Daltonvicky

what are potentially life threatening extremity injuries? - ANSWER -major arterial hemorrhage, bilateral femoral fractures, crush syndrome what long bone fractures can be significant? - ANSWER -hemorrhage from all long bone fractures can be significant, and femoral fractures often result in significant blood loss into the thigh Red text a properly applied tourniquet must include arterial inflow... what happens if you only occlude venous system? - ANSWER -increase hemorrhage and result i...

evidence supports that trauma outcome is enhanced if critically injured pts are treated in trauma centers -ANSWER - red text what patients require the highest level of care and will likely benefit from timely transfer? -ANSWER - evidence of shock, significant physiologic deterioration, progressive deterioration in neurological status red text how is patient outcome related to timeliness of transfer? -ANSWER - patient outcome is directly related to time elapsed between injury and properl...

Regarding airway compromise, which of the following is NOT a sign/symptom of this emergency?: Change in voice tone. Stridor. Decreased pulse pressure. Dyspnea and agitation. Tachypnea. -ANSWER - Decreased pulse pressure. A 26 year • old woman is brought to the Emergency Department after being involved in a motor vehicle crash. She is 30 weeks pregnant. She was restrained with a lap and shoulder belt, and an airbag deployed. Which one of the following statements best describes the...

What is the significance for ABCDE assessment if a person is able to talk? -ANSWER - They have a patent airway What are the clinical signs of airway obstruction? -ANSWER - snoring, stridor, hoarseness or no noise at all What are the techniques for clearing an obstructed airway? -ANSWER - Suction Removal of foreign body Head tilt and chin lift Airway adjuncts - Guedel aiway Definite surgical airway How do you size a Guedel airway? -ANSWER - measuring from the centre of the mouth (bet...

Patients with a GSC of less than ___ usually require intubation. - ANSWER -8 The "A" in ABCD stands for _______. - ANSWER -Airway maintenance with CERVICAL SPINE PROTECTION You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? - ANSWER -Cervical spine injury Flail chest is invariably accompanied by ______ which can interfere with blood oxygenation. - ANSWER -pulmonary contusion - do...

Primary survey - ANSWER -(A) Airway with cervical spine protection (restrict) (B) Breathing and ventilation (C) Circulation - stop the bleeding (D) Disability - neurological status (E) Exposure - undress and environment (temp control) REPEAT IF ANYTHING GOES WRONG Secondary survey - ANSWER -(A) Allergies (M) Medications (P) PMH and Pregnancies (L) Last meal (E) Environment and Events 3-3-2 Rule - ANSWER -3 finger lengths between upper and lower incisors 3 finger lengths between h...

What is the primary goal of treating TBI? How is this done? -ANSWER - preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? -ANSWER - mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which brain lobes do the following hold: 1. anterior fossa: 2....

Definitive control of the airway is achieved by ____________ - ANSWER -Endotracheal intubation How do you treat hypothermia in the ED? - ANSWER -crystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) - ANSWER -1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? - ANSWER -Size and length of catheter Minimum flow