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Trauma (Exam 3) Complete With Answers Verified 100% /Latest Version 2023 Graded A+
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Trauma (Exam 3)Complete With Answers Verified 100% /Latest Version 2023 Graded A+
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Trauma (Exam 3)What is the leading cause of death in ≤ 44 year olds? - ANSWER Trauma
Trauma outcomes can be improved with ___________ ___________ of care - ANSWER
organized systems
What is the "golden hour" of trauma? - ANSWER 80% of trauma deaths occur in the first hour
after injury
What are the advantages of a level 1 trauma center? (6) - ANSWER •Organized trauma team
immediately available
•Near immediate availability of equipment / resources / specialists
•Advanced Critical Care
•Rehab
•Trauma Prevention
•Research
With care, you can't improve what you can't ___________ - ANSWER measure
What is the trimodal distribution of trauma death? - ANSWER •Immediate deaths at the scene
•Early deaths due to hemorrhage
•Late deaths from sepsis / organ failure
What is an organized approach for evaluation and management of seriously injured patients
created by the American College of Surgeons Committee on Trauma? - ANSWER Advanced
Trauma Life Support
Advanced Trauma Life Support is aimed at preventing death during the ________ ___________
- ANSWER golden hour
Advanced Trauma Life Support (ATLS) 4 components of initial assessment - ANSWER 1.
Primary survey (ABCDE)
2. Resuscitation
3. Secondary survey (Head-toe)
4. Definitive care
Advanced Trauma Life Support: What is the goal of the primary survey? - ANSWER The
diagnosis and treatment of all immediately lie-threatening injuries
Advanced Trauma Life Support: Primary Survey (ABCDE) - ANSWER 1. Airway maintenance
with C-spine control
2. Breathing
3. Circulation
, 4. Disability
5. Exposure with hypothermia prevention
Death from lack of airway is more rapid than death from what? - ANSWER Hemorrhagic
shock
*Establishing / protecting definitive airway takes precedence over circulation and fluids/blood
What are the indications for intubation? (6) - ANSWER •Apnea (Not breathing)
•GCS≤ 8 (Unconscious)
•Inability to protect airway
•Severe hypovolemic shock
•Significant soft tissue injuries to head / face /neck
•Refractory hypoxia / hypercarbia
Never put a patient with marginal airway in the _____ _______ - ANSWER CT scanner
How to easily assess the patency of a patient's airway? - ANSWER Have them talk
*If a patient can respond appropriately to "Are you okay?" they have an airway
Compromised airways are high risk in which patient types? (4) - ANSWER - H/O LOC
- Injuries to the head, face, neck, or chest
- Intoxicated patients
- Burn victims
You should assume than any trauma patient has what injury until proven otherwise? -
ANSWER Unstable C-spine injury
*Movement of the unstable C-spine can cause spinal cord injury +/- quadriplegia
While securing the airway you must stabilize what? - ANSWER C-spine
What is the 3 person intubation technique? - ANSWER •One person's sole job: stabilize
c-spine
•One person holds tube / maintains cricoid pressure
•Third person performs intubation
How to confirm the successful placement of an airway? - ANSWER End-tidal CO2
What is the jaw-thrust for airway maintenance? - ANSWER Pull angles of mandible forward,
open mouth with thumbs
What is the chin-lift for airway maintenance? - ANSWER Grasp chin and lift forward and
downward; no head-tilt
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