Exam (elaborations)
FPC trauma (1).
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Exam of 6 pages for the course Imse 250 at Imse 250 (FPC trauma (1).)
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FPC traumaNewtons first law - ANS-Inertia: Object in motion remains unless acted on by an outside force
Newton's second law - ANS-Acceleration is dependent on the mass of the object and force upon
the object
Newton's third law - ANS-For every action, there is an equal and opposite reaction
What speed / velocity weapons are considered "high velocity"? - ANS-> 2,000 FPS (ft per
second)
RTS: Revised trauma scoring range?
Know how to calculate - ANS-0-12
Hypovolemic shock: What three main physiologic changes occur during attempted
compensation? - ANS-HR increases
SVR increases
CO drops
Trauma triad of death - ANS-Hypothermia
Acidosis
Coagulopathy
Kehr's sign - ANS-Referred pain to the shoulder blade - (splenic rupture secondary to rib rx)
Irritation of the diaphragm by blood, referred to shoulder via phrenic nerve
Side impact TC: common injuries - ANS-Rib fractures, splenic rupture from rib fx.
Clavicle
Femur
Front impactive TC: common injuries - ANS-Rib fx: Hemo/pneumo
Liver
Concussion
Hips
Rear impact common injury: - ANS-Back: T12-L1 MOST COMMON back injury
T12 fx is called a _______ fx - ANS-Chance fracture
C2 fracture is also called - ANS-Hangman's fracture
, Axial loading fracture injury is common where in the neck or back? - ANS-C1 - burst fracture
from loading
C1 axial loading fracture is referred to as - ANS-Jefferson's Fx
Snowmobile accidents may commonly have what c-spine injury? - ANS-C2 - Hangmangs
Falls from what height (trauma criteria) are associated with severe injury? - ANS-15-20 ft - or 3 x
standing height
What is the most commonly injured solid organ in blunt trauma - ANS-Spleen
Splenic rupture signs - ANS-Abd tenderness with referred pain: Kehr's sign, Ballance's sign
What is the most commonly injured solid organ in penetrating trauma? - ANS-Liver
What is the most commonly injured hollow organ from penetrating trauma? - ANS-Colon / small
intestine
REBOA may be left in place for up to? - ANS-4 hours
Coopernrail's sign - ANS-Scrotal or labial ecchymosis most often associated with pelvic
fractures; may also be related to abdominal bleeding.
Sudden increase in PIP/PPLAT likely indicates probable what? - ANS-Tension pneumothorax
A defect in chest wall generally, must be greater than (?) of the diameter of the trachea - ANS->
2/3 trachea diameter
Massive hemothorax is defined as > than (>) of blood - ANS-1500 ml
Flail chest is defined as - ANS-2 or more broken ribs, in 2 or more places
Traumatic diaphragmatic hernia most commonly occurs on which side? why? - ANS-Left side
more common.
The R side is more protected by the liver
Name an important finding with a traumatic diaphragmatic hernia on exam? - ANS-Bowel
sounds auscultated during chest exam
- Abdomen "looks like an empty bowel"
What is Beck's triad, and associated with? - ANS-Cardiac tamponade
Muffled heart tones
Narrowed pulse pressure
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