Trauma Lecture 1 Flashcards

1
Q

capillary bleed

A
  • slow and oozing
  • easily controlled
  • stops spontaneously
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2
Q

venous bleed

A
  • steady flow
  • easier to control
  • low pressure system
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3
Q

arterial bleed

A
  • rapid and profuse
  • spurting with heart beat
  • most difficult to control
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4
Q

if controlled external bleeding, apply

A

a pressure dressings

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5
Q

if uncontrolled exteral bleeding, apply

A

a tourniquet

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6
Q

if a tourniquet cannot be applied, consider

A

wound packing

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7
Q

assist patient with external bleeding by (3)

A
  1. high flow oxygen
  2. lay supine
  3. provide a warm blanket
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8
Q

distance of tourniquet from site

A
  • 3 inches
  • only on extremities
  • not on joints
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9
Q

if the tourniquet is too big (for infant or very small child), direct

A

pressure on the wound

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10
Q

situation to compress - pack

A
  • for large wounds, superficial pressure is not effective
  • if bleeding is from a deep wound, pack gauzetightly into the wound until it stops bleeding; hold pressure until help arrives
  • for armpit and groin
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11
Q

causes of delayed clotting

A
  • blood thinning medications
  • coumadin
  • warfarin
  • hypothermia
  • chronic alcoholism
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12
Q

primary assessment in trauma

A
  • X: exsanguinating hemorrhage
  • A: airway
  • B: breathing
  • C: circulation
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13
Q

soft tissue injuries

A
  • closed injuries
  • open injuries
  • burns
  • DCAP-BTLS
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14
Q

DCAP-BTLS

A
  • deformities
  • contusions
  • abrasions
  • puntures
  • burns
  • tenderness
  • lacerations
  • swelling
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15
Q

deformity treatment

A
  • splint in position of function
  • realign long bone function
  • apply ice pack for pain relief
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16
Q

contusion treatment

A
  • apply ice pack
  • position patient in position of comfort
17
Q

abrasion treatment

A
  • gross contamination
  • dry sterile dressings
18
Q

penetrating treatment

A
  • stabilize impaled objects
  • apply occlusive dressing to neck, chest, and abdominal wounds
  • apply dry sterile dressing

ONLY REMOVE OBJECT IF IT INTERFERES WITH CPR, AIRWAY

19
Q

tenderness treatment

A
  • splint in position of function
  • provide ice pack for swelling and pain
20
Q

laceration treatment

A
  • control bleeding
  • bandage with pressure dressing
  • treat for shock
21
Q

swelling treatment

A
  • splinting decreases bleeding and reduces pain
  • provide ice pack
  • remove any potentially restrictive objects (i.e. jewlery)
22
Q

avulsion treatment

A
  • control bleeding
  • if attached, place in anatomical position
  • bandage with dry sterile dressing
23
Q

amputation treatment

A
  • injured extremity: control bleeding and bandage with dry sterile bleeding
  • amputated extremity: place in plastic bag in cool water
  • transport should not be delayed to locate extremity
24
Q

evisceration treatment

A
  • do not put organs back into body
  • cover with moist sterile dressing
  • treat for shock if indicated
25
Q

epistaxis treatment

A
  • apply direct pressure
  • lean head forward