Multisystem Trauma Flashcards
1
Q
Golden principles of care for multisystem trauma
In order of operations (10)
A
- Scene safety
- Call for additional resources if needed
- Determine MOI and severity
- Identify and manage life threats
- Maintain airway whil managing spine motion restrictions
- Support ventilation and oxygenation
- Control the bleed if there is one
- Secondary assessment and obtain a history
- Splint
- make a transport decision
2
Q
Increased risks for pregnant patients
(6)
A
- Tension pneumothorax - diaphram pushes upward increasing tension
- Higher risk for vomiting and aspiration - Gastric motility decreases
- Uterine injuries - continues to grow and rises out of the pelvis
- Bladder is displaces into abdominal cavity
- Pelvic joints lossen and center of gravity changes which increases risk of falls
- Fetus size during 2nd-3rd trimester increases risk of supine hypotensive syndrome
3
Q
Most common problem cause by maternal hypovolemia
A
Contractions that may progress into labor
4
Q
Most reliable vital sign that indicates a pediatric trauma pt is in hemorrhagic shock
why?
A
- Skin temp, color, cap refill, and mental status
- Blood pressure can remain relatively normal throughout all stages of compensatory shock
5
Q
what age should you pad beneath a childs sholders to hips when doing spine motion restriction?
A
- Less than 8 years old
6
Q
Most common cause of injury in the elderly and most common injury associated with it
A
- Falls
- Fractures
7
Q
Why is suction important in elderly?
A
Its always important but they have a decreased cough reflex
8
Q
Primary goal for multisystem trauma
A
Manage life threats
9
Q
What do you do with a bradycardic pediatric trauma pt
A
- requires PPV
10
Q
A
