Tncc exam stuvia Study guides, Class notes & Summaries

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c correct answera) 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 underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breath...

Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER -Biologic Suspected shock type with a spinal cord injury - ANSWER -Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - ANSWER -Herniation Middle Meningeal Artery - ANSWER -Epidural Hematoma (results from collection of blood that forms between dura...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-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 symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

Lab evidence of cellular perfusion - ANSWER-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 symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - ANSWER-Herniation Middle Meningeal Artery - ANSWE...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-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 symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

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, safety gear) • Enforcement and legislation: laws and regulations • Education: commun...

Expedite transfer to the closest trauma center - 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 - ANSWER-Which of the following considerations is the most important when caring for a ger...

Expedite transfer to the closest trauma center - 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 - ANSWER-Which of the following considerations is the most important when caring for a ger...

B - ANSWER -Breathing and Ventilation C - ANSWER -Circulation and Control of Hemorrhage D - ANSWER -Disability (neurologic status) E - ANSWER -Exposure and Environmental control F - ANSWER -Full set of Vital Signs, Family Presence, Focused adjuncts When is the KB test appropriate and what does it determine? - ANSWER -Pregnant patient. Detects fetal RBC in maternal circulation. What is the pH of amniotic fluid? - ANSWER -7.5 What is the pH of urine? - ANSWER -4.6 - 6 What ...

a pertinent medical hx is crucial - ANSWER-Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation - ANSWER-Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of the disaster life cycle does this describe? Multiple requests for water - ANSWER-EMS brings a pt who fell while riding his bicycle. Using the America...