Soft Tissue Injuries Flashcards

1
Q

_________ is the largest organ in the body

A

Skin

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2
Q

Skin regulates the body’s _____________

A

Tempature

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3
Q

Three layers of the skin

A

Epidermis
Dermis
Subcutaneous Layer

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4
Q

Adipose tissue is in the ______________

A

Subcutaneous layer

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5
Q

Connective tissue is in the __________________

A

Dermis

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6
Q

Horny layer is in the _________________

A

Epidermis

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7
Q

Granular layer is in the ___________________

A

Epidermis

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8
Q

Blood vessels are in the ____________________

A

Dermis

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9
Q

Lymph vessels are in the ______________

A

Dermis

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10
Q

Hair Follicles are in the __________________

A

Dermis

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11
Q

Sweat glands are in the __________________

A

Dermis

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12
Q

Dermis is held together by a protein called _______________

A

Collagen

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13
Q

Pain and touch receptors are in the __________

A

Dermis

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14
Q

Collagen and fat cells make up the __________

A

Subcutaneous layer

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15
Q

Edema is more likely to occur where and why?

A

Lower legs because there is less room for muscles to swell.

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16
Q

Causes of burns

A

Thermal, chemical, electrical or radiation

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17
Q

CMS

A

Circulation, motor function, sensation

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18
Q

In a burn patient check the airway for:

A

Singed nose hairs, facial burns and soot in mouth

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19
Q

Onset of shock caused by burns usually occurs ___________

A

Hours later

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20
Q

Do not ____ or ______ an open wound to remove foreign objects. However you can do what?

A

Do not rub or wash. You may remove loose material.

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21
Q

Bandages vs dressings

A

Dress a wound, Bandage a dressing

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22
Q

Wrap dressings from ___ to _____ to help reduce swelling

A

distal to proximal

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23
Q

Dress an abdominal evisceration using _________

A

Occlusive dressing

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24
Q

Why is early shock difficult to identify in pediatrics

A

increased ability to vasoconstrict their peripheral vasculature and increase heart rate after blood loss

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25
Q

Pediatrics are more prone to injury from blunt trauma because _________

A

Proportionately larger livers and organ size.

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26
Q

Why are children more prone to heat loss?

A

Larger surface area compared to body volume.

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27
Q

relieve pressure on abdominal evisceration by _____________

A

Positioning patient with knees flexed

28
Q

Care for amputated parts and large pieces of avullsed skin

A

Wrap in dry sterile dressing, Place in water tight container, Place that container into a second container. Then place on ice.

29
Q

Burns are classified by 3 things:

A

Type, Degree of damage and Extent (Rule of Nines)

30
Q

Burns involving the top layer of skin (Name and Presentation)

A

Superficial [1st Degree]

Redness on skin i.e. sunburn

31
Q

Burns involving both epidermis and dermis (Name and Presentation)

A

Partial Thickness [2nd Degree]

Mottled moist skin with blisters. Extremely painful

32
Q

Burns involving all layers of skin, possibly into organs and bone (Name and Presentation)

A

Full Thickness [3rd Degree]

Dry, hard and dusky. White or charred in color. Painless

33
Q

Remove wet chemicals such as acid by _________

A

Flushing with water

34
Q

Remove dry chemicals by _____________

A

Brushing chemical off, then flushing with water

35
Q

Two major exceptions to not removing impaled objects

A
  1. An impaled object in the chest that interferes with CPR

2. An impaled object in the cheek. Bleeding could interfere with airway and is easier to control once object is removed.

36
Q

Why do injuries that breech the pleural membrane disrupt the breathing process.

A

The lungs rely on negative pressure inside the chest to draw in air,

37
Q

When air is able to enter the pleural cavity but not escape it causes a;

A

Tension pnuemothorax.

38
Q

Unique threat from injuries to the veins of the neck:

A

Air being sucked into the hear resulting in a PE

39
Q

Extreme Respiratory distress, Distention of jugular veins and tracheal deviation would be a sign of:

A

Severe tension pnuemotharax

40
Q

Before you apply an occlusive dressing you should immediately ___________________

A

Cover wound with a gloved hand

41
Q

with open neck injuries apply pressure to________________

A

one side of neck, as not to cut off blood flow to brain

42
Q

Complications of a crush injury

A

Lack of blood flow
Breakdown of muscle leading to Acidosis
Build up of toxins
Renal failure

43
Q

Newtons 1st Law

A

Law of inertia. An object will remain at rest or move at a constant speed in a straight line unless it is acted on by an unbalanced force.

44
Q

Newtons 2nd Law

A

Force = Mass x Acceleration [deceleration]

45
Q

Newtons 3rd Law

A

For every action, there is an equal and opposite reaction.

46
Q

Law of Kinectic Energy

A

K.E. = .5 x ( Mass x [Velocity Squared] )

47
Q

HPTM

A

High Performance Trauma Management

48
Q

Four components of HPTM

A

Recognition, Treatment, Packaging, Transport

49
Q

Goal On Scene time for HPTM

A

<15 minutes

50
Q

Blood Pressure

A

<60 Systolic

51
Q

Single entrance wound to the chest gets a __________ dressing

A

3 sided (occlusive) dressing

52
Q

Multiple wounds to the chest receive a ____________dressing

A

4 sided dressing

53
Q

Make a note of _______ when you apply a tourniquet

A

The time

54
Q

Rule of Nines - Adult Leg

A

9% Front, 9% Back

55
Q

Rule of Nines - Adult Arm

A

4.5% Front, 4.5% Back

56
Q

Rule of Nines - Adult Chest

A

9%

57
Q

Rule of Nines - Adult Back

A

9% Upper, 9% Lower

58
Q

Rule of Nines - Adult Abdomen

A

9%

59
Q

Rule of Nines - Adult Head

A

4.5% Front, 4.5% Back

60
Q

Rule of Nines - Adult Frank and Beans

A

1%

61
Q

Rule of Nines - Child Leg

A

8% Front, 8% Back

62
Q

Rule of Nines - Child Arm

A

4.5% Front, 4.5% Back

63
Q

Rule of Nines - Child Head

A

7% Front, 7% Back

64
Q

Rule of Nines - Child Torso

A

18% Front, 18% Back

65
Q

Rule of Nines - Infant Head

A

9% Front, 9% Back

66
Q

Rule of Nines - Infant Torso

A

18% Front, 13% Back

67
Q

Rule of Nines - Infant Buttocks

A

2.5% Per Side