AQA • TNCC
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Latest notes & summaries AQA • TNCC
Prehospital shock index pg. 85 
____________ ___________ Injury: shearing or tearing. Diagnosed with MRI. Widespread microscopic 
hemorrhage. - Diffuse Axonal Injury (Cannot recover from this; shearing/tearing portion DOES 
NOT heal) 
____________ ___________ Injury: shearing or tearing. Diagnosed with MRI. Widespread microscopic 
hemorrhage. - Diffuse Axonal Injury (Cannot recover from this; shearing/tearing portion DOES 
NOT heal) 
______________ Shock: Spinal cord injury at any level. Transie...
1. Preparation and Triage 
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 
3. Reevaluation (consideration of transfer) 
4. Secondary Survey (HI) with reevaluation adjuncts 
5. Reevaluation and post resuscitation care 
6. Definitive care of transfer to an appropriate trauma nurse - Initial Assessment 
1. A- airway and Alertness with simultaneous cervical spinal stabilization 
2. B- breathing and Ventilation 
3. circulation and control of hemorrhage 
4. D - disability (neurologic sta...
You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating 
TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid 
resuscitation? 
A) 1000 mL/hr 
B) 500 mL/hr 
C) 250 mL/hr 
D) 125 mL/hr - B) 500 mL/hr 
A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib 
fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife reported 
...
what is the key to high performance trauma team? - effective communication 
skilled communication, cooperation and coordination are the cornerstones of high-performance teams 
and high-quality trauma care 
when obtaining a history for an injured patient, understanding the kinematic concepts associated with 
the mechanism of injury and energy transfer can initially assist the trauma provider in what? - 
evaluating and anticipating the types of injury that may be present 
MOI and energy transfer ...
What is the key to a high performing trauma team? - effective communication 
rationale: skilled communication, cooperation, and coordination are the cornerstones of high- 
performance teams and high-quality trauma care 
When obtaining a history for an injured patient, understanding the kinematic concepts associated with 
the mechanism of injury and energy transfer can initially assist the trauma provider in: - 
evaluating and anticipating the types of injuries that may be present 
rationale: me...
What is the key to a high-performance trauma team? 
a. Individual goals 
b. Use of TeamSTEPPS 
c. Identification of a single decision maker 
d. Effective communication - d. Effective communication Rationale: Skilled communication, 
cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma 
care (p. 5). 
When obtaining a history for an injured patient, understanding the kinematic concepts associated with 
the mechanism of injury and energy transfer can i...
What do you do to prepare for the trauma after EMS report? - - activate code trauma 
- prepare team, assign roles 
- gather supplies 
- PPE 
- safety/ decontamination 
What is the first thing you do when the pt arrives? - General impression/ across the room 
assessment 
Is pt uncontrollably hemorrhaging?Do you need to change the ABC order? 
Is pt Apneic or unresponsive? 
Alphabet in order for TNCC - A 
B 
C 
D 
E 
F 
G (LMNOP) 
H 
I 
J 
(Anticipated interventions 3) 
( dispo or transfer) 
What d...
what roles are vital to a trauma team? -The Pt, team leader, care team, support services 
(anesthesia, RT, paramedics) 
what are the characteristics of an effective team? -Dynamic, interdependent, adaptive 
What are the key foundations to successful teamwork in the care of the trauma patient? - 
Communications, cooperation, coordination. 
what tools can be used to promote communication within a team structure -SBAR, DESC, CUS, 
callout 
define Kinematics -study of energy transfer as it applies t...
what roles are vital to a trauma team? -The Pt, team leader, care team, support services 
(anesthesia, RT, paramedics) 
what are the characteristics of an effective team? -Dynamic, interdependent, adaptive 
What are the key foundations to successful teamwork in the care of the trauma patient? - 
Communications, cooperation, coordination. 
what tools can be used to promote communication within a team structure -SBAR, DESC, CUS, 
callout 
define Kinematics -study of energy transfer as it applies t...
Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is 
brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. 
His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the 
following is the priority intervention for this patient? 
a pertinent medical hx is crucial - Which of the following considerations is the most important 
when caring for a geriatric traum...