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PFD Protocols Nov. 2023 > Trauma > Flashcards

Trauma Flashcards

1
Q

Level 1 MCI

A

5-10 patients

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2
Q

Level 2 MCI

A

11-20 patients

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3
Q

Level 3 MCI

A

21-100 patients

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4
Q

Level 4 MCI

A

101-1000 patients

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5
Q

Level 5 MCI

A

1000+ patients

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6
Q

TXA indications

A

~hemorrhagic shock
~TBI
~pt on anticoag meds
~traumatic hemorrhagic shock
~TBI with GCS < 13
~blunt/penetrating trauma

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7
Q

TXA contraindications

A

~injuries > 3 hrs
~ age < 5 yrs

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8
Q

TXA adult dose

A

2 g in 100 mL D5W or NS

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9
Q

TXA pedi dose

A

age 5-11

~15 mg/kg

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10
Q

START Triage:

Pt able to walk

A

green

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11
Q

START Triage:

Pt able to walk but has massive bleeding requiring bleeding control

A

yellow

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12
Q

START Triage:

Not able to walk
not breathing –> pt breathes after readjusting airway

A

red

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13
Q

START Triage:

Not able to walk
not breathing –> pt apneic after readjusting airway

A

black

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14
Q

START Triage:

Not able to walk
Breathing, RR > 30

A

red

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15
Q

START Triage:

Not able to walk
Breathing, RR < 30
radial pulse absent

A

red

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16
Q

START Triage:

Not able to walk
Breathing, RR < 30
capillary refill > 2 sec

A

red

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17
Q

START Triage:

Not able to walk
Breathing, RR < 30
capillary refill < 2 sec
obeys commands

A

yellow

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18
Q

START Triage:

Not able to walk
Breathing, RR < 30
radial pulse present
obeys commands

A

yellow

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19
Q

START Triage:

Not able to walk
Breathing, RR < 30
capillary refill < 2 sec
doesn’t obey commands

A

red

20
Q

START Triage:

Not able to walk
Breathing, RR < 30
radial pulse present
doesn’t obey commands

A

red

21
Q

JUMPSTART Triage:

Able to walk

A

green

22
Q

JUMPSTART Triage:

Able to walk but has bleeding needing control

A

yellow

23
Q

JUMPSTART Triage:

Not able to walk
not breathing –> breathes after adjusting airway

A

red

24
Q

JUMPSTART Triage:

Not able to walk
not breathing –> apneic after adjusting airway
no palpable pulse

A

black

25
Q

JUMPSTART Triage:

~Not able to walk
~not breathing –> apneic after adjusting airway
~palpable pulse
~begins breathing after 5 rescue breaths

A

red

26
Q

JUMPSTART Triage:

~Not able to walk
~not breathing –> apneic after adjusting airway
~palpable pulse
~still apneic after 5 rescue breaths

A

black

27
Q

JUMPSTART Triage:

~Not able to walk
~breathing
~ RR> 45 or RR<15

A

red

28
Q

JUMPSTART Triage:

~Not able to walk
~breathing
~ RR = 15 - 45
~no palpable pulse

A

red

29
Q

JUMPSTART Triage:

~Not able to walk
~breathing
~ RR = 15 - 45
~palpable pulse
~”A”, “V”, “P” response appropriate

A

yellow

30
Q

JUMPSTART Triage:

~Not able to walk
~breathing
~ RR = 15 - 45
~palpable pulse
~”A”, “V”, “P” response inappropriate

A

red

31
Q

Adult Trauma Alert Red Criteria (1 needed)

A

~Active airway assistance required
~no radial pulse with sustained HR > 120 or SBP < 90
~multiple long bone fracture sites
~2nd/3rd deg burns > 15% BSA
~electrical burns (high voltage/direct lightning) regardless of BSA
~amputation proximal to wrist or ankle
~penetrating injury to head/neck/torso
~BMR < 4 or exists presence of paralysis/ suspicion of spinal cord injury
~loss of sensation
~GCS < 12
~paramedic judgment

