Tncc exam stuvia Study guides, Class notes & Summaries

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 - ANSWER-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 (neur...

What roles are vital to a trauma team? - ANSWER-1. Patient 2. Team leader 3. Core team 4. Contingency and support services What are the characteristics of an effective team? - ANSWER-1. Clear roles and responsibilities 2. Shared mental model 3. Optimize resources 4. Strong team leadership 5. Engage in regular discipline of feedback 6. Strong sense of collective trust and confidence 7. Create mechanisms to cooperate and coordinate 8. Manage and optimize performance outcomes 9. ...

Major cause of death 1-44 - ANSWER-Trauma: major cause of death for people ages 1-44 years Epidemiology: Unintentional injury is a leading cause of death across all age groups in the US - ANSWER-• 65+ falls are the leading cause of injury-related deaths • 25-64: poisoning is the leading cause of death • 5-24: MVC leading cause of death • TBI: more for males, 0-4 highest rate of death Injury prevention: 3 E's - ANSWER-• Engineering: technological interventions (airbags, alarms...

What roles are vital to a trauma team - ANSWER-The patient Team leader-organize team/empower members core team-technical skills- airway/vascular access contingency and support survices- RT Characterisitcs of an effective team - ANSWER-dynamic interdependent adaptive common goal COMMUNICATION COOPERATION COORDINATION Kinematics - ANSWER-study of energy transfer as it applies to identifying actual or potential injuries Biomechanics - ANSWER-general study of forces and their...

A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of symptoms commonly associated with which of the following conditions? A) acute lung injury B) fat embolism C) PTX D) pu...

Prep & Triage - ANSWER-1. Activate trauma team and assign roles 2. Prepare the room and equipment 3. Don PPE General Impression - ANSWER-Assess for uncontrolled hemorrhage or unresponsiveness / apnea and the need to re-prioritize C-ABC Gen. Impression interventions - ANSWER-Interventions to alterations may include: assessing for a pulse initiating chest compressions / call code control bleeding stabilizing C-spine Primary Survey** - A is for: - ANSWER-1st steps: Alertness and Ai...

Energy forces: Tension - ANSWER-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 - ANSWER-Compression forces crush by squeezing together. Example: Injuries to organs occur when the organs are crushed from surrounding internal organs or structures such as a seat belt worn up across th...

What is Newton's First Law? - ANSWER-A body at rest will remain at rest. A body in motion will remain in motion until acted on by an outside force. What is the Law of Conservation of Energy? - ANSWER-Energy can neither be created nor destroyed. It is only changed from one form to another. What is Newton's Second Law? - ANSWER-Force equals mass multiplied by acceleration of deceleration. What is kinetic energy (KE)? - ANSWER-KE equals 1/2 the mass (M) multiplied by the velocity squared...

what organs tolerate pressure wave energy better? - ANSWER-solid organs (heart, liver, spleen, kidneys, pancreas, uterus) Highest rate of TBI related hospitalizations and death occurs in... - ANSWER-males ages 0 to 4 What organs resist shearing forces better? - ANSWER-air filled organs (lungs, bowel) True or False? With deceleration injuries the longer the distance of deceleration, the better the outcomes - ANSWER-True Lateral impacts are often associated with which type of injury? -...

What does the J stand for at the end of the secondary survery? - ANSWER-just keep evaluating - vipp What does VIPP stand for? - ANSWER-vital signs, injuries/interventions, primary survey, pain During the head-to-toe, where would you find Grey-Turner's sign? - ANSWER-flank During the head-to-toe, where would you find Cullen's sign? - ANSWER-umbilicus What is sometimes deferred at the end of the head-to-toe? - ANSWER-inspecting posterior Antibiotics, consults, head CT, imaging, la...