Trauma Flashcards
What is a Trauma?
Injuries caused by a physical force on the body.
What is Mechanism of Injury?
MOI, how the physical force was enacted to the PT
What is Kinetic Energy?
The amount of energy caused by movement. (PT falls off of a roof)
What is Potential Energy?
The amount of energy that could be caused. (PT is sitting on the roof)
What is Blunt Trauma?
Force without penetrating soft tissues. (Blunt Object, PT collides with solid object)
What is Penetrating Trauma?
Force with positive penetration of the soft tissues. (Stabbing, Shooting, Impalement)
What is an MVA?
Motor Vehicle Accident
What are the 3 Phases of Impact in MVA?
1: Vehicle to Object
2: PT to Vehicle Interior
3: Organs Against Body Structure
What are significant MOI events in MVA?
Death of anyone in the vehicle
High intrusion/damage to the vehicle
Ejection
Severe MVA types.
What are MVA types?
Frontal Impact
Rear Impact
Rotational
Lateral
Rollover
What is a severe fall?
Fall over 3x the PT height.
What are the main concerns with falls?
How high was it
What did the PT land on
What body part hit first.
What are the 4 phases of blast injury?
1: Blast itself (Primary)
2: Debris striking PT (Secondary)
3: PT collides with surface (Tertiary)
4: Injuries sustained (Quaternary)
What is a Level 1 Trauma Center?
Hospital with the highest level of trauma care.
What are the trademarks of a Level 1 Trauma center?
Treat any level of trauma
24 hr. surgery
On call specialist
High level education
Innovative research.
What is a Hemorrhage?
Any type of Bleeding.
What is the blood volume in adults?
Men: 70ml p/kg of weight
Women: 65ml p/kg of weight
What is the highest blood loss you can tolerate?
20%
What are the 2 types of bleeds?
External / Internal
What are the 3 types of external bleeds?
Arterial, Venous, Capillary
What is Arterial bleeding?
Bright red, spurting in synch with pulse, hardest to clot.
What is Venous bleeding?
Darker red, flowing, easier to clot
What is Capillary bleeding?
Dark red, oozing, easy to clot
What are the 3 stages of an external bleed?
1: Injury occurs
2: Vasoconstriction
3: Clotting
What is an Internal bleed?
Bleed under the skin.
What is a Contusion?
Bleeding beneath the skin, a bruise.
What is a major contributor to internal bleeds?
Fractures
What are the signs of internal bleeding?
Tachycardia, Dizziness, Weak Capillary Refill, Hypotension, AMS
What is Hematuria?
Blood in Urine
What is Hemoptysis?
Blood in Vomit
How do you treat a bleed?
1: Apply pressure
2: Tourniquet if applicable
3: Apply Hemostatic Agent
4: Apply bandages
How do you apply a Tourniquet?
1: Place 2-3 in above injury
2: Tighten
3: Turn dial until bleeding stops, no pulse distal. 4: Lock in dial, mark time.
What is a Hemostatic agent?
A “quick clot” dressing with a chemical compound that promotes clotting.
What is Epistaxis?
Nose Bleed
What can cause Epistaxis?
Trauma
Sinus infection
Cocaine use
Cancer
Hypertension
Cranial fracture
How do you treat Epistaxis?
1: Have PT sit
2: Lean forward
3: Apply pressure, pinch nostrils
4: Apply Ice pack
What are the 2 types of Soft Tissue injuries?
Open, Closed
What is a Closed tissue injury?
Blunt force trauma, no break in the skin.
What is an Open tissue injury?
There is a break in the skin exposing deeper tissues.
What is Ecchymosis?
“Black and Blue” disscoloration
What is a Hematoma?
When a blood vessel is damaged and bleeds into the surrounding tissues.
What is a Crush injury?
When a large force is resting on the body.
What is Crush Syndrome?
When a PT is trapped for longer than 4 hrs., Arterial blood flow is compromised, body releases harmful substances into the blood.
How do you treat Crush syndrome?
1: Apply IV
2: Apply shock pads
3: Extricate
What is Compartment Syndrome?
Increased pressure in a compartment of soft tissue due to edema.
What is an Abrasion?
Injury to the skin caused by friction.
What is a Laceration?
A rough, jagged cut.
What is an Incision?
A sharp, smooth cut.
What is an Avulsion?
A separation of the layers of tissue.
What is an amputation?
The complete severing of an extremity.
How do you treat a CLOSED injury?
1: Rest
2: Ice
3: Compression
4: Elevate
5: Splint
(RICES)
How do you treat an OPEN injury?
1: Direct pressure with dressing/bandage
2: Tourniquet/Hemostatic Agent
What is an Evisceration?
When an organ is protruding out of the body.
How do you treat an Evisceration?
1: DO NOT move/touch organs
2: Cover with moist sterile gauze
3: Cover with occlusive dressing
4: Secure with tape
How do you treat an impaled object?
Stabilize, DO NOT remove unless blocking the airway.
How do you treat a bite?
Apply a dry/sterile bandage.
How many degrees of burns are there?
3
What is a 1st degree burn?
Superficial damage
What is a 2nd degree burn?
Partial thickness burn, burns into the soft tissue, MOST painful type.