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TCAR TNCC Questions and Answers 2023/2024( A+ GRADED 100% VERIFIED).
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TCAR TNCC Questions and Answers 2023/2024( A+ GRADED 100% VERIFIED).
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TCAR TNCC Questions and Answers 2023/2024( A+GRADED 100% VERIFIED).
3 .questions .to .ask .in .trauma .- .(correct .answer) .--what .was .the .dose .of .energy?
-where .did .it .go?
-what .injuries .are .likely?
2 .q's .to .ask .in .GSW .- .(correct .answer) .-caliber
type .of .gun
# .of .entrance/exit .wounds
high/low .velocity
1st .question .to .ask .in .any .traumatic .injury? .- .(correct .answer) .-
what .was .the .dose .of .energy .involved?
(was .it .high .or .low?)
what .is .the .caliber .of .a .bullet? .- .(correct .answer) .-diameter
aka .diameter .of .a .bullet .- .(correct .answer) .-caliber
what .happens .to .projectiles .when .they .enter .the .body .- .(correct .answer) .-
projectiles .don't .travel .in .a .straight .line
consider .temporary .cavity .wound
what .should .you .consider .about .tissue .a .projectile .enounters .- .(correct .answer) .-
temporary .cavitation
primary .goal .of .GSW .surgery .- .(correct .answer) .-usually .damage .repair .& .not .bullet .removal
-if .superficial, .it .may .migrate .the .surface .with .time
,important .thing .to .remember .about .retained .projectiles .- .(correct .answer) .-
they .may .migrate .over .time. .bullett .migration .might .explain .unexplained .clinical .findings .
(VP .Cheney .accidentally .shot .his .friend .while .hunting .in .2006. .ICU .and .did .great. .moved .to .an .inpati
ent .unit. .had .a .silent .MI .bc .a .shot .gun .pellets .migrated .into .a .canary .artery .causing .an .infract. .so .h
ad .a .MI .but .fibrinolytic .not .the .answer .in .this .case .b/c .it .was .a ."projectile .embolus"
aka .brestbone .- .(correct .answer) .-sternum
what .attaches .the .ribs .to .the .sternum .- .(correct .answer) .-cartliage
what .breaks .thoracic .bones .- .(correct .answer) .-significant .force
-1-2nd .ribs, .posterior .ribs, .sternum, .scapulae, .T2-10
gives .us .info .about .the .force .aka ."dose" .of .energy .received
consider .injury .to .internal .structures .b/c .force
ribs .that .are .the .most .frequently .broken .- .(correct .answer) .-ribs .4-
9 .b/c .long, .thin, .and .poorly .protecte
it .is .harder .to .break .a .short .pencil .(T1-2) .and .easier .to .break .a .longer .one
*ask .how .many .and .where .to .understand .the .force .involved
what .is .the .significance .of .posterior .rib .fractures .- .(correct .answer) .-unusual .direction .of .injury
shorter .stubby .ribs
good .muscle .profection
**posterior .rib .fractures .have .a .lot .of .force .so .need .a .high .dose.
***PRF .need .a .lot .of .force .so .high .dose .of .energy. .big .red .flag .for .t-spine .injury
indication .of .c-spine .injury .- .(correct .answer) .-to .injure .c-
spine, .you .don't .need .a .big .energy .blow. .all .it .takes .is .shaking .around.
c .spine .versus .t .spine .fractures .- .(correct .answer) .-c-
spine .doesn't .need .a .big .energy .blow. .just .some .shaking .around .
