Trauma FISDAP

Question 1

subcutaneous Emphysema

Answer 1

caused by tears in lungs or airway. Rice Krispy Skin

Question 2

Disseminating intravascular Coagulation

Answer 2

Microthrombi, irregular clotting/excess palettes, internal/orifice bleeding, Acidotic Sepsis is most common cause. End stage reaction.

Question 3

Transected aorta

Answer 3

Intense chest pain, Trauma can cause aortic bleeding big deceleration, blunt force trauma.

Question 4

Pleural decompression

Answer 4

Let air escape lung cavity. S&S;low blood pressure, AMS, unilateral chest rise, JVD, difficulty breathing.

Question 5

Rhabdomyalysis

Answer 5

abnormal muscle breakdown
Acidodic-metabolicly unstable
Tied to crush syndrom
S&S-high heart rate, low blood pressure, lethargic, high heart rate, kidney failure, flank pain, dark urine.

Question 6

Referred pain/kehrs pain

Answer 6

abdominal pain, left shoulder pain (sharp and constant), retroperitoneal organs (back pain)

Question 7

Toxic substance exposure

Answer 7

Treatment: Decon, fluid. Meds. Airway is priority.

Question 8

Amputated extremity.

Answer 8

TQ, Control bleeding. limb Wrap in wet Sterile gauze, around ice.

Question 9

Open neck /sucking chest wound.

Answer 9

Chest Seal

Question 10

Parklands formula

Answer 10

4ML X BSA % X Weight kg).1/2 first 8hours 1/2 second 16 hours.

Question 11

Rule Of 9’s Adults

Answer 11

Head-9% Back 18% Chest-18% Arm- 4.5% [one side] Palms / Junk 1%

Question 12

Rule of 9’s (child]

Answer 12

Head-18 % Arm-9% legs-13.5%

Question 13

Tension Pneumo

Answer 13

Unilateral Chest rise, Absent or diminished lung Sounds. Blood pressure High Heart rate, increased respirations’, JVD, AMS, SB, Painful, tracheal deviation.

Question 14

Hemopneumothorax

Answer 14

flat Jugular Veins, Pale hypovolemic appearance

Question 15

Pericardial tamponade

Answer 15

Muffled heart sounds, Narrowed pulse pressure, low blood pressure, high heart rate, increased respiration rate, AMS, JVD. pulses paradoxis, irregular amplitude , irregular amplitude

Question 16

increased ICP

Answer 16

Elevate head, Cushing’s triad: Cheyne-stokes breathing, high blood pressure, low heart rate.

Question 17

subdural hematoma

Answer 17

slow, usually venous/mostly common with Geriatrics’ and Chronic alcoholics’

Question 18

Epidural hematoma

Answer 18

fast, arterial, middle meningeal, posturing, loc, lucid interval, fast decomp.

Question 19

Subarachnoid hematoma

Answer 19

Severe headache

Question 20

Supine hypotensive Syndrome

Answer 20

fetus pressing against inferior Vena Cava. lay in left lateral recumbent position.

Question 21

hypotensive w/traumatic injury

Answer 21

LR, Levophed

Question 22

penetrating wound

Answer 22

stabilization of object

Question 23

Organs in the RUQ

Answer 23

spleen,liver,

Question 24

Visceral pain

Answer 24

pin point pain.

Question 25

Partial pain

Answer 25

Pain all over the abdomen.

Question 26

Flail chest

Answer 26

paradoxical segment when breathing Crepitus and tenderness.

Question 27

Compensated shock

Answer 27

Agitation, Anxiety, restlessness, sense of impending doom.

Question 28

Decompensated shock.

Answer 28

AMS, Hypotension, irregular breathing, thready or absent pulses.

Question 29

Cardiogenic shock

Answer 29

low Blood pressure, low HR, pale, Cool, moist, crackles.

Question 30

obstructive shock

Answer 30

pulmonary embolism, tension pneumothorax, and cardiac tamponade.

Question 31

pericardial tamponade

Answer 31

muffled heart tones, hypotension, JVD

Question 32

pulmonary embolus

Answer 32

Sudden onset dyspnea, Pleuritic chest pain.

Question 33

Beck’s triad

Answer 33

muffled heart tones, JVD, and hypotension

Question 34

Open pneumothorax

Answer 34

tachycardia, tachypnea, restlessness, breath sounds diminished on affected side.

Question 35

treatment of a sucking chest wound.

Answer 35

place gloved hand Over the injury.

Question 36

Tension pneumothorax

Answer 36

Absence of breath Sounds on the affected Side. unequal chest rise. pulsus paradoxus. JVD, tracheal deviation.

Question 37

indications for a pleural decompression

Answer 37

Signs of respiratory failure or shock and has diminished or absent breath Sounds on one side of the chest. tension pneumothorax.

Question 38

left upper Quadrant

Answer 38

spleen, stomach, left lobe of live, body of pancrease, left Kidney and adrenal gland,

Question 39

Right Upper Quadrant

Answer 39

liver,part of the diaphragm, head of parcrease, gallbladder

Question 40

Left lower quadrant

Answer 40

Sigmoid colon, left ureter.

Question 41

Right lower quadrant

Answer 41

appendix, right ovary and tube, right ureter

Question 42

s&s of a ruptured diaphragm

Answer 42

abdominal pain, acute respiratory distress, decreased breath sounds. Abdominal sounds in the chest, subcutaneous emphysema.

Question 43

superficial Burn

Answer 43

Basically a Sunburn.

Question 44

Lefort I

Answer 44

Horizontal Fracture of the maxilla that involves the hard palate and inferior Maxilla, separating them from the rest of the Skull.

Question 45

Lefort II

Answer 45

pyramidal Shape fracture involving the nasal bone and inferior maxilla

Question 46

le fort III

Answer 46

fracture of all midfacial bones, separating the entire midface from the cranium.