Trauma

Question 1

When did trauma thinking start?

Answer 1

Civil war. Horse drawn carriage

Question 2

When did thinking of ‘trauma systems’ start?

Answer 2

WW2

Question 3

Helicopter evacuation?

Answer 3

Korea & Vietnam

Question 4

Committee on fractures

Answer 4

1922

Question 5

Committee on trauma

Question 6

Accidental Death and Disability: The Neglected Disease of Modern Society

Answer 6

1966 White Paper

Question 7

What is a trauma?

Answer 7

-injured person
-timely diagnosis
-treatment by a multi-disciplinary team
-actual or potential injuries
-supported by appropriate resources to diminish or eliminate the risk of death or permanent disability
-

https://one.nhtsa.gov/people/injury/ems/emstraumasystem03/whattrauma.htm

Question 8

Level 1- Regional Trauma Center

Answer 8

All types of specialty trauma 24x7. Comprehensive resources. Every aspect - prevention to rehabilitation.

Question 9

Level 2 - Area Trauma Center

Answer 9

Most common trauma emergencies with surgical 24x7. stabilize and transport specialty cases to regional center.

Question 10

Level 3 - Community Trauma Center

Answer 10

Special emergency department training. Some surgical capacity. Usually stabilize and transfer. Prompt assessment & care.

Question 11

Level 4 - Trauma Facility

Answer 11

Remote areas. small community hospital or medical care facility. stabilize and prepare seriously injured for transport to higher level.

Question 12

How many credentialed EMS services?

Answer 12

~21K

Question 13

Trauma

Answer 13

a physical injury or wound caused by an external force or forces.

Question 14

Penetrating trauma

Answer 14

when an object enters the body and exchanges energy directly with human tissue, causing injury.

Question 15

Blunt trauma

Answer 15

non-penetrating injury, typically blunt force.

Question 16

Epidemiology

Answer 16

the study of disease based on collecting and studying data.

Question 17

Surveillance

Answer 17

the process of collecting data in order to identify the existence, significance, and characteristics of disease.

Question 18

Golden Period

Answer 18

formerly “golden hour”. the goal for incident-to-injury

Question 19

Level 1 in CT

Answer 19

-Connecticut Children’s Medical Center
-Hartford Hospital
-St. Francis (Hartford)
-Yale (Adults & Peds)

Question 20

Level 2 in CT

Answer 20

-Bridgeport
-Norwalk
-Danbury
-Waterbury
-St. Vincent’s
-St. Mary’s
-Stamford

Question 21

Level 3 in CT

Answer 21

-Backus (Norwich)

Question 22

Haddon Matrix

Answer 22

Identify risk factors associated with trauma. 3x3 matrix.

Host/Agent/Environment (X) Pre-event/Event/Post-Event

Question 23

Trauma center definitions

Answer 23

https://portal.ct.gov/OHS/Pages/Trauma-Activation-Fee

Question 24

Index of Suspicion

Answer 24

a mental summation of suspected injuries based on scene and MOI.

Question 25

Mechanism of Injury

Answer 25

Circumstances and events by which an injury occurs.