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TNCC STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS.

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TNCC STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS.

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  • January 7, 2025
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TNCC STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS.

What roles are vital to a trauma team ANS -The patient

Team leader-organize team/empower members



core team-technical skills- airway/vascular access



contingency and support survices- RT



Characterisitcs of an effective team ANS -dynamic

interdependent

adaptive

common goal



COMMUNICATION

COOPERATION

COORDINATION



Kinematics ANS -study of energy transfer as it applies to identifying actual or potential injuries



Biomechanics ANS -general study of forces and their effects



mechanism of injury ANS -how external energy forces in the environment are transferred to the body



Newtons 3 laws ANS -1. an object in motion will stay in motion

2. force = mass x acceleration

3. for every action there is an equal and opposite reaction

,5 forms of energy that exist ANS -1. Mechanical- energy transfer from one object to another in form of
motion



2. thermal-heat transfer from environment to host



3. chemical- heat energy trnsfer from active chemical substances such as chlorine, drain cleaner, acids



4. electrical- energy transfer from light socket



5. radiant- energy transfer from blast sound waves, nuclear, rays from the sn



eternal forces in trauma ANS -1. deceleartion- falls and collison = sudden stop



2. acceleration- sudden onset of motion- hit by a car



3. compression- hit stationary objects; bullets; blast forces



internal forces of energy in trauma ANS -stress- internal force that resists external force



solid organs good at pressure wave energy

air organs better at shear forces



4 main types of traumatic injury ANS -1. blunt trauma- falls; mvc; trauma

2. penetrating- stabing; GSW

3. Thermal

4. Blast Trauma- bomb



deceleration vs acceleration forces ANS --Deceleration: injury that occurs as pt slows down

,acceleration injury: injury that occurs as a result of other parts of the body stopping before the organs
do (concussion; shearing of aorta)



environment and pathophysiology when MOI is a fal ANS --point of impact on the body

-type of surface that is hit

-tissues ability to resist injury (bone is less flexible)

-pt pushed = more acceleration



3 impacts in a MVC ANS -1. vehicle hits another object: occupant = acceleration



2. occupant collides with interior of vehicle: internal organs continue



3. internal structure collide with body



5 mechanisms of injury in a blast trauma ANS -Primary: blast injury; air-filled organs at risk to rupture



secondary: fragment injuries; puncture wounds; lacerations



tertiary: impacts with larger objectes propelled by the blast win causing blunt trauma



quaternary: heat/flame/gas and smoke



quinary: exposure to hazardous materials (radioactive)



Haddon Matrix in prevention and reduction of injury ANS -places emphasis on countermeasures at
preventing injury more than changing human behvior such as airbags, vehicle design and road blueprints



why is there repeated emphasis on assessment for hemorrhage through the initial emphasis ANS -
uncontrolled hemorrhage is teh majore causae of preventable death after injury

, Which tool can be used to rapidly assess the level of consciousness during the A - Airway and Alertness
step?

Why is it important to determine alertness along with airway? What are the components of this tool?
ANS -A- alert

*any below here may have compromised airway



V- verbal stimuli

P-painful stimuli

U- unresponsive



Which method of opening the airway is recommended for use in trauma? ANS -Jaw thrust maneuver w/
one provider stabilizing c-spine



Assessment of airway ANS -Insect for tongue obstruction; loose/missing teeth;

foreign objects;

blood, vomit, secretion;

edema

inhalation injury;

listen for gurgling/snoring/stridor;

palpate for occlusive maxillofacial bony deformity; subcutaneous emphysema



Describe the current guidelines for volume resuscitation in hemorrhagic shock. ANS -2 large bore IVs

1-2L fluid warmed flui

replace what is lost



Exposure and environmental control is included in the Primary Survey. Why is it such a high priority?
ANS -Hypothermia, hypotension, and acidosis can lead to DIC. Important to prevent hypothermia



Get resuscitation adjuncts (LMNOP) ANS -L- labs (lactic acid, ABG, type and cross)

M- monitor cardiac and rhythm

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