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Lecture 14 Multisystem Trauma Exam Questions and Complete Solutions Graded A+
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Lecture 14Multisystem
Trauma Exam
Questions and
Complete Solutions
Denning [Date] [Course title]
,Trauma is the application or external force of energy to the body that causes structural or physiological
alterations - Answer: What is trauma?
regional trauma and time-sensitive illness emergency care - Answer: LA RS 40:2841‐2846 enacted in
2004 a comprehensive, coordinated statewide system for the access to what?
trauma system - Answer: A statewide system of care that includes all providers: prehospital, hospital
and rehab
trauma center - Answer: A hospital that meets certain requirements outlined by the American College of
Surgeons
Level 1 - Answer: Level of the trauma center that
- provides 24hr definitive care
- conducts trauma related research
- connected to universities
- able to provide all services needed to trauma patients
level 2 - Answer: Provides initial definitive care 24 hours care regardless of injury severity, must have the
services needed to provide comprehensive care and usually is full-service, community-based regional
medical centers.
level 3 - Answer: Level of the trauma center that provides promot assessment, then stabilizes and
transports the patients
Blood and urine tests for alcohol and drugs - Answer: A main thing that should be screened for upon
admission into the ER on a trauma patient
under the influence of drugs +/or alcohol - Answer: A factor that plays into Nearly HALF of all trauma
injuries
,mechanism of injury - Answer: Method by which damage (trauma) to skin, muscles, organs, and bones
happens
allows the nurse to anticipate the injuries the person may have sustained - Answer: Why is Mechanism
of Injury important?
unintentional injures - Answer: Injuries that were unplanned and stems from the persons inability to
make conscious choices or decisions they are preventable.
blunt force trauma - Answer: Type of trauma that is caused by accelerating, decelerating, shearing,
crushing, and compressing forces
- falls
- MVA
- contact sports - Answer: The common causes of blunt force trauma
penetrating trauma - Answer: Type of injury that is caused by an object that pierces the skin and enters
tissue of the body, creating an open wound
person body weight x speed - Answer: The formula to assess for the Amount of Force in pounds
Sustained in an MVC
2. Increasingly, both blunt and penetrating injury may be managed either primarily or secondarily using
angiointerventional techniques.
3.Furthermore, BLUNT injury is quite often managed with observation alone. Thus, many injured
patients are cared for in the ICU without any acute operative intervention. - Answer: While both blunt
and penetrating injury may require critical care, there are several common features to both patient
subtypes
- hypo perfusion
- need large volume resuscitation
, - hypothermia
- metabolic acidosis
- tissue injury
- tissue inflammation
- acute resp. failure
- multisystem injury - Answer: The common factors that will be present with a blunt or a penetrating
trauma
- Machine collision into object
- Body collision into interior of vehicle
- Organ collision in body - Answer: The thee collisions that occur with rapid deceleration
ball pass thru target
hollow point rapidly expand in diameter, which makes it larger and more likey to strike vital targets -
Answer: ball vs hollow points ammunition
infection from the debris carried by the penetrating object - Answer: Injuries sustained from penetrating
objects must be assessed for the potential for .....
Stippling; Pellets - Answer: The you see _______ from a Ballistic injury you know they were shot close
but if you see ________ it was further away
bimodal; two peaks for deaths occur within the first 48 hours and then within days to weeks - Answer:
The stats on deaths because of trauma is on a ___________ distribution which states...
1st- TBI or hemorrhage
2nd- initial injury complications like infection or MODS - Answer: Reasons for death in the first and
second peak in the Bimodal distribution
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