOURNIQUETS

A

CAT

SOFF T

EMT

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7
Q

ARTERY FOR THE HAND

A

RADIAL/ULNAR

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8
Q

ARTERY FOR THE FOREARM

A

BRACHIAL

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9
Q

ARTERY FOR THE UPPER ARM

A

AXILLARY

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10
Q

ARTERY FOR THE LOWER LEG (NOT THIGH)

A

POPLITEAL

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11
Q

ARTERY FOR THE THIGH

A

FEMORAL

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12
Q

PRESSURE POINT OF THE HAND

A

WRIST

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13
Q

PRESSURE POINT OF THE FOREARM

A

INNER UPPER ARM

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14
Q

PRESSURE POINT FOR THE UPPER ARM?

A

AXILLA

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15
Q

PRESSURE POINT FOR THE LEG

A

POPLITEAL

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16
Q

PRESSURE POINT FOR THE THIGH?

A

GROIN CREASE

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17
Q

THIS HEMOSTATIC AGENT IS WIDELY USED IN THE D.O.D.

A

COMBAT GAUZE

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18
Q

GAUZE THAT WORKS AS A HEMOSTATIC AGENT WHEN COMBAT GAUZE IS NOT AVAILABLE.

-ACTIVE INGREDIENT OF CHOTOSAN

A

CELOX.CHITO GAUZE

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19
Q

FIRST EXPANDING WOUND DRESSING TO BE FDA CLEARED FOR LIFE THREATENING JUNCTIONAL BLEEDING.

COMES IN A SYRINGE APPLICATOR WITH COMPRESSED MINI SPONGES.

A

X-STAT

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20
Q

WOUNDS ASSOCIATED WITH:

  • GROIN
  • BUTTOCKS
  • PERNEUM
  • AXILLAE
  • BASE OF THE NECK

ARE ALL CONSIDERED THIS TYPE OF WOUND SITE DUE TO LACK OF ABILITY TO APPLY A TOURNIQUET.

A

JUNCTIONAL

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21
Q

CO.TCCC APPROVED JUNCTION TOURNIQUETS

A

COMBAT READY CLAMP (CROC)
JUNCTIONAL EMERGENCY TREATMENT TOOL
SAM JUNCTIONAL TOURNIQUET

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22
Q

HOW HIGH ABOVE THE BLEEDING SITE SHOULD YOU PLACE A TOURNIQUET

A

2-3 INCHES ABOVE

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23
Q

IF A TOURNIQUET IS APPLIED AND YOU CAN NOT CONTROL THE HEMMORRHAGE , WHAT SHOULD YOU DO?

A

APPLY A SECOND TOURNIQUET

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24
Q

WHEN HEMOSTATIC DRESSING IS APPLIED HOW LONG WILL YOU HOLD DIRECT PRESSURE FOR?

A

3 MINUTES

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25
Q

WHENEVER YOU APPLY A TOURNIQUET (OR ANY INTERVENTION) AND THEN MOVE THE PATIENT, WHAT SHOULD YOU DO?

A

RE-ASSESS THE TOURNIQUET

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26
Q

AFTER ANY TOURNIQUET BOTH COMBAT AND JUNCTIONAL ARE APPLIED WHAT ARE SOME THINGS ASSESSED AND DOCUMENTED?

A

ASSESS FOR BLEEDING,

DOCUMENT TIME PLACED

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27
Q

BREATHING MAINLY COMES FROM STIMULUS FROM THIS PART OF THE CNS?

A

MEDULLA AND/OR PONS

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28
Q

CHEMICAL STIMULI FOR BREATHING CAN BE FOUND IN WHAT VASCULATURE STRUCTURES?

A

CAROTID BODIES AND AORTIC ARCH

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29
Q

RESPIRATORY CENTER STIMULATION HAPPENS WHEN CO2 BEGINS BUILDING IN THIS THIS FLUID FOUND IN THE SPINE

A

CEREBRAL SPINAL FLUID

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30
Q

A PATIENT WITH A HYPOXIC DRIVE SHOULD NOT BE GIVEN WHAT?

A

100% OXYGEN BECAUSE IT CAN KILL THEIR RESPIRATORY CENTER AND KEEP THEM FROM BREATHING.

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31
Q

A PATIENT WITH HYPOXIC DRIVE WILL SATURATE AT WHAT PERCENTAGE USUALLY?

