Review Flashcards

1
Q

How many goals of JTTS?

A

6

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2
Q

Establish and maintain a trauma outcomes database to analyze and evaluate clinical
decision-making and measure subsequent outcomes for improving treatment
modalities.

A

One of the goals of JTTS

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3
Q

Triage, what should not be considered?

A

Finality, continue to treat

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4
Q

5 principles of triage

A
Degree of life threat posed by the injuries sustained
Injury severity
Salvageability
Resources
Time, distance, and environment
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5
Q

How do you choose CCP?

A

(a) Proximity to patients
(b) Proximity to vehicular access.
(c) Proximity to HLZ
(d) Geography, safety “geographic triage.”

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6
Q

Examples of immediate?

A

Massive hemorrhage
Shock
Anything needs to be treated within 2 hours
Tension pnuemo

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7
Q

Delayed?

A

Without shock

No compromised airway

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8
Q

Expectant burns?

A

> 85%

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9
Q

Primary triage?

A

Quick categorizing
Break down to smaller groups
Stop massive hemorrhage

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10
Q

Secondary triage?

A

Reevaluation

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11
Q

Tertiary triage?

A

Continue management

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12
Q

Any patient with UXO?

A

Segregate and treat last

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13
Q

Combat stress patient categories?

A

Light

Heavy

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14
Q

Heavy stress patient return to duty?

A

3 days

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15
Q

BICEPS stands for?

A
Brief
Immediate
Central
Expectant (affirmation)
Proximal
Simple
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16
Q

Tactical field care vs concealment

A

look up

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17
Q

Tacevac is umbrella term for?

A

MEDEVAC

CASEVAC

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18
Q

4 choices for CCP choosing?

A

(a) Proximity to patients
(b) Proximity to vehicular access.
(c) Proximity to HLZ
(d) Geography, safety “geographic triage.”

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19
Q

Ech 1

A

Us, SOCOMs, CLS

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20
Q

Ech 2

A

CRTS (LHD, LHA, CVN) - Casualty receiving treatment ships

Med bat
Shock trauma (no
FRSS ( Forward deployed surgical suite - attached to med bat)

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21
Q

Ech 3

A

Fleet hospital, hospital ships (HIGHEST level of care in COMBAT zone)

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22
Q

FRSS stands for?

A

Forward deployed surgical suite

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23
Q

Definitive care OCONUS?

A

Ech 4

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24
Q

Rehab care CONUS?

A

Ech 5

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25
Aeromedical ?
Fixed wing aircraft (intra theater to intra theater)
26
Standard, stokes, sked, improvised?
Different litters
27
Liter carry for patients?
Feet first unless up hill
28
MEDEVAC priorities? (UPR)
Urgent - 2 hours Priority - 4 hours Routine - 24 hours
29
9 line needs Also?
A MIST report
30
Medium energy example?
9mm, 357, 45
31
High energy example?
.44, .50
32
Secondary blast?
Fragments
33
Tertiary blast?
You are blown to a wall
34
Quartenary blast?
Burns
35
Approved tourniquets?
Cat Softt EMT
36
pressure dressing
Combat gauze Chito/celox Xstat
37
What is FDA APPROVED
Xstat
38
What does combat gauze have
khaloin
39
Celox/chito is?
muco adhesive
40
Application of tourniquets?
2-3 inches above or high and tight if can't see
41
Junctional
JETT Sam CRoC
42
What is in cello/chito?
chotosan, a mucoadhesive, it functions independent of | the coagulation cascade
43
What is best for Best for deep narrow tract Junctional wounds?
Xstat
44
What is sellick;s maneuver for?
Prevention of gastric aspiration applying gentle posterior pressure to the patient's cricoid cartilage
45
What is BRUP method?
Key identification of the larynx for ease of intubation
46
Advantages of npa?
ease and rapid, comfort
47
contraindication for npa?
Suspected basilar skull fracture
48
Igel advantage
gel cuffed (specifically for medievac)
49
Igel size 5?
>200 lbs
50
ET tube indications?
cardiac arrest
51
ET contraindications?
Epiglottitis Obstructions Lack of training
52
Complications of ET?
Conversion of a cervical spine injury without neurologic deficit to one with neurologic deficit
53
Combitube complications?
Combitube™ includes an increased incidence of sore throat, dysphagia and upper airway hematoma when compared to endotracheal intubation and LMA
54
LTA stands for?
Laryngeal tube airway
55
Emergency definitive airway?
Cric
56
Why not to give Cric?
Laryngeal disease or trauma
57
TXA is given no later than how many hours?
3 hours
58
2 biggest predictors of poor outcome with head trauma?
ICP > 20 | BP < 90
59
FAST exam for évaluation of?
Pneumothorax - sep of pleural lining
60
retrograde urethrogram
Used for signs of urethral injury from pelvic fracture
61
AMPLE history happens when?
Between primary and secondary
62
ABCDE of PHTLS?
``` Airway Breathing Circulation Deformities Exposure ```
63
When trauma naked what are you concerned with at the end of the MARCH algorithm?
Hypothermia, TREAT THE PATIENT
64
arrhythmia from hypothermia?
Osborne waves