TNCC

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 (neurologi...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? Vasoconstriction What results from tissue hypo perfusion and oxygen deficit? Metabolic acidosis What type of shock results in generalized vasodilation? Neurogenic shock Spinal cord injuries at C3-C5 causes los...

What are the greatest risks for transport? Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team members According to newtons law which of these two force is greater: size or force? Neither. For each force there is an equal and opposite reaction. What is the relationship between mas...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? subdural hematoma A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation? Elevated creatine kinas...

Expedite transfer to the closest trauma center A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which 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 trauma pt? Mitigation Following a review of recent drills and a rea...

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 transfe...

The major cause of preventable death after injury Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation Base deficit Examples of primary blast injuries Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage Examples of secondary blast injuries Wounds from debris and bomb fragments Examples of tertiary blast injuries Blunt or penetrating trauma from the body being thrown by the b...

All of these are considered a critical communication point in trauma care EXCEPT which of the following? Defusings A defusing is part of critical incident stress management but is not considered a critical communication point in trauma care. .During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. What priority nursing intervention should be performed next? Insert an oropharyngeal airway if there is no gag reflex Snoring respir...