Trauma standards Flashcards

1
Q

What r the 6 Ps and an A

A

Paresis: muscular weakness
Paraesthesia: pins and needles
Paralysis: inability to move
Pain
Pallor
Pulse
Anaesthesia: loss of sensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do we treat first degree burns

A

Moist sterile dressing and then cover with dry dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do we treat 2nd degree burns <15% BSA

A

Moist, sterile dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do we treat 2nd degree burns equal to or over 15% BSA

A

Dry sterile dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do we treat 3rd degree burns

A

dry sterile dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the rule of 9s for BSA burn %

A

Front of head = 4.5%
Back of head = 4.5%
Chest = 9%
Back = 9%
Abdomen = 9%
Lower back = 9%
Front of one arm = 4.5%
Back of one arm = 4.5%
Genitals = 1%
Front of one leg = 9%
Back of one leg = 9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the parkland formula

A

4mL * BSA% * Weight(kg)
Give half over the first 8 hours, give the other half over the next 16 hours.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

For abdominal/pelvic injury consider what potential life/limb/function threats

A

Rupture, perforation, laceration, or hemorrhage of organs or vessels in the abdomen and potentially in the thorax or pelvis
Spinal cord injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How to do u irrigate bite injuries on a stable patient

A

up to 5 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What life/limb/function threats do you consider for bite injuries

A

injuries to underlying organs, vessels and bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If envenomation (from a bite) is know or suspected you should…?

A

Position the patient supine
Immobilize the bite area at or slightly below the heart level
Not apply cold packs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

For chest injury consider what life/limb/function threats

A

tension pneumothorax
Hemothorax
Cardiac tamponade
Myocardial contusion
Pulmonary contusion
Spinal cord injury
Flail chest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If the patient has a penetrating chest injury assess for…

A

Entry and exit wounds
Tracheal deviation
JVD
Airway and/or vascular penetration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

For head injury, observe for…

A

CSF from nose/ears
Mastoid bruising
Abnormal posturing
Agitation or fluctuating behaviour
Incontinence
Emesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some s/s of cerebral herniation

A

Deteriorating GCS with;
Dilated and unreactive pupils
Asymmetric pupillary response
A motor response that shows either unilateral or bilateral decorticate or decerebrate posturing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How often should u do pulse and respiration check for suspected/known hypothermia

A

10 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In absence of shivering, and LOC in decreased, what could u assume their body temp is?

A

below 32

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

In electrical injury, what life/limb/function threats to consider

A

Cardiopulmonary arrest
Dysrhythmias
Extremity neurovascular compromise
Multiple/severe trauma
Seizures
Significant internal tissue damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do u treat an alkali burn

A

irrigate for a min. of 20 minutes if pt is stable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How do u treat an acid burn

A

irrigate for a minimum of 10 minutes if pt is stable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How do u treat unknown chemical exposure

A

Irrigate for min. 20 minutes if pt is stable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

In submersion injury consider what underlying disorders

A

Drug or alcohol consumption
Hypoglycemia
Cardiac dysrhythmias
Trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what are some suctioning complications

A

Gag reflex
Vagal stimulation / vasovagal response
Bradycardia
Laryngospasm
Soft tissue injury
Induce vomiting

24
Q

Under the amputation/avulsion standard what potential life/limb/function threats should you consider

