Trauma Worksheet Flashcards
Define trauma
A severe injury or damage to the body caused by an accident or violence
how does a level I trauma center differ from a level IV trauma center?
Level I trauma centers provide the most comprehensive medical and emergency care, whereas level IV trauma centers provide care for basic injuries and can assess and stabilize patients for transfer to a larger trauma center
Within how many feet form the x-ray tube should appropriate shielding be provided to patients on nearby stretchers when performing mobile radiography?
6 feet
From the list below, circle the symptoms of shock that can be readily observed by a tech
a-cool, clammy skin
d-Excessive sweating
e-Increased drowsiness
Concerning providing information to key personnel what procedure should a tech perform if it is necessary to deviate from the routine projections?
Document the alterations for the referring physician and radiologist
What should be the first projection performed for a trauma patient with a cervical injury?
d-CT head with and without contrast
when is it necessary to perform the lateral projection for the cervicothoracic region?
when the entire cervical spine and the interspace between C7 and T1 is not well demonstrated with the lateral projection
what condition must be met before attempting to move the patient’s arms for the lateral projection of the cervicothoracic region, dorsal decubitus position?
Permission is granted from the attending physician after review of the lateral projection
when performing the lateral projection for the cervicothoracic region, dorsal decubitus position, on a patient who cannot move the shoulder closer to the x-ray tube, the central ray may be angled __________
Caudally
when performing the lateral projection of the cervicothoracic region,dorsal decubitus position, what is the purpose for using a long exposure time with the patient breathing normally?
To blur rib shadows
when performing the anteroposterior (AP) axial projection on a patient who is NOT on a backboard or x-ray table, who should lift the patient’s head and neck so that a tech can position the image receptor (IR) under the patient?
the attending physician
when performing the AP axial ablique projection for cervical vertebrae, why should you not use a grid IR?
the compound central ray angle will cause grid cutoff
when performing the AP axial oblique projection for cervical vertebrae on a supine trauma, how should the central ray be directed with a nongrid IR?
at a compound angle of 15 to 20 degrees cephalad and 45 degrees lateromedially
when performing the AP axial oblique projection for cervical vertebrae on a supine trauma patient, where should the central ray enter the patient?
slightly lateral to the midsagittal plane at the level of the thyroid cartilage, and passing through C4
when demostrating lumbar vertebrae on a trauma patient who is supine on a backboard, what should be the first projection performed?
Lateral projection, dorsal decubitus position
when performing the lateral projection for thoracic vertebrae on a trauma patient who is supine on a backboard, how should the central ray be directed?
Horizontal and perpendicular to the center of the IR
when performing the AP projection of the abdomen on a trauma patient, what should be obtained before moving the patient to the rad table?
Permission from the attending physician to transfer the patient to the radiographic table
Circle the signs that require the tech to immediately notify the ED physician
a
c
d
e
When performing the AP projection of the abdomen on a trauma patient on a gurney, why must the grid IR be perfectly horizontal and the central ray directed perpendicularly to the IR?
to prevent grid cutoff and image distortion
when performing the AP projection of the abdomen left lateral decubitus position, why should the patient be placed in the left lateral recumbent position for at least 5 minutes before making the exposure?
to allow any free air to rise and be visualized
The type of shock that radiographers should be aware of when imaging patients with pelvic fracture is:
hemorrhagic shock
what action should a tech initiate if a head trauma patient has unequal pupils or experiences a decrease in the level of consciousness?
Immediately alert the attending physician
when performing the acanthioparietal projection, reverse Waters method, for facial bones on s supine trauma patient, how should the infraorbitomeatal line (IOML) be positioned with reference to the IR?
Approximately perpendicular
what is the general rule concerning demonstrating adjacent joints when radiographing long bones on trauma patients?
Always include both joints
what is the general rule concerning immobilization devices when radiographing upper and lower limbs on trauma patients?
Do not remove unless directed to do so by the attending physician
Define the following abbreviations (26-35):
CPR
Cardiopulmonary resuscitation
MVA
Motor vehicle accident
GSW
Gunshot wound
CVA
Cerebrovascular accident
ED
Emergency department
OML
Orbitomeatal line
IOML
Inffraorbitomeatal line
MML
Mentomeatal line
IVU
Intravenous urography
EAM
External acoustic meatus
