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EMS Protocols 2015 > Trauma Protocols > Flashcards

Trauma Protocols Flashcards

1
Q

According to the General Trauma Recommendations protocol how many IV’s are recommended?

A

2 Large Bore

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2
Q

According to the General Trauma Recommendations protocol what should you obtain on trauma pts?

A 
2 Large Bore IV's
Cardiac monitor
Pulse Ox
O2 to maintain sats >94%
Capnography when indicated
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3
Q

According to the General Trauma Recommendations protocol for Spinal Immobilization where should you refer?

A

Spinal Immobilization protocol

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4
Q

According to the General Trauma Recommendations protocol what is the fluid bolus recommended for adults?

A

2 L NS fluid bolus to maintain SBP > 90mmHg

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5
Q

According to the General Trauma Recommendations protocol what is the fluid bolus recommended for pediatrics?

A

20 cc/kg NS fluid bolus to maintain SBP > 70 + 2(Age)

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6
Q

According to the General Trauma Recommendations protocol if your pt is not responding to fluid bolus what is your next treatment option?

A

Epinephrine Push Dose Presser

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7
Q

According to the General Trauma Recommendations protocol what should you consider as a possible cause for a trauma event?

A

Some trauma may have been caused by a medical event

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8
Q

According to the General Trauma Recommendations protocol what should you establish as soon as possible on each trauma pt?

A

Trauma Designation

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9
Q

According to the General Trauma Recommendations protocol where should the pt be transported?

A

Most appropriate facility

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10
Q

According to the General Trauma Recommendations protocol where should all Blunt Trauma Arrests be transported?

A

Closest Facility

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11
Q

According to the General Trauma Recommendations protocol where should all Penetrating Trauma Arrests be transported?

A

Closest Appropriate Trauma Center

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12
Q

According to the General Trauma Recommendations protocol what should be done for all pregnant trauma pts?

A

Appropriate spinal immobilization

Placed left lateral as best as possible

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13
Q

According to the General Trauma Recommendations protocol what 7 specific conditions have specific trauma recommendations in the trauma protocols?

A
  1. Amputations
  2. Burns/ Electrical
  3. Head/ Spinal Cord
  4. Musculoskeletal
  5. Drowning/ Near Drowning
  6. Opthalmic
  7. Thoracic/ Abdominal/ Pelvic
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14
Q

According to the Amputations protocol what 2 things should occur with amputated parts?

A
  1. Recover all parts if possible. Do not delay transport if there is a delay in recovering parts.
  2. Gently dress in sterile dressing, place in a zip lock bag or wrap in a towel, place in a cool location. DO NOT apply ice pack or ice directly.
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15
Q

According to the Amputations protocol if you are unable to stop the bleeding with compression what is your next course of action?

A

Utilize hemostatic dressing

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16
Q

According to the Amputations protocol if unable to stop bleeding after compression and hemostatic dressing what is your next course of action?

A

Utilize Tourniquet Skill

DO NOT remove after application and document application time.

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17
Q

According to the Burns/Electrical protocol general rules what should be done with clothing that is stuck to the burn?

A

Do NOT remove that area

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18
Q

According to the Burns/Electrical protocol general rules what should be done with superficial thickness burns?

A

Rinsed with sterile water

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19
Q

According to the Burns/Electrical protocol general rules at what % BSA can you rinse partial/ full thickness burns?

A

<20% BSA

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20
Q

According to the Burns/Electrical protocol general rules if the partial/ full thickness burn is >20% BSA what should you do instead of rinsing?

A

Cover with dry sterile dressings

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21
Q

According to the Burns/Electrical protocol general rules what should be done with chemical burns?

A

Dust off dry contents
Rinse for 30-60 minutes
Bring name of chemical if able

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22
Q

According to the Burns/Electrical general rules protocol what should be done with burns involving the eyes?

A

Remove contacts if it pertains

Rinse with sterile water

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23
Q

According to the Burns/Electrical protocol general rules protocol how should pt body temperature be handled?

A

Maintain normal body temperature (blankets, exterior climate)

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24
Q

According to the Burns/Electrical protocol what should you obtain for electrical burns/ electrocution patients?

A

12 Lead

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25
Q

According to the Burns/Electrical protocol if burn is greater than 10% BSA what treatment should you perform?

A

1-2 L IV NS fluid bolus (Adults)

20-40 cc/kg NS fluid bolus (Pediatrics)

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26
Q

According to the Burns/Electrical protocol if probable airway burn what should you secure early?

A

Intubate to secure airway

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27
Q

According to the Burns/Electrical protocol if you are unable to secure an airway with a probable airway burn what should your course of action be?

A

Divert to closest ER for airway stabilization

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28
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Head (front and back) account for?

A

9%

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29
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Back account for?

A

18%

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30
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Chest account for?

A

18%

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31
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Right Arm account for?

A

9%

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32
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Left Arm account for?

A

9%

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33
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Perineum account for?

34
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Right Leg account for?

35
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Adult Left Leg account for?

36
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Head (front and back) account for?

37
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Back account for?

38
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Chest account for?

39
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Right Arm account for?

40
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Left Arm account for?

41
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Perineum account for?

42
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Right Leg account for?

43
Q

According to the Burns/Electrical protocol Rule of 9’s what percentage of BSA does the Pediatric Left Leg account for?

44
Q

According to the Burns/Electrical protocol what are the signs/symptoms of a Superficial Burn?