32
Q

Adult Trauma Alert Blue Criteria (2 needed)

A

~sustained RR > 30
~sustained HR > 120
~single long bone Fx site due to MVA
~single long bone Fx site due to fall > 10 feet
~major degloving
~flap avulsion > 5 inches
~GSW to extremities
~BMR = 5
~ejection from vehicle (excluding open vehicles)
~deformed steering wheel
~older pt > 55 yrs on anticoags
~blunt abdominal injury

33
Q

Pedi Trauma Alert Red Criteria (1 needed)

A

~assisted or intubated airway
~AMS
~paralysis
~suspected spinal cord injury
~loss of sensation
~faint or nonpalpable carotid or femoral pulses
~SBP < 50
~any open long bone fx
~multiple Fx sites
~multiple dislocations
~major soft tissue disruption (i.e. major degloving, major flap avulsion)
~amputation proximal to wrist or ankle
~2nd/3rd deg burns to 10% BSA
~electrical burns (high voltage, direct lightning) regardless of BSA
~penetrating injury to head/neck/torso
~paramedic judgment

34
Q

Adult Trauma Alert Blue Criteria (2 needed)

A

~amnesia
~reliable HX of loss of consciousness
~carotid or femoral pulses palpable
~no pedal pulses
~SBP < 90
~single closed long bone fx site
~blunt abdominal injury
~red, purple < 11 kg (<24 lbs)

35
Q

Level 2 Adult/Pedi criteria

A

~falls > 12 feet (adult)
~falls > 6 feet (pedi)
~extrication time > 15 min
~rollover MVC
~burns involving face/eyes/ears/hands/feet/ perineum that may result in functional or cosmetic impairment
~death of occupant in same passenger compartment
~major intrusion into passenger compartment
~separation from bicycle
~pedestrian struck by vehicle not meeting preceding automatic criteria (i.e. adults < 15 mph and pedi < 5 mph)
~fall from any height if pt > 55 yrs & on anticoags
~paramedic judgment

36
Q

Cardiac (Trauma) arrest resulting from electrocution or lightning injury

A

immediate defibrillation

37
Q

4 presumptive signs of death not needing to be resuscitated

A

apneic
pulseless/agonal
fixed/dilated pupils
injury incompatible with life

38
Q

Tx if patient has sustained penetrating or blunt chest trauma & are in cardiac arrest

A

bilateral needle decompression

39
Q

tx for penetrating junctional trauma (neck, axillary, thoracic, abdominal, pelvis, groin) not easily controlled using direct pressure or tourniquet

A

clotting agent

40
Q

tx - burn injuries

A

~stop burn process by irrigating using room temp water or NS
~don’t attempt to remove tar, clothing, etc if stuck to skin
~monitor airway, consider intubation if respiratory involvement
~remove jewelry/watches from burned area

41
Q

Tx :
1st/2nd deg burns < 15% BSA
3rd deg burns < 5% BSA

A

dry sterile dressing
OR
Burn gel/burn sheet

42
Q

Tx :
2nd deg burns > 15% BSA
3rd deg burns > 5% BSA

A

dry sterile dressing
OR
Burn gel/burn sheet

1 L NS, assess LS (adult)
20 mL/kg NS (pedi)

43
Q

TX:
Electrical burns

A

treat associated burns as indicated

44
Q

TX:
chemical burns

A

~irrigate liquid chemical burns with copious amounts of water or sterile solution
~brush off dry chemicals prior to irrigation
~remove patient’s clothing & ensure pt is decontaminated prior to transport (personnel shall wear protective clothing and/or respiratory protection as needed)

45
Q

TX:
Crush injury/compartment syndrome

A

1 L NS
pain management

46
Q

Definition of crush syndrome

A

~entrapment with compression lasting longer than 4 hours
OR
~compression on thorax for 20 min

47
Q
A

PFD Protocols Nov. 2023 (5 decks)

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