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Trauma EMT 223 study notes > trauma 223 > Flashcards

trauma 223 Flashcards

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1
Q

Hydroflouric Acid Burns are treated with:

A

Calcium Gluconate

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2
Q

What should you suspect with a high temperature steam injury with stridor?

A

Glottic Injury

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3
Q

What type of nerve fibers are stimulated in peridontitis?

A

somatic nerve fibers

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4
Q

What happens with capillary stagnation and hemorragic shock?

A

precapillary sphincters open and the red blood cells clump together

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5
Q

what sign is indicative of a splenic injury?

A

shoulder pain

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6
Q

What is the first treatment for compensated shock?

A

High flow 02

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7
Q

what is the first line treatment after ROSC that has hypotension after a 1 liter bolus of normal saline?

A

0.1-0.5ug of epinepherine 1-10000

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8
Q

What is the most likely injury if you get hit in the face with a baceball bat?

A

Eyeball injury

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9
Q

What decreases pulse pressure in hemorragic shock?

A

the increase in vascular resistance

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10
Q

Patients who have hyporesonance of lungs, JVD, and a scaphoid abdomen are likely to need what as a first line treatment? why?

A

Assisted ventilations; suspected diaphragmatic injury/herniation

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11
Q

Which burn injury zone can have the greatest damage to tissues?

A

Zone of Coagulation

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12
Q

What is NOT a predicatble INITIAL injury of pediatric pedestrian vs. motor vehicle?

A

Facial Trauma

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13
Q

what can you expect of newtons 1st law of physics when it comes to motor vehicle crashes?

A

there’s at least 3 collisions with a motor vehicle crash

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14
Q

whats the map of 160/100?

A

120

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15
Q

whats a formula for MAP?

A

(2xDiastolic)+Systolic/3

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16
Q

Whats the MAP of 120/60?

A

80

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17
Q

Whats the MAP of 146/65

A

92

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18
Q

What diagnosis can be easily missed if you did not do an appropriate scene size up?

A

Myocardial Contusion

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19
Q

When you get a laceration to the soft tissue around the eyes, what is your greatest concern?

A

lubrication to the cornea

20
Q

what is the treatment that will lead to the GREATEST success with the LEAST amount of damage to the tissues in regards to treating a radial artery lacteration?

A

Direct pressure to the laceration

21
Q

What is the most appropriate sign you will see in your patient with a total volume loss of 1000ml in a hemmorhage?

A

decrease in blood pressure

22
Q

when a patient has a blood pressure of 160/100 in a dissecting aortic aneurysm, what is the best explaination for the high blood pressure?

A

The sympathetic nerve fiber responds to the stretching of the aorta

23
Q

What is the definition of the blood in the anterior portion of the eye in front of the iris?

A

Hyphema

24
Q

What is the most immediate way to treat the a bleed from a stick impaled in the arm?

A

direct pressure and manually stabilize the stick

25
Q

What is the first thing to check with an adult unconcious trauma?

A

Carotid Pulse

26
Q

What is the best explaination for low blood pressure in tension pneumothorax?

A

the increase in intrathoracic pressure decreases blood return to the heart

27
Q

what are the signs and symptoms of cardiogenic shock?

A

Hypotension, Hypoxia, Tachycardia, Pulmonary congestion

28
Q

what are some signs and symptoms of an aortic dissection?

A

tearing pain in the chest, unequal upper extremity pulse

29
Q

What radioactive waves would be most likely to cause damage?

A

Alpha waves

30
Q

What is the cause of increased heart rate in compensated shock?

A

decreased pressure sensed by baroreceptors

31
Q

what is the next step in treatment after maintaining C-spine in a spinal injury that results in quadrepelegia?

A

Assisting ventilations

32
Q

What core temperature will most likely cause VFIB?

A

89.9 F

33
Q

whats the most frequent injury in explosions?

A

lung injuries

34
Q

what is a sign and symptom of a laceration to the thoracic aorta?

A

bilateral shoulder pain

35
Q

what is the most ominous finding associated with abdominal injuries?

A

firm distended abdomen

36
Q

what is a possible diagnosis of someone with hematuria and abdominal pain?

A

kidney damage

37
Q

what are you NOT concerned about in regards to the pathophysiology of electrical burns?

A

that your greatest concern is skin damage

38
Q

What is your principal life threat in an esophageal rupture?

A

Damage to the mediastinal organs

39
Q

Which major nerve goes from the L4-S4, and runs down the sacral plexus?

A

Sciatic Nerve

40
Q

signs and symptoms of central cord syndrome?

A

Paralysis of the arms, sacral sparing (preservation of butthole function)

41
Q

how does central cord syndrome commonly occur?

A

hyperextension cervical injuries, and less commonly, flexion cervical injuries

42
Q

How is anterior cord syndrome caused?

A

Injury to anterior aspect of spinal cord by a ruptured intervertebral disk or fragments of the vertebral body forced posteriorly into the spinal canal

43
Q

what are signs and symptoms of anterior cord syndrome?

A

decreased sensation of pain and temperature below level of lesion, intact light touch and position sensation, paralysis below the level of the lesion

44
Q

what causes a brown-sequard syndrome?

A

ruptured intervertebral diskor the pushing of a fragment of vertebral body on the spinal cord. also occurs during knife or missile injuries

45
Q

how does brown-sequard syndrom present?

A

weakness or paralysis of extremities on the ipsilateral (same) side with loss of pain and temperature sensation on the contralateral (opposite) side

Trauma EMT 223 study notes (1 decks)

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