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EMT 100 Exam 4 Questions And Answers
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EMT 100 Exam 4 Questions And Answers EMT 100 Exam 4 Questions And Answers EMT 100 Exam 4 Questions And Answers
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EMT 100 Exam 4Major Trauma Patient- Multi system trauma
- Critical Condition
Minor Trauma Patient- Isolated Trauma
Trauma Triage - Physiologic- Glasgow Coma Scale < 14
- Systolic BP < 90
- RR < 10 or >29
Trauma Triage - Anatomic Criteria- 2 or more proximal long bone fractures
- flail chest ( a form of severe injury
- pelvic fracture
- limb paralysis
- penetrating trunk, neck, or head trauma
- crushed or mangled extremity
- amputation proximal to wrist and ankle
- paralysis
Trauma Triage - MOI Criteria- Falls > 20ft (adults) and >10ft (children)
- Ejection from a moving vehicle
- Death of an occupant in the same passenger compartment
- Intrusion greater than 12 inches into the passenger compartment
- Intrusion greater than 18 inches anywhere on vehicle
Trauma Triage - Special Considerations- Patients age is over 55
- SBP < 110 in persons older than 65
- children triaged to a pediatric capable center
- Patients using anticoagulants or diagnosed with bleeding disorder
- Patient is pregnant
,- Low-impact mechanism in older patients
- Burns w/ other trauma
- EMS provider judgement
Non-Significant MOI- Isolated trauma to a body part
- Falls without loss of consciousness (adult & pediatric)
State Regulation regarding Level of Trauma CenterCDC provides a guideline to follow; State will
decide what will be included in each trauma center level
Level 1 Trauma Center- highest level of care for most severe injuries
- all specialties always on call
- education, research, & prevention
Level 2 Trauma Center- Meet all criteria for level 1 except prevention, education, & research
Level 1 & Level 2 Trauma Center- Pretty much interchangeable when transporting high priority
trauma patients
- do not pass up a Level 2 trauma center to go to a Level 1 & vice versa
Level 3 Trauma Center- usually in more suburban/rural regions
- must be able to resuscitate and transfer to higher level
- on call general surgeon
Level 4 Trauma CenterSame as level 3 except with an on call general surgeon
Management of TraumaX - Exsanguinate
A - Airway
B - Breathing
C - Circulation
D - Disability
E - Expose
, ExsanguinationLoss of blood to the point where life can no longer be sustained.
Management of Major Trauma- Cspine
- high flow oxygen and airway control
- ventilatory assistance in nedded
- hemorrhage control
- rapid trauma assessment
- strip & flip
- blanket
- CODE 3
The Golden Period- Best survivability from incident to surgery in 1 hour
- Platinum 10 minutes
When to transport by Air- extended access or extrication of a critical patient
- no ground ALS available for ALS patients
- traffic conditions are poor and travel time by ground is extended
- multiple patients present will overwhelm closest trauma center
- MCI
Ground vs Air TransportNot all trauma patients are appropriate for air transport; combative and
unstable patients are difficult to treat in air & may endanger the crew
- CPR, DeFib, Noise, Confined Space
Leading Killer of persons under 44 in the USTrauma
Kineticsthe branch of physics dealing with objects in motion, taking into consideration mass,
velocity, acceleration, and deceleration
Potential Energy- The energy stored in an object based on its weight and position in space
- EX: gun in the chamber or a arrow cocked back
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