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[Meer zien]TNCC QUESTION AND ANSWER GRADED A+
[Meer zien]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 
hemorrha...
Voorbeeld 1 van de 3 pagina's
In winkelwagenThe 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 
hemorrha...
MARCH mneumonic - Massive Hemorrhage: Control with combat gauze, celox gauze, or chito 
gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma, RBC, and platelets to 
achieve SBP of 80-90mmHg. 
Airway: Establish and maintain patent airway 
Respiration: Decompress suspected tensio...
Voorbeeld 2 van de 7 pagina's
In winkelwagenMARCH mneumonic - Massive Hemorrhage: Control with combat gauze, celox gauze, or chito 
gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma, RBC, and platelets to 
achieve SBP of 80-90mmHg. 
Airway: Establish and maintain patent airway 
Respiration: Decompress suspected tensio...
MARCH mneumonic - Massive Hemorrhage: Control with combat gauze, celox gauze, or chito 
gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma, RBC, and platelets to 
achieve SBP of 80-90mmHg. 
Airway: Establish and maintain patent airway 
Respiration: Decompress suspected tensio...
Voorbeeld 2 van de 7 pagina's
In winkelwagenMARCH mneumonic - Massive Hemorrhage: Control with combat gauze, celox gauze, or chito 
gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma, RBC, and platelets to 
achieve SBP of 80-90mmHg. 
Airway: Establish and maintain patent airway 
Respiration: Decompress suspected tensio...
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent 
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in 
the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been 
anxious...
Voorbeeld 2 van de 5 pagina's
In winkelwagenA patient fell two weeks ago, striking their head. Today, the patient presented with a persistent 
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in 
the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been 
anxious...
just keep evaluating - vipp - What does the J stand for at the end of the secondary survery? 
vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? 
flank - During the head-to-toe, where would you find Grey-Turner's sign? 
umbilicus - During the head-to-toe, where wo...
Voorbeeld 3 van de 17 pagina's
In winkelwagenjust keep evaluating - vipp - What does the J stand for at the end of the secondary survery? 
vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? 
flank - During the head-to-toe, where would you find Grey-Turner's sign? 
umbilicus - During the head-to-toe, where wo...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Voorbeeld 4 van de 225 pagina's
In winkelwagenPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Voorbeeld 4 van de 225 pagina's
In winkelwagenPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Effective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Voorbeeld 2 van de 9 pagina's
In winkelwagenEffective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Effective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Voorbeeld 2 van de 9 pagina's
In winkelwagenEffective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
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 ...
Voorbeeld 1 van de 2 pagina's
In winkelwagenAll 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 ...
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does 
not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low 
metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. 
...
Voorbeeld 2 van de 7 pagina's
In winkelwagen1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does 
not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low 
metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. 
...
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 - Init...
Voorbeeld 2 van de 10 pagina's
In winkelwagen1. 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 - Init...
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 - Init...
Voorbeeld 2 van de 10 pagina's
In winkelwagen1. 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 - Init...
Biomechanics - Is the general study of forces & their effects 
Kinematics - Is the study of energy transfer as it applies to ID'ing actual or potential injuries 
Mechanism of Injury (MOI) - Is how external forces are transferred to the body, resulting in injury 
Newton's 1st Law of Motion - A body...
Voorbeeld 2 van de 8 pagina's
In winkelwagenBiomechanics - Is the general study of forces & their effects 
Kinematics - Is the study of energy transfer as it applies to ID'ing actual or potential injuries 
Mechanism of Injury (MOI) - Is how external forces are transferred to the body, resulting in injury 
Newton's 1st Law of Motion - A body...
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? 
Answer: c - a) to measure oxygenation and ventilation 
b) to quantify the base deficit for the adequacy of cellular perfusion 
c) *to gauge end-organ perfusion and tissue hypoxia ** 
d) to determine the unde...
Voorbeeld 2 van de 13 pagina's
In winkelwagenWhy is a measure of serum lactate obtained in the initial assessment of the trauma patient? 
Answer: c - a) to measure oxygenation and ventilation 
b) to quantify the base deficit for the adequacy of cellular perfusion 
c) *to gauge end-organ perfusion and tissue hypoxia ** 
d) to determine the unde...
A - Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth, 
clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed. 
B - Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin 
color. Do supplemental o2, BVM, ...
Voorbeeld 1 van de 3 pagina's
In winkelwagenA - Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth, 
clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed. 
B - Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin 
color. Do supplemental o2, BVM, ...
What is kinematics? - A branch of mechanics (energy transfer) that refers to motion and does not 
consider the concepts of force and mass of the object or body. 
What is Newton's First Law? - A body at rest will remain at rest. A body in motion will remain in 
motion until acted on by an outside fo...
Voorbeeld 3 van de 30 pagina's
In winkelwagenWhat is kinematics? - A branch of mechanics (energy transfer) that refers to motion and does not 
consider the concepts of force and mass of the object or body. 
What is Newton's First Law? - A body at rest will remain at rest. A body in motion will remain in 
motion until acted on by an outside fo...
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 associat...
Voorbeeld 1 van de 4 pagina's
In winkelwagenwhat 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 associat...
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 con...
Voorbeeld 1 van de 4 pagina's
In winkelwagenWhat 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 con...
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 
When obtaining a history for an injured patient, understanding the kinematic concepts associated 
with...
Voorbeeld 2 van de 5 pagina's
In winkelwagenWhat 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 
When obtaining a history for an injured patient, understanding the kinematic concepts associated 
with...
Effective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Voorbeeld 2 van de 9 pagina's
In winkelwagenEffective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Effective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Voorbeeld 2 van de 9 pagina's
In winkelwagenEffective communication 
•Skilled communication, cooperation, and coordination are the cornerstones of high-performance 
teams and high-quality trauma care - What is the key to a high-performance trauma team? 
Reprioritize circulation before airway or breathing. 
•The across-the-room observation...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Voorbeeld 4 van de 225 pagina's
In winkelwagenPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Energy forces: Tension - forces stretch by pulling at opposite ends. 
Example: Tensile strength describes the tissues ability to resist pulling apart when stretched. 
Tendons, ligaments, and muscles can tear when they are overstretched (Achilles tendon) 
Energy Forces: Compression - Compression forc...
Voorbeeld 2 van de 14 pagina's
In winkelwagenEnergy forces: Tension - forces stretch by pulling at opposite ends. 
Example: Tensile strength describes the tissues ability to resist pulling apart when stretched. 
Tendons, ligaments, and muscles can tear when they are overstretched (Achilles tendon) 
Energy Forces: Compression - Compression forc...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Voorbeeld 2 van de 7 pagina's
In winkelwagenPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Voorbeeld 2 van de 7 pagina's
In winkelwagenPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
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...
Voorbeeld 2 van de 7 pagina's
In winkelwagenExpedite 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...
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. Whic...
Voorbeeld 1 van de 4 pagina's
In winkelwagenExpedite 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. Whic...
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. Wh...
Voorbeeld 4 van de 84 pagina's
In winkelwagenExpedite 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. Wh...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
Voorbeeld 2 van de 7 pagina's
In winkelwagenPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - Airway/Intubate 
Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have the same 
symp...
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 fro...
Voorbeeld 2 van de 6 pagina's
In winkelwagenWhat 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 fro...
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 fro...
Voorbeeld 2 van de 9 pagina's
In winkelwagenWhat 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 fro...
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