Online Modules

Question 1

What does KE= 1/2 mvsquared mean in layman’s terms?

Answer 1

If mass doubles, energy doubles, when velocity doubles, energy is quadrupled.

Question 2

How many impacts are involved in an MVA?

Answer 2

3. First, car hits something. Second, a persons body hits the inside of the car. Third, the internal organs impact the body.

Question 3

What is cavitation?

Answer 3

Separation of tissue due to sound or hydraulic waves.

Question 4

Which organs are more prone to damage due to cavitation?

Answer 4

Solid organs like the liver.

Question 5

What organs does the primary blast injuries affect?

Answer 5

Air filled organs like the lungs.

Question 6

What type of blast injuries cause the most fatalities?

Answer 6

Secondary, which include fragment injuries and implements.

Question 7

What type of injury is considered a tertiary blast injury?

Answer 7

When the body is thrown against an object, fractures such as the pelvis are likely to occur.

Question 8

Name the cardiovascular changes that may occur during pregnancy that may affect resuscitation.

Answer 8

Blood volume increases, which increases tolerance to blood loss, HR increases 10-20 BPM, after 20 weeks supine hypotension may occur, vasodilation occurs, which may make a Pt in shock appear warm/dry.

Question 9

What are some respiratory changes that may affect the Tx of a pregnant woman.

Answer 9

O2 consumption increases, RR increases, risk of nasopharyngeal bleeding increases, which increases risk of upper airway obstruction, chest tube placement needs to be higher due to higher diaphragm.

Question 10

Name some hematologic changes affecting the Tx of a pregnant woman.

Answer 10

Plasma volume volume increases 30-50% by the 13th week. risk of thromboembolism and DIC increases.

Question 11

What are some gastrointestinal changes affecting the Tx of a pregnant woman.

Answer 11

Abdominal organs displaced, abdominal palpation less reliable, bowel sounds less audible, emptying time prolonged, more gastric secretions make reflux/aspiration more likely.

Question 12

Name some renal changes affecting the Tx of a pregnant woman.

Answer 12

Increased frequency, increased risk of UTI due to stasis.

Question 13

Name some musculoskeletal changes affecting the Tx of the pregnant Pt.

Answer 13

Sacral ligaments soften and relax. unsteady gait due to widening pelvis/abdomen.

Question 14

What accounts for most trauma among pregnant women?

Answer 14

Falls and blunt trauma.

Question 15

What equipment is needed to prepare for the pregnant trauma Pt?

Answer 15

Fetal monitor, emergency delivery pack, infant warmer.

Question 16

If your pregnant trauma Pt has retractions, what would you do?

Answer 16

Apply oxygen at 15L via non-rebreather mask.

Question 17

How would you treat a suspected case of supine hypotension syndrome who presents on a backboard?

Answer 17

Tilt the backboard at least 15 degrees with a hip wedge, or manually displace the uterus to the side.

Question 18

If your pregnant Pt with a glasgow score of 15 suddenly drops to a 7,with snoring respiration’s, what are the interventions you should take?

Answer 18

Open airway with jaw thrust, insert OPA, ventilate via bag mask, prepare to intubate, request head CT, consider OG tube.

Question 19

What are the steps to confirming correct ETT placement?

Answer 19

Bilateral breath sounds, bilateral chest rise and fall, no gurgling over epigastrium, attach carbon dioxide detector and check level after 5-6 breaths.

Question 20

What are the weight ranges for classifying an individual as underweight/normal weight/overweight/obese?

Answer 20

BMI

Question 21

What type of MVA/injuries are more prevelant to bariatric patients?

Answer 21

More fatalities with frontal crashes. Pt more prone to head/thoracic/abdominal/extremity injury/fracture.

Question 22

When dosing analgesic meds for the bariatric Pt, is actual weight or ideal weight used to determine dosing?

Answer 22

Ideal body weight.

Question 23

What are 2 quick ways to check clear nasal drainage for the presence of CSF?

Answer 23

Place a drop on gauze and look for a halo, and test for glucose.