Lesson 2 Flashcards

1
Q

wound healing

A

natural process
several overlapping stages
may not be fully restored
want to maintain homeostasis

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2
Q

what happens to vessels when we get a wound

A

vasoconstriction

platelets

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3
Q

temp for platelets to work

A

35C

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4
Q

epitheliazation

A

new epithelial cells move into injured region

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5
Q

neovascularization

A

new blood cells/capillaries buds
conduit of O2 and nutrients
pathway for waste removal

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6
Q

what is collagen

A

tough fibrous protein
repair unit
synthesized by fibroblast
stabilizes

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7
Q

anatomical factors

A
meds
skin tension lines
medical 
circulation
crush injuries
conditions 
repeated areas
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8
Q

high risk wounds

A

bites

foreign body object

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9
Q

primary closure

A

immediate closure

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10
Q

secondary intention

A

close it but may have to reopen it

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11
Q

infection

A

any break in skin
delayed healing
additional complications

LOOK FOR VISIBLE CLUES

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12
Q

gangrene

A

clostridium perfringens
can occur from untreated wounds
usually happens to lower economic groups

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13
Q

tetanus

A

potent toxin
lock jaw
rare

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14
Q

necrotizing fasciitis

A
death of tissue from bacterial infection 
rare 
happen to anyone 
very pain full 
necrosis 
mortality 70-80%
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15
Q

closed wounds

A

no break in epidermis

contusion (bruise)

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16
Q

open wound

A

disruption of the skin
vulnerable to infection
all blood volume could be lost

17
Q

does all bleeding end eventually?

18
Q

crush injury

A

body part crushed between 2 objects

19
Q

t/f any sign of shock thing hemmoragic

20
Q

crush syndrome

A

happens when body is trapped for 4+ hours

muscles destroyed beyond repair

21
Q

blast injuries

primary phase

A

pressure wave
heat and air displacement
damages air filled cavities

22
Q

blast injuries secondary phase

A

blast wind
less forceful then pressure wave but lasts longer
flying debris

23
Q

blast injuries tertiary phase

A

displacement away from the blast site or collapse of surrounding structure
thrown abasing rigid structure
risk of entrapment
multiple patients

24
Q

blast injuries quaternary phase

A

burns

random events that happen during an explosion

25
Scene safety
safety | MOI/NOI
26
superficial wounds
ooze small amounts of blood
27
lacerations
cut inflicted by a sharp instrument first priority is to control bleeding severity depends on depth
28
puncture wounds
from a pointed object or bullet wound impaled foreign object
29
avulsions
flap of skin torn loose | may be accompanied by profuse bleeding
30
scene safety
safety MOA consider forces involved determine number of patients
31
primary assessment
``` life threats general impressions spine injuries level of consciousness ABCs palpate and insect skin priority decision ```
32
secondary assessment
physical examination MOA serious trauma
33
closed wound treatment
ice/cold packs compression elevate injured part above heart use splint if needed
34
open wound treatment
control bleeding keep wounds clean determine how bad it is determine how much blood is lost
35
HEENT
``` head ears eyes nose throat ```