A

90-92%

32
Q 
BODY TEMPERATURE
EMOTION
PAIN
HYPOXIA
ACIDOSIS
STIMULANT DRUGS

CAUSE RESPIRATIONS TO INCREASE OR DECREASE?

A

INCREASE

33
Q

DEPRESSANTS
SLEEP MEDS
MORPHINE SULFATE

THESE WILL CAUSE RESPIRATIONS TO INCREASE OR DECREASE?

A

DECREASE

34
Q

NO OXYGEN AVAILABLE AT ALL

A

ANOXIIIA

35
Q

REPRESENTS THE PERCENTAGE OF OXYGEN THAT A PERSON IS BREATHING IN A MEASURED SPACE.

A

FRACTION OF INSPRED OXYGEN (FIO2)

36
Q

ABNORMALLY LOW OXYGEN IN THE TISSUES AND ORGANS

A

HYPOXIA

37
Q

INSUFFICIENT OXYGENATION WITH INSUFFICIENT PARTAL PRESSURE O2 IN BLOOD

A

HYPOXEMIA

38
Q

NON INVASIVE METHOD ALLOWING THE MONITORIN OF THE SATURATION OF A PATIENTS HEMOGLOBIN.

A

PULSE OXIMETER

39
Q

PULSE OXIMETER BELOW WHAT PERCENT IS CONCERNINGAND A CLINICAL EMERGENCY?

A

90%

40
Q 
CARDIAC ARREST
RESPIRATORY ARREST
HYPOXEMIA (SAT <90% PO2 <58.5
HYPOTENSION <100MMHG
LOW CARDIAC OUTPUT AND METABOLIC ACIDOSIS
RESPIRATORY DISTRESS ( >24/MIN)

INDICATIONS THAT YOU SHOULD DO WHAT?

A

GIVE OXYGEN

41
Q

A PATIENT SHOULD RECIEVE OXYGEN VIA ________FOR ANY OF THE FOLLOWING REASONS?

  • PHYSICAL TRAUMA
  • COPD
  • CLUSTER HEADACHE
  • SMOKE INHALATION
  • CARBON MONOXIDE POISONING
A

NON-REBREATHER

42
Q

PATIENT IS MECHANICALLY VENTILATED VIA E.T TUBE, OR CRIC KIT USING THIS……

A

VENTILATOR

43
Q

THIS DEVICE DELIVERS 100% OXYGEN AT 3 TIMES THE ATMOSPHERIC PRESSURE FOR A PATIENT AND IS USEFUL FOR THE FOLLOWING ISSUES.

DECOMPRESSION ILLNESS
CARBON MONOXIDE POISONING
RADIATION NECROSIS
RECONSTRUCTIVE SURGERY
INFECTIONS AND WOUNDS
A

HYPERBARIC OXYGEN

44
Q

LONG TERM EXPOSURE TO OXYGEN THERAPY CAN CAUSE THIS…..

A

OXYGEN TOXICITY

45
Q

MANUAL MANEUVERS FOR ASSESSING A PT AIRWAY

A

HEAD TILT CHIN LIFT

JAW THRUST

SELLICKS MANEUVER

BURP MANEUVER

46
Q

THIS MANAEUVER IMPROVES THE VISUALIZATION OF THLARYNX AND EASES INTUBATION.

USUALLY WANT TO DISPLACE .5 TO 2.0 CM TO THE RIGHT.

A

BURP METHOD

47
Q

SEILLICKS MANEUVER IS MAINLY TO AID IN WHAT PART OF AIRWAY ASSESSMENT/

A

TO ENSURE THAT AIR HAS NOT ENTERED THE STOMACH

48
Q

AIRWAY ADJUNCT

MOST FREQUENTLY USED ARTIFICIAL AIRWAY DEVICE

INSERTED BEHIND THE TONGUE

PATIENT SHOULD BE UNCONCIOUS WITHOUT A GAG REFLEX.

ALSO USED AS A BITE BLOCK FOR AN INTUBATED PATIENT

A

OPA

49
Q

SOFT RUBBER LATEX TUBE PLACED IN THE NARES AND TO KEEP THE BACK OF THE TONGUE OFF OF THE OROPHARYNX.

A

NPA

50
Q

A PATIENT WITH WHAT SORT OF FACIAL FRACTURE SHOULD NOT RECIEVE AN NPA?

A

BASILAR FACIAL FRACTURE

51
Q

HOW DO YOU DETERMINE THE PROPER LENGTH OF AN NPA?

