Trauma Quiz Flashcards
Critical interventions for open and closed skull fracture?
-Open- Pressure with gloved hand around fracture site to control, do not apply pressure directly to skull fractures.
-Closed- No intervention necessary.
How do you package a skull fracture for transport?
-Apply sterile dressings using non-stick dressing and absorbent dressing (abdominal-pad).
-Lightly secure with bandage.
-Be careful not to apply any pressure to fracture/depressed area.
Critical interventions for an impaled object?
-Direct digital pressure (fingers) with gloved hand to control bleeding.
-Manually stabilize the object in place.
How do you package an impaled object in the skull for transport?
-Apply sterile dressings to open skin. Non stick dressing and absorbent dressing.
-Use bulky dressings to stabilize the object, then secure dressings to limit movement and bleeding.
-Do not apply any pressure to fracture/depressed area.
Critical interventions for impaled object in eye and extruded eyeball?
-Impaled object- Manually stabilize object.
-Extruded eyeball- Stabilize with sterile gauze.
Critical interventions neck laceration?
-Pressure with gloved hand to control bleeding.
Package for eye injury?
Impaled Object
-Cover uninjured eye with gauze and apply sterile dressings to open skin.
-Non-stick dressing or sterile gauze.
-Use bulky dressings to stabilize the object.
-Secure dressings with bandage to limit movement and bleeding.
Extruded Eyeball
-Apply sterile moist dressings around the injured eye.
-Non-stick dressing or sterile gauze.
-Use BVM mask or ring pads over moist dressings to keep pressure off of eyeball.
-Secure mask/pads with bandage as to limit movement and pressure on eyeball.
Critical intervention for chest injury impaled object?
-Cut, exposed and examine injury and manually stabilize object.
Critical interventions and package for transport for open chest wound?
-Cut, expose and examine injury.
-Gloved hand
-Apply one chest seal or 3 sided occlusive dressing to open wound per side of chest.
-Seal all other wounds with occlusive dressings closed on all 4 sides.
What does simple SMR include?
-Cervical collar on - head not taped; patient on mattress not clamshell; head of stretcher up 30 degrees only if head injured.
What is full SMR?
Who is considered a high risk group?
-Age greater than 65.
-Osteoporosis
-Pre-existing spinal condition.
What is full SMR?
-Collar, clamshell, and head secured.
What are the five nexus questions?
1.) New midline cervical tenderness?
2.) Altered LOC? (must be fully alert)
3.) New focal neurological deficits (can’t feel sensations)?
4.) Intoxicated?
5.) Major distracting injury? (Broken leg distracting pain from spine)
What do back injuries include?
-Fall greater than 3m, landed on feet or head from fall, high speed MVC, MVC roll over,new back deformities/bruising/tenderness, and pre existing spinal issues in back.
What do significant injuries include?
-Broken bones, major bleeds, and suspected internal bleeding.
What is the order of the Adult Spinal Management?
If yes to any of the Nexus questions…
1.) Yes- 2 or more significant injuries. 1.) No- High risk group?
2.) Yes- Full SMR. 2.) No- Simple SMR. 2.) Yes- Simple SMR 2.) No- Potential back injury.
Yes- Lay flat on stretcher No- No spinal
What burn patient are RTC?
-Full thickness burns: BSA greater than 2 percent in an adult.
-Partial or full thickness burns: BSA greater than 10%.
-Burns to the face, joints, hands, feet,or genitalia.
-Encircling burns.
-Exposure to smoke, steam, or flame inhalation.
How long should you flush a chemical burn for?
-20 minutes.
What upper and lower leg injuries are considered RTC?
-MOI to suggest major trauma, absent distal circulation despite realignment of grossly angulated limb, patient with 2 or more proximal long bone fractures, signs and symptoms of shock, bleeding requiring the application of a tourniquet, unstable pelvis, hip fracture/dislocation, knee dislocation, and elbow dislocation.
What does the STAPLES acronym stand for?
-Size, thigh strap, ankle strap, padding, lbs, elevate/elastic strap, strap (Apply blanket between legs strap legs together, above and below fracture site)
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