t-spine .needs .a .great .strong .direct .blow .(not .just .a .shock_
treatment .for .rib .fractures .- .(correct .answer) .-largely .supportive .nursing .care .like .pulmonary .toilet
,CXR .and .rib .fractures .- .(correct .answer) .-
simple .rib .fractures .are .difficult .to .see .on .CXR .and .can .be .commonly .missed
(1/2 .of .all .rib .fractures .aren't .identified .at .the .POI .CXR)
identify .a .previous .rib .fracture .on .CXR .- .(correct .answer) .-
once .healed, .rib .fractures .form .bony .callouses .and .become .more .visible .on .CXR
how .to .tell .a .pt .has .a .pneumonia .from .a .CXR .- .(correct .answer) .-
dark .spot .that .is .not .equal .to .the .opposite .side
consider .if .a .pt .has .a .lower .rib .fracture .- .(correct .answer) .-liver .& .spleen .injury
acts .like .BBQ/marshmellow .skewers
how .high .does .the .diaphragm .rise .on .inspiration .- .(correct .answer) .-level .of .4th .ICS
risk .of .rib .fractures .- .(correct .answer) .-can .puncture .liver, .spleen,, .diaphragm
pop .lungs
+2 .adjacent .rib .fractures .- .(correct .answer) .-flail .chest
free .floating .sternum .- .(correct .answer) .-flail .chest
definition .of .flail .chest .- .(correct .answer) .-+2 .adjacent .rib .fracture
free .floating .sternum
why .is .flail .chest .a .problem .- .(correct .answer) .-b/c .breathing .is .a .mechanical .process
paradoxical .chest .movements .- .(correct .answer) .-in .flail .chest
s/s .of .flail .chest .- .(correct .answer) .-paradoxical .chest .wall .movement
where .on .the .tissue .oxygenation .cascade .is .thoracic .cage .fractures .a .problem .- .(correct .answer) .-
ventilation
parameters .to .assess .ventilation .- .(correct .answer) .-ETCO2, .PaCO2, .clinical .assessment
what .are .considered ."great .vessels" .- .(correct .answer) .-
thorax .- .(correct .answer) .-
what .type .of .injuries .occur .when .the .lungs .are .subjected .to .force? .- .(correct .answer) .-
bruise .= .contusion
tear .= .lacerations
, pop .= .punctures
inhalation .injury
bruise .on .the .lungs .- .(correct .answer) .-pulmonary .contusion
causes .of .pulmonary .contusions .- .(correct .answer) .-high .speed .blunt .or .penetrating .injury
what .happens .to .the .lungs .in .pulmonary .contusions .- .(correct .answer) .-
big .boggy .bruise .on .the .lungs
diffusion .problems
when .it .becomes .contused .& .edematous, .it .becomes .difficult .for .oxygen .to .move .from .the .alveoli .i
nto .the .capillaries
where .on .the .tissue .oxygenation .cascade .do .pulmonary .contusions .cause .their .problems .- .
(correct .answer) .-diffusion
all .contusions .over .time .- .(correct .answer) .-
all .contusions ."blossom" .over .time. .the .full .extent .of .the .injury .is .not .initially .apparent
important .thing .to .remember .when .you .are .evaluating .a .patient .for .pulmonary .contusions .- .(correct
.answer) .-70% .of .pulmonary .contusions .aren't .initial .on .the .initial .CXR
what .should .you .monitor .when .a .pt .has .trauma .to .the .throax .- .(correct .answer) .-
closely .monitor .for .pulmonary .contustiobs .= .70% .not .present .on .the .initial .CXR .and ."blossom" .over .
time
-monitor .for .progress .e .deterioration .in .hours/days .post .injury
*might .look .ok .in .ER
best .parameter .of .serial .monitoring .for .pt's .who .have .risk .factors .for .pulmonary .contusions .- .
(correct .answer) .-
anticipate ."blossoming" .over .time .b/c .70% .of .pulmonary .contusions .aren't .present .on .the .initial .CXR
P:F .ratio
problem .of .using .CXR .as .a .definitive .clinical .dx .tool .- .(correct .answer) .-
CXR .may .lag .behind .clinical .status
*b/c .70% .of .pulmonary .contusions .aren't .present .on .initial .CXR. .they ."blossom" .over .time
tear .in .lung .tissue .- .(correct .answer) .-pulmonary .laceration
problem .of .pulmonary .lacerations .- .(correct .answer) .-
risk .of .massive .hemothoax .b/c .those .vessels .are .very .vascular
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