A

Hemorrhagic shock
Loss of limb
Loss of function

25
How do you take care of an complete amputation
cover the stump with a moist sterile dressing, followed by a dry dressing. Don't constrict or twist remaining tissue
26
How do you take care of a partial amputation or avulsion
place the remaining tissue or skin bridge in as near-normal anatomical position as possible
27
How do you preserve amputated tissue
- If the part is grossly contaminated, gently rinse with saline - Wrap or cover the exposed end with moist, sterile dressing - Place the part in a suitable container/plastic (water-tight if possible) bag and immerse in cold water
28
Under the blunt/penetrating abdominal/pelvic injury standard, what potential life/limb/function threats should you consider
Rupture, perforation, laceration, or hemorrhage of organs and/or vessels in the abdomen and potentially in the thorax or pelvis AND spinal cord injury
29
Under the blunt/penetrating bite injury standard, what potential life/limb/function threats should you consider?
Injuries to underlying organs, vessels, bone Specific to snake bite; anaphylaxis, shock, CNS toxicity, local tissue necrosis
30
Under the blunt/penetrating chest injury standard what potential life/limb/function threats should you consider?
Tension pneumothorax Hemothorax Cardiac tamponade Myocardial contusion Pulmonary contusion Spinal cord injury Flail chest
31
If a patient has a penetrating chest injury, what should you assess for
Entry and exit wounds Tracheal deviation JVD Airway and/or vascular penetration
32
If the patient has a chest injury what potential problems should you prepare for
Tension pneumothorax Cardiac tamponade Cardiac dysrhythmias Hemoptysis
33
How should you transport a patient with a blunt/penetrating eye injury
Supine, with head elevated approx. 30 degrees
34
Under the blunt/penetrating head injury, what potential life/limb/function threats should you consider
Intercranial and/or intracerebral hemorrhage Neck/spine injuries Facial/skull fractures Concussion
35
Under the blunt/penetrating head injury what should you observe for?
Fluid from ears/nose Mastoid bruising Abnormal posturing Periorbital ecchymosis Agitation or fluctuating behaviour Urinary/fecal incontinence Emesis
36
What are the signs of cerebral herniation
1. Dilated and unreactive pupils 2. Asymmetric pupillary response 3. A motor response that shows either unilateral or bilateral decorticate or decerebrate posturing
37
Under the traumatic head trauma injury standard what potential problems should you prepare for?
Respiratory distress/arrest Seizures Decreasing level of consciousness Agitation or combativeness
38
Under the traumatic neck/back injury standard injury what should you observe for?
Diaphragmatic breathing Neurological deficits Priapism Urinary/fecal incontinence/retention
39
For a traumatic neck/back injury, perform at a minimum, a secondary survey to assess what?
Airway and/or vascular penetration Lungs, for decreased air entry and adventitious sounds through auscultation Head/neck for JVD, and tracheal shifting Chest for subcutaneous emphysema
40
Under the burn standard, what potential life/limb/function threats should you consider?
Airway burns Asphyxia Carbon monoxide/cyanide poisoning Shock
41
Under the burn standard, perform at a minimum a secondary survey to assess what?
Area burned Burn depth Percentage of body surface area burned And assess for signs of smoke inhalation and upper airway injury
42
Under the traumatic burn standard, what expected problems should you be prepared for?
Airway obstruction Airway burns (bronchospasm, orolingual/laryngeal edema) Respiratory distress/arrest Agitation or combativeness
43
Under the cold injury standard, how do you treat mild to moderate hypothermia
Wrap the patients body/affected parts in a blanket or foil rescue blanket Provide external re-warming to axilla, groin, neck, and head (hot packs, hot water bottles)
44
Under the cold injury standard, how do you treat severe hypothermia
Wrap the patient's body/affected parts in a blanket or foil rescue blanket. When suction is required, do not perform vigorous suctioning or airway manipulation as it may trigger ventricular fibrillation
45
What are some S/S of severe hypothermia
No shivering present Unconscious patient with cold, stiff limbs Slow/absent pulse and respirations No signs of obvious death
46
How do you treat frostbite
Wrap the patient's body/affected parts in a blanket or foil rescue blanket. Cover and protect the part. Don't rub or massage skin Leave blisters intact If dressing digits, dress digits separately
47
Under the electrocution/electrical injury standard, what potential life/limb/function threats should you consider?
Cardiopulmonary arrest Dysrhythmias Extremity neurovascular compromise Multiple and/or severe trauma Seizures Significant internal tissue damage
48
What should you attempt to determine for an electrical injury?
Type of current and voltage
49
Under the electrical injury standard, you should assess for what signs of significant electrical injury?
Burns Cold/mottled/pulseless extremities Dysrhythmias Entry/exit wounds Muscle spasms Neurological impairment Shallow/irregular respirations
50
If an extremity is affected by electrical trauma, how often should you re-assess distal neurovascular status?
Approx. every 10 minutes
51
Under the electrical injury standard, what potential problems should you prepare for?
Dysrhythmias Extremity neurovascular compromise
52
Under the soft tissue injury standard, what underlying injuries should you consider?
Injury to deep structures (nerves, vessels, bones)
53
How do you treat a soft tissue extremity wound
1. Direct pressure 2. Tourniquet 3. Second tourniquet 4. Pack the wound
54
How do you treat a soft tissue wound in a junctional location
1. Direct pressure 2. Pack the wound
55
How do you treat a soft tissue wound located in the hollow spaces of the skull, chest, or abdomen
1. Direct pressure Do not pack, do not insert finger
56
Under the submersion injury standard, what potential life/limb/function threats should you consider?
Asphyxia Aspiration Hypothermia Pulmonary edema Underlying disorders which may have precipitated events (drug or alcohol consumption, hypoglycemia, cardiac dysrhythmias, trauma)
57
Under the submersion injury standard, what potential life, limb, function threat should you consider specific to scuba-diving related disorders
Barotrauma (ears, sinuses, pneumothorax) Decompression sickness Arterial gas embolism