Trauma

Question 1

Index of suspicion

Answer 1

your guess of likelihood of internal or unseen injuries

Question 2

3 concepts of energy that cause trauma

Answer 2

potential energy, kinetic energy, and work

Question 3

When a patient falls, note _____ and ____

Answer 3

estimated height fell, and surface landed on

Question 4

Patients with blunt trauma may likely have _____

Answer 4

internal injuries

Question 5

Barotrauma is trauma resulting from _____

Answer 5

sudden changes in pressure

Question 6

The ____ contains the glands that give the skin its appearance

Answer 6

dermis

Question 7

3 types of soft tissue injuries

Answer 7

1. closed injuries - soft tissue damage below skin, but surface remains intact
2. open injuries - break in surface of skin
3. burns

Question 8

mast cells release ____ in early responses of inflammation

Answer 8

histamine

Question 9

histamine ____, makes capillaries more ____ and causes

Answer 9

dilates vessels, makes capillaries more leaky, and causes redness and swelling

Question 10

collagen is a structural protein that can ____ damage tissue, changing appearance

Answer 10

reinforce

Question 11

when a patient is trapped more than four hours, ____ syndrome can occur and ALS should be called to admin IVF BEFORE crushing object is removed (as metabolic byproducts will be released)

Answer 11

crushing syndrome

Question 12

you must assess all patients with closed injuries for _____

Answer 12

hidden or internal injuries

Question 13

___ is the presence of foreign bodies in a wound

Answer 13

contamination

Question 14

4 types of open soft-tissue wounds

Answer 14

abrasions, lacerations, avulsions, penetrating wounds

Question 15

lacs may be ___ or irregular

Answer 15

stellate

Question 16

an ___ separates layers of soft tissue so that they are detached or hang as a flap

Answer 16

avulsion

Question 17

in incomplete avulsion, ______

Answer 17

replace the flap (as long as not contaminated)

Question 18

in complete avulsion, _____

Answer 18

wrap the flap (as amputation) and bring to hospital

Question 19

in stabs or GSWs, count the number of _____

Answer 19

penetrating injuries

Question 20

secondary blast injuries are caused by _____

Answer 20

flying debris

Question 21

tertiary blast injuries are caused by ____

Answer 21

being hurled or thrown

Question 22

____ [BSI] is required in treating open soft tissue injuries

Answer 22

eye protection (and gloves)

Question 23

Treat closed soft-tissue injuries with R.I.C.E.

Answer 23

Rest, ice, compression, elevation

Question 24

in evisceration, ____. ___ knees.

Answer 24

cover the organs with sterile gauze moistened in sterile saline, and secure with occlusive dressing.

Flex knees to relieve pressure on abd.