Multisystem Trauma, Environmental Emergencies Flashcards

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1
Q

Define multisystem trauma

A

Multiple injuries that affect more than one body system

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2
Q

What are some of the most important critical decisions an EMT can make on the scene of a serious trauma?

A

Determining patient priority, amount of time on-scene, and hospital transport decision.

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3
Q

What is the Glasgow Coma Score (GCS) measurement of altered mental status, which according to CDC guidelines necessitates transport to a trauma center?

A

13

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4
Q

According to CDC guidelines, a systolic blood pressure of less than how many mmHg indicates a patient should be transported to a trauma center?

A

90 mmHg

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5
Q

A respiratory rate less than how many and greater than how many indicates a patient should be transported to a trauma center?

A

Less than 10

Greater than 29

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6
Q

What trauma triage criteria would justify transportation to a trauma center based on mechanism of injury alone?

A

Auto versus pedestrian

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7
Q

What are the 3 elements of the Revised Trauma Score?

A

GCS, systolic blood pressure, and respiratory rate

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8
Q

What type of trauma triage criteria regarding transport would a finger amputation receive?

A

Any hospital w/ surgical facilities

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9
Q

When the body is in water, how many times faster does it lose heat than when it is in still air?

A

25 times faster

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10
Q

A patient who is lying on cold ground is losing the most amount of heat by what mechanism?

A

Conduction

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11
Q

What term describes the temperature of the surrounding air?

A

Ambient temperature

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12
Q

The technique for central rewarming requires the application of heat to which areas of the patient’s body?

A

Lateral chest, neck, armpits, and groin

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13
Q

The term gangrene means tissue what?

A

Death

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14
Q

The term blanching, used to describe localized cold injury, means the tissue has turned to which of the following colors?

A

White or lighter

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15
Q

What should the EMT do during the treatment of localized cold injury?

A

Gradually warm the affected area

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16
Q

Heat cramps occur due to loss of what substance?

A

Salt

17
Q

Heat stroke is caused by what mechanism?

A

Failure of temperature regulation mechanisms

18
Q

When submerged in water, biological death may be delayed if the water temperature is below what degree Farenheit?

A

70

19
Q

What could worsen the effects of a snake bite?

A

Application of ice

20
Q

What is caused by trapped nitrogen gas in the tissues due to a rapid ascent from a scuba dive?

A

Decompression sickness

21
Q

Most radiant heat is lost through which part of the body?

A

The head

22
Q

Why is it important to remove constricting items such as rings before thawing a frozen extremity?

A

Because thawed areas often swell