ATCN Chapter 8 Musculoskeletal Trauma
_________________________________________, an uncommon but highly lethal
complication of long-bone fractures, can lead to pulmonary failure and impaired cerebral
function. - ANS-Fat embolism
Hemorrhage control is best achieved with: - ANS-Direct pressure
______________________________________________________ of fractures can
significantly decrease bleeding by reducing motion and enhancing tamponade effect of
the muscle and fascia. - ANS-Splinting of fractures
The _________________________________________ is determined by taking the
systolic blood pressure value at the ankle of the injured leg and dividing it by the systolic
blood pressure of the uninjured arm. - ANS-Ankle / Brachial Index
After application of _______________________________________, if time to operative
intervention is longer than 1 hour, a single attempt to deflate the tourniquet may be
considered in an otherwise stable patient. - ANS-a tourniquet
A patient with multiple injuries who requires intensive resuscitation and/or emergency
surgery for extremity or other injuries is not a candidate for: - ANS-Replantation
Patients who have sustained
______________________________________________________ are at significantly
greater risk of complications and death. - ANS-Bilateral femur fractures
________________________________________________________________ if left
untreated can lead to renal failure and shock. - ANS-Crush syndrome, or traumatic
rhabdomyolysis
The muscle insult (from a crush injury) is a combination of: - ANS-Direct muscle injury,
muscle ischemia, and cell death with release of myoglobin
____________________________ produces dark amber urine that tests positive for
hemoglobin - ANS-Myoglobin
Amber colored urine in the presence of serum creatinine kinase of 10,000 U/L or more
is indicative of: - ANS-Rhabdomyolysis
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