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EMT > Trauma overview Chapter 27 > Flashcards

Trauma overview Chapter 27 Flashcards

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1
Q

Kenetic energy equation

A

Mass x velocity squared/2

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2
Q

What is the more significant factor. Mass or velocity

A

Velocity

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3
Q

types of impacts in a vehicle collision

in order

A
  • Vehicle collision
  • Body collision
  • Organ collision
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4
Q

what are your high index of suspicion in a MVA

A
  • Death of another occupant of the vehicle
  • Unresponsive
  • AMS
  • Intrusion greater than WHAT? 12 inches…good job
  • Ejection from the vehicle
  • Vehicle telemetry data consistent with a high risk of injury
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5
Q

Up and over frontal impact potential injuries

A
  • Head
  • Neck
  • Chest
  • Abdomen
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6
Q

Down and under frontal impact potential injuries

A
  • Knees
  • Femur
  • Pelvis
  • Spine
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7
Q

what two organs take the most damage when the abdomen hits the steering wheel or dashboard

Are they solid or hollow?

A
  • Liver
  • Spleen
  • Solid
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8
Q

Paper bag injury

A

Air compressed inside the limited areas of a lung can rupture the lung when the chest hits the steering wheel

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9
Q

Starburst

What is it indicitive of

Not the candy!

A

The pts head hit the windsheild and was unrestrained

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10
Q

Multisystem trauma patient

What does that mean

A

Multiple injuries or involvement or more than one body system

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11
Q

Morbidity

Define

A

Ilness or injury

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12
Q

Mortality

Define

A

Death or chance of death

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13
Q

Golden hour

Time frame

in what situation would this pertain to?

A
  • 1hour
  • Full trauma
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14
Q

Platinum 10 minutes

Why is this significant?

A
  • Maximum time devoted on scene for a full trauma
  • Some patients need definitive care in less than an hour to survive
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15
Q

Pattern of injury for a child in a pedistian vs car MVA

A
  • Children turn towards the vehicle
  • Typically go under the vehicle
  • Gonna see more hip. chest, abdomen, and head injuries
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16
Q

Pattern of injury for adults vs car MVA

A
  • Typically turn away from the vehicle
  • See more spine, rib, tib fib fractures, and femur fractures
  • Typically go up and over the vehicle
17
Q

Indications for platinum 10 minutes and rapid transport

Hold onto your seat there is a shit ton (26)

A
  • Airway occlusion or difficulty in maintaining a patent airway
  • Respiratory rate <10 or >29
  • Inadequate tidal volume
  • Hypoxia
  • Respiratory distress, failure, apnea
  • Suspected skull fracture
  • Flail chest
  • Suspected pneumothorax, hemothorax, or tension pneumo
  • Pelvic fracture
  • Two or more proximal long bone fractures
  • Crushed or mangled extremity
  • Uncontrolled external hemorrhage
  • S/S of shock
  • Significant external blood loss with controlled hemorrhage
  • Glasgow coma score of 13 or less
  • AMS
  • Seizure activity
  • Sensory or motor deficit
  • Any penetrating trauma
  • Amputation of an extremity proximal to the finger
  • Multisystem trauma
  • Open or depressed skull fracture
  • Suspected brain injury
  • Paralysis
  • Trauma in a patient with significant medical history
18
Q

Level one regional trauma center

What kind of cases can they manage?

A
  • All types of trauma 24/7
19
Q

Level two area trauma center

What cases can they manage?

A
  • Can manage a vast majority of trauma and surgical capabilities
  • Can stabalize trauma patients before transfering them to a level 1 trauma center
20
Q

Level three Community trauma center

What cases can they manage

A
  • Some surgical capabilities but not really what they do
  • they manage the trauma and stabalize serious injuries before transfering them to a higher level center
21
Q

Level four trauma facility

What cases can they handle?

A
  • Typically a small community hospital in a remote area capable of stabalizing seriously injured trauma patients and then transferring to a higher level center
22
Q

4 key factors for high velocity (bullets) injuries

A
  • Drag
  • Profile
  • Cavitation
  • Fragmentation
23
Q

Drag

Define

A
  • the factors that slow a bullet down such as wind resistance
24
Q

Profile

Define

A
  • The impact point of the bullet is its profile. The greater the size of the impact point the more energy is transferred
25
Q

Cavitation

Define

A
  • How big is the hole in the body
26
Q

Fragmentation

Define

A
  • A bullet that breaks up into small pieces or releases small pieces upon impact creating a larger injured area

EMT (42 decks)

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