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Exam 9 > Trauma Systems > Flashcards

Trauma Systems Flashcards

0
Q

_______ occurs when an object enters the body and exchanges energy with human tissue, thereby causing injury.

A

Penetrating trauma

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1
Q

What is the leading cause of death of persons under age 44?

A

Trauma

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2
Q

Which type of trauma occurs as injury that occurs as the energy and forces of collision with an object -not the object itself- enter the body and damage tissue?

A

Blunt trauma

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3
Q

Serious and life threatening injury occurs in fewer than ____ precent of trauma patients.

A

10%

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4
Q

What is the best care a paramedic can offer a trauma patient?

A 
Immobilize Cspine
Secure airway
Ensure adequate respirations
Control any significant external hemorrhage 
Rapid transport
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5
Q

What is involved in the trauma triage criteria?

A

Consideration of mechanisms by which patients are injured

Physical or clinical findings indicating internal injury

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6
Q

How did the Trauma Care Systems Planning and Development Act of 1990 help EMS?

A

Established guidelines, funding, and state-level leadership and support for the development of trauma systems

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7
Q

The trauma system is predicated on the principal that serious trauma is a?

A

Surgical disease

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8
Q

What is the criteria for a level 1 trauma center?

A

Commits resources to address all types of specialty trauma 24 hours a day, 7 days a week

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9
Q

What is the criteria for a level 2 trauma center?

A

Commits the resources to address the most common trauma emergencies with surgical capability available 24 hours a day, 7 days a week

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10
Q

Which level trauma center will stabilize and transport specialty cases to the regional trauma center?

A

Level 2

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11
Q

What is the criteria for a level 3 trauma center?

A

Commits to special emergency department training and has some surgical capacity

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12
Q

Which level trauma center will usually stabilize and transfer seriously injured trauma patients to a higher-level trauma center as needed?

A

Level 3

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13
Q

A regional trauma center is also known as which level?

A

1

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14
Q

An area trauma center is also known as which level?

A

2

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15
Q

A community trauma center is also known as which level?

A

3

16
Q

What is the criteria for a level 4 trauma center?

A

A small community hospital or medical care facility may be designated a trauma receiving facility

17
Q

What level trauma center will stabilize and prepare trauma patients with moderate to serious injuries for transport to a higher facility?

A

Level 4

18
Q

A trauma facility is also known as which level?

A

4

19
Q

In rural regions, a level _____ center may act as the regional trauma center because the incidence of serious trauma does not support any greater commitment.

A

3

20
Q

What specialty service is important in the treatment of carbon monoxide poisoning and problems related to scuba diving?

A

Hyperbaric Oxygenation

21
Q

What types of centers are more likely to provide a higher level of intensive care and state-of-the-art injury management than other facilities?

A

Specialty centers

22
Q

The ________ are guidelines established to help the paramedic determine which patients require the services of a trauma center or if they do not.

A

Trauma triage criteria

23
Q

What should be considered in the mechanism of injury analysis?

A

Forces involved in the incident
Direction from which patient came
Areas most affected by these forces

24
Q

What are the possible mechanisms of injury in an MVC?

A

Energy exchange process between the auto and what it struck, between the patient and the auto interior, and various tissues and organs as the collide within the patient

25
Q

When should mechanism of injury be considered?

A

During scene size-up

26
Q

What should be reconsidered as the first step of the focused history and physical exam for trauma patients?

A

Mechanism of injury

27
Q

What is the index of suspicion?

A

The anticipation of injury to a body region, organ, or structure based on analysis of the mechanism of injury

28
Q

The probability of internal injury at lower speeds is ____ than higher speeds.

A

Less

29
Q

What are the physical signs suggesting trauma?

A

Signs and symptoms of shock and those of internal head injury

30
Q

What is important to note about the bodies compensatory mechanisms for internal blood loss?

A

Body compensates well for internal blood loss and hides serious signs of injury until late in the shock process

31
Q

What is the golden hour?

A

The 60 minute period after a severe injury and the maximum acceptable time between injury and surgery

32
Q

How much time is ideally given for primary and rapid secondary assessments, emergency stabilization, patient packaging, and initiation of transport for the severe trauma patient?

A

10 mins

33
Q

What does the “lets not mean by accident” program do for ems?

A

Increases societies awareness of trauma systems as well as an appreciation for safety oriented behaviors

34
Q

What is the trauma registry?

A

It is a uniform and standard set of data collected by regional trauma centers which are analyzed to determine how well the system is working

35
Q

What occurs in the QI process?

A

Committees look at selected care modalities to determine if designated standards of care are being met

36
Q

What is the term used for the selected care modalities in the QI process?

A

Indicators

37
Q

What is done by QI committees if system standards are not being met?

A

Continuing education programs

Modification of protocols

38
Q

When will you begin your consideration of the mechanism of injury?

A

During scene size up

Exam 9 (11 decks)

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