Trauma

Question 1

Difference between trauma and medical

Answer 1

Trauma is a result of a physical force on the body

Question 2

What is blunt trauma?

Answer 2

Caused by getting hit by a baseball bat, getting hit by a car. Injury to soft tissues

Question 3

What is penetrating trauma?

Answer 3

Gunshot wound, knife wound. Any trauma that penetrates the soft tissues

Question 4

What are the three phases of MOA/s?

Answer 4

1. vehicle to object. 2. passenger strikes interior. 3. internal organs hit solid structures. (Brain to skull)

Question 5

What are significant MOI events with motor vehicle accidents?

Answer 5

Death of anyone in the vehicle, severe deformity of the vehicle or severe intrusion, ejection from the vehicle, and rollovers, rotational, “T-bone” accidents with intrusions

Question 6

Falls over how many feet are considered significant?

Answer 6

20 feet

Question 7

What falls are significant?

Answer 7

Height (3x patient height)
What they hit?
What body part hit first…and if they’re elderly.

Question 8

Children who fall. Head is larger proportionately than their body. Significant falls…

Answer 8

Falls greater than 10 ft or 2-3x the height of the patient.

Question 9

Whats a level 1 trauma center?

Answer 9

Highest level of care for traumas. Total care for every type of injury. 24 in-house coverage for surgery. Leader of region trauma education. Specialties are available; cardiology, oncology, neuro, etc.

Question 10

Closed soft tissue injury. What is it?

Answer 10

Soft tissue damage occurs underneath the skin with no break of the skin (blunt)

Question 11

Open soft tissue injury. What is it?

Answer 11

There is a break in the skin of the surface. (Penetrating)

Question 12

S/S of closed soft tissue injury

Answer 12

Blunt trauma, pain, discoloration, and swelling at the site

Question 13

Crushing injury. What is it?

Answer 13

Patient is pinned underneath rocks/vehicle. Significant force applied to the body. Damage depends on how long force was applied/how heavy it is. Can cause the circulation to be cut off.

Question 14

What is crush sydrome?

Answer 14

Patient is trapped over 4 hours. Arterial blood flow is compromised.

Question 15

What is compartment sydrome?

Answer 15

Results of edema/swelling that it increases pressure within soft tissue compartment. Can interfere with circulation. More common in extremities can lead to necrosis

Question 16

What is an open injury?’’’’’’’’’’’’’’’’’’’’’’’’’’’’'’9 .k;ljhik

Answer 16

Protective layer of skin is broken. Infection is common.

Question 17

Abrasions

Answer 17

Caused by friction wound to superficial skin.

Question 18

Lacerations.

Answer 18

“Jagged” incision (Sharp smooth cut)

Question 19

Avulsions

Answer 19

Separates layers of soft tissues. Detached or left as a flap of skin.

Question 20

Amputation.

Answer 20

Fully severed body part. Tourniquet most likely required.

Question 21

Treatment for closed injuries

Answer 21

Rest (comfort), Ice, Compression (pressure), Elevation (Decrease swelling), Splint (decreases swelling, pain, and bleeding).

Question 22

Treatment for open injuries.0

Answer 22

Direct pressure with bandages and dressings. Homeostatic agents or tourniquets

Question 23

Eviscertation

Answer 23

Organs protruding through the open wound. Don’t move or touch. Apply a sterile gauze with sterile water, cover with occlusive dressing and tape sides.

Question 24

Impaled objects. Treatment

Answer 24

Only remove if its affecting the airway. Stabilize the object to avoid further movements, transport.

Question 25

What is a first degree burn?

Answer 25

Superficial burn. Sunburn. Redness/sensitivity.

Question 26

What is a second degree burn?

Answer 26

rqqrqa\aPartial thickness burn. Most painful.