A

Painful
No Edema
Redness
Blanches with pressure

45
Q

According to the Burns/Electrical protocol what are the signs/symptoms of a Partial Thickness Burn?

A

Blistered
Moist
Painful

46
Q

According to the Burns/Electrical protocol what are the signs/symptoms of a Full Thickness Burn?

A

Dry
Discolored
No Pain

47
Q

According to the Head/ Spinal Cord Injury protocol what position should a pt with a head injury but no spinal cord injury be placed in?

A

Keep head of bed elevated >30 degrees

48
Q

According to the Head/ Spinal Cord Injury protocol what is the overall capnography goal?

A

Maintain pCO2 of 35-39mmHg

49
Q

According to the Head/ Spinal Cord Injury protocol what should be avoided?

A

Unwarranted Hyperventilation

50
Q

According to the Head/ Spinal Cord Injury protocol what are the 3 Signs/Symptoms of Cushings Triad?

A
  1. Hypertension
  2. Bradycardia
  3. Irregular respirations
51
Q

According to the Head/ Spinal Cord Injury protocol what is the other name for Cushings Triad?

A

Cerebral Herniation Syndrome

52
Q

According to the Head/ Spinal Cord Injury protocol if the pt presents with unequal pupils, posturing, and/or signs of Cushings Triad what is the treatment?

A

Hyperventilate to goal of pCO2 30-35mmHg

53
Q

According to the Head/ Spinal Cord Injury protocol how should the respiratory rate be adjusted with assisted ventilations?

A

Adjust to capnography goal

54
Q

According to the Head/ Spinal Cord Injury protocol what should be monitored for in a pt with head trauma who has been paralyzed to intubate?

55
Q

According to the Head/ Spinal Cord Injury protocol in a pt who has been paralyzed for intubation what are signs/symptoms of a seizure?

A

Dilated pupils

Tachycardia

56
Q

According to the Musculoskeletal protocol what should what should be done with a foreign body lodged in a pt?

A

Never Remove

Stabilize in positoin

57
Q

According to the Musculoskeletal protocol what should be done if you are unable to stop bleeding with compression?

A

Utilize hemostatic dressing

58
Q

According to the Musculoskeletal protocol how should an open fracture wound be cared for?

A

Flush with 1 L Sterile Water

Apply Betadine soaked gauze

59
Q

According to the Musculoskeletal protocol what should you assess and monitor distal to the injury?

A

Circulation
Sensation
Motor

60
Q

According to the Musculoskeletal protocol if the extremity is pulseless what can you attempt to do?

A

Reduce the Fracture to regain a pulse

61
Q

According to the Musculoskeletal protocol if the extremity is pulseless how many attempts to reduce a Fracture to regain a pulse do you get?

62
Q

According to the Musculoskeletal protocol if pt has an unstable pelvic fracture what should you consider doing?

A

Pelvic binding with a sheet

63
Q

According to the Drowning/ Near Drowning protocol what first treatment should you perform for the pt?

A

Warm pt

Refer to Adult Hypothermic or Pediatric Hypothermic protocol

64
Q

According to the Drowning/ Near Drowning protocol why should you make every effort to transport these patients?

A

Some patients are stable shortly after an initial recovery period however a “Secondary Drowning” can occur within 12 to 72 hours after submersion

65
Q

According to the Drowning/ Near Drowning protocol what is another name for a “Secondary Drowning?”

A

Post immersion syndrome

66
Q

According to the Drowning/ Near Drowning protocol what is Post Immersion syndrome probably a form of?

A

Acute Respiratory Distress Syndrome (ARDS)

67
Q

According to the Drowning/ Near Drowning protocol what is Poster Immersion syndrome probably caused by?

A

Pulmonary Injury

68
Q

According to the Drowning/ Near Drowning protocol what treatment should all drowning pts receive?

A

Spinal Immobilization

69
Q

According to the Drowning/ Near Drowning protocol at what temperature may the heart not respond to cardiac medications?

A

< 86 degrees F

70
Q

According to the Drowning/ Near Drowning protocol until what temperature is reached should the pt only receive 1 course of ACLS drugs?

A

92 degrees F

71
Q

According to the Drowning/ Near Drowning protocol if the pt has had a prolonged submersion/ hypoventilation what treatment option should be considered?

A

Sodium Bicarbonate

72
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with an external hemorrhage?

A

Control with Compression

73
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with an eviscerated bowel?

A

Cover with moist saline and secure

74
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with any impaled objects?

A

DO NOT remove

Stabilize and secure

75
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what signs/symptoms should be closely monitored for?

A

JVD
Tracheal alignment
Subcutaneous emphysema
Hypotension

76
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what treatment/ skill should be considered?

A

Needle decompression

77
Q

According to the Thoracic/ Abdominal/ Pelvic protocol if traumatic cardiac arrest what treatment/ skill should be considered?

A

Bilateral needle decompression

78
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with all penetrating chest wall defects?

A

Seal with pressure relief occlusive dressing as needed

79
Q

According to the Thoracic/ Abdominal/ Pelvic protocol what should be done with any flail segments?

80
Q

According to the Thoracic/ Abdominal/ Pelvic protocol while stabilizing any flail segments what should be avoided?

A

Circumferential dressings

81
Q

According to the Thoracic/ Abdominal/ Pelvic protocol if unable to stop bleeding with compression what treatment should be utilized?

A

Hemostatic dressing

EMS Protocols 2015 (8 decks)

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