AQA • TNCC
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ust keep evaluating - vipp - What does the J stand for at the end of the secondary survery? 
vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? 
flank - During the head-to-toe, where would you find Grey-Turner's sign? 
umbilicus - During the head-to-toe, where would you find Cullen's sign? 
inspecting posterior - What is sometimes deferred at the end of the head-to-toe? 
AFTER head-to-toe, BEFORE J (VIPP) - Antibiotics, consults, head CT, imaging, law enforce...
An adult pt who sustained a severe head trauma has been intubated and is being manually ventilated via 
a bag-mask device at a rate of 18 breaths/minute. The pt has received one intravenous fluid bolus of 500 
mL of warmed isotonic crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is 
92%. BP is 142/70 mmHg. What is the most important intervention to manage the cerebral blood flow? 
Decrease the rate of manual ventilation 
An older adult presents to the emergency depart...
C What are the primary benefits of a team approach to trauma care - it provides a systemic 
approach to care and organizes care 
A In the primary survey AVPU is performed to determine if the patient can: - Protect their aiway 
B WHich may lead to unreliable pulse ox reading - carboxyhemoglobin 
A The systemic inflammatory response is a normal part of the body's response to shock from traumatic 
injury. what best describes this response - it is activated by tissue hypoxia and sends neutrophils 
...
Biomechanics - is the general study of forces and their effects 
kinematics - the study of energy transfer as it applies to identifying actual or potential injuries 
Mechanism of Injury (MOI) - is how external forces are transferred to the body, resulting in injury 
Newton's First Law - a body at rest will stay at rest unless acted on by an outside force 
Newton's Second Law - Force = mass x acceleration 
Newton's Third Law - For every action there is an equal and opposite reaction 
Law of Co...
Biomechanics - is the general study of forces and their effects 
kinematics - the study of energy transfer as it applies to identifying actual or potential injuries 
Mechanism of Injury (MOI) - is how external forces are transferred to the body, resulting in injury 
Newton's First Law - a body at rest will stay at rest unless acted on by an outside force 
Newton's Second Law - Force = mass x acceleration 
Newton's Third Law - For every action there is an equal and opposite reaction 
Law of Co...
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does 
not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low 
metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. 
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant 
damage to the driver's side of the car. The patient is asking to have the cervical collar ...
Major cause of death 1-44 - Trauma: major cause of death for people ages 1-44 years 
Epidemiology: Unintentional injury is a leading cause of death across all age groups in the US - • 
65+ falls are the leading cause of injury-related deaths 
• 25-64: poisoning is the leading cause of death 
• 5-24: MVC leading cause of death 
• TBI: more for males, 0-4 highest rate of death 
Injury prevention: 3 E's - • Engineering: technological interventions (airbags, alarms, safety gear) 
• Enfo...
What is the key to a high performing trauma team? - x 
When obtaining a history for an injured patient, determing energy transfer through biochemical data 
help the nurse to: - x 
The major preventable cause of death in the trauma patient is: - x 
The across-the-room observation step in the inital assessment provides the opportunity to: - x 
Which of the following accurately describes ventilation principles associated with a bag-mask device? - 
x 
Which of the following is the best measure of th...
What is the key to a high performing trauma team? - Consistent communication 
(Communication, cooperation, and coordination are the foundations of successful teamwork in trauma 
care p.6) 
When obtaining a history for an injured patient, determining energy transfer through biomechanical 
data helps the nurse to: - Anticipate the types of injury that may be present (Mechanism of injury 
and energy transfer can help predict potential injuries and injury patterns p.29) 
The major preventable cause ...
What is the key to a high performing trauma team? - Consistent communication 
(Communication, cooperation, and coordination are the foundations of successful teamwork in trauma 
care p.6) 
When obtaining a history for an injured patient, determining energy transfer through biomechanical 
data helps the nurse to: - Anticipate the types of injury that may be present (Mechanism of injury 
and energy transfer can help predict potential injuries and injury patterns p.29) 
The major preventable cause ...