TNCC (TNCC)

Expedite transfer to the closest trauma center- Correct Answer - 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- Correct Answer - Which of the following considerations is the most important w...

1. The major cause of preventable death after injury - Uncontrolled hemorrhage 2. The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - Base deficit 3. Examples of primary blast injuries - Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage 4. Examples of secondary blast injuries - Wounds from debris and bomb fragments 5. Examples of tertiary blast injuries - Blunt or penetrating trauma from the body being thrown by the bl...

1. 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 2. Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - Vasoconstriction 3. What results from tissue hypo perfusion and oxygen deficit? - Metabolic acidosis 4. What type of shock results in generalized vasodilation? - Neurogenic shock 5. Spinal cord injuries at C3-C5 causes loss o...

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...

What is the Trauma Assessment Mnemonic? - A = Airway with simultaneous cervical spine stabilization/immobilization B = Breathing C = Circulation D = Disability (neurologic status) E = Expose patient/Environmental Control F = Full set of VS/Focused Adjuncts/Facilitate Family Presence G = Give comfort measures H = History/Head-to-toe assessment I = Inspect posterior surfaces What is assessed in Airway while simultaneously protecting the cervical spine? - Assess: - Vocalization - Ton...