A

EARLOBE TO THE NOSE

52
Q

THE MOST PREFERRED SUPRAGLOTTIC AIRWAY

A

I-GEL

53
Q

WHY IS THE I GEL BETTER THAN THE OTHER BLIND INSERTION AIRWAYS?

A

DOESN’T NEED TO HAVE AN AIR FILLED CUFF. WHICH IS CONCERNING FOR MEDEVAC

54
Q

INDICATION OF USING AN IGEL IS A PATIENT WHO?……..

A

IS UNCONCIOUS WITHOUT SIGNICICATN DIRECT TRAUMA TO AIRWAY OR FACIAL STRUCTURES.

55
Q

WHAT ARE THE I GEL SIZES

A

3,4,5

56
Q

TYPICAL ADULT SIZE FOR IGEL’S

A

SIZE 4

57
Q

ADULTS LARGER THAN 200 POUNDS GET WHAT SIZE IGEL

A

SIZE 5

58
Q

ACCORDING TO ATLS, THE PREFFERED “DIFINITIVE AIRWAY IS THE:

A

ET TUBE

59
Q

A PATIENT WITH THIS INFECTION SHOULD NOT BE INTUBATED WITH AN E.T. TUBE DUE TO THE RISK OF LARYNGEAL SPASMS?

A

EPIGLOTITIS

60
Q

SIZES FOR E.T. TUBES

MALE PREFERRED

FEMALE PREFERRED

UNIVERSALLY ACCEPTED

A
  1. 0
  2. 0
  3. 5
61
Q

WHAT BLADE ON THE LARYGOSCOPE IS STRAIGHT AND WHICH IS CURVED

A

STRAIGHT IS MILLER

CURVED IS MACINTOSH

62
Q

A PATIENT WHOSE ABOUT TO BE INTUBATED WITH AN ET TUBE SHOULD BE PUT IN THIS POSITION…..

A

SNIFFING POSITIION

63
Q

A PATIENT SHOULD BE SUCTIONED FOR NO LONGER THAN HOW MANY SECONDS?

A

15 SECONDS

64
Q

WHEN INSERTING THE LARYNGOSCOPE YOU WANT TO ENTER THE PATIENTS _________ AND THEN _______________ __________________

A

RIGHT SIDE OF THE MOUTH AND SWEEP CENTER OR MIDLINE.

65
Q

PUSHING THE L-SCOPE AGAINST THESE CAN CAUSE FURTHER COMPLICATIONS AND POSSIBLE INJURY

A

THE TEETH

66
Q

INSERTION OF THE E.T. TUBE SHOULD BE HOW LONG FROM COMING OFF 100% O2?

A

30 SECONDS.

67
Q

THIS CAN BE USED IN PLACE OF AUSCULTATING THE PATIENTS LUNGS DUE TO ENVIRONMENTAL NOISE AFTER E.T. TUBE PLACEMENT.

A

CO2 METER (LAKERS)

68
Q

AN IMPROPERLY PLACED E.T. TUBE COULD HAVE WHAT FINDINGS

A

AIR IN THE GUT OR ONLY ON THE RIGHT BRONCHUS

69
Q

BLIND INSERTION AIRWAY DEVICE

COMES IN 37 FR FOR ADULTS TO 6FT, AND 41 FR FOR PATIENTS UP TO 5 FT TALL.

CONSISTS OF A CUFFED, DOUBLE LUMEN

USED IN TRAPPED PATIENTS*

A

COMBITUBE

70
Q

HOW WOULD YOU CONFIRM A PROPERLY PLACED COMBITUBE?

A

ENTIDAL CO2 DETECTOR

71
Q

AN EMERGENT AIRWAY WHEN ALL OTHERS HAVE FAILED?

A

SURGICAL CRICOTHYROIDOTOMY

72
Q

TWO TYPES OF CRIC’S

A

NEEDLE AND SURGICAL

73
Q

IF A CASUALTY CAN BE INTUBATED SHOULD YOU GIVE A CRIC?

A

NO

74
Q

ACUTE LARYNGEAL DISEASE OF TRAUMATIC O INFECTIOUS ORIGINS ARE A CONTRAINDICATION OF THIS

A

CRIC

75
Q

HOW LONG CAN A SURGICAL CRIC BE LEFT

A

24 HOURS AND REPLACED BY A TRACHEOSTOMY

TRAUMA (4 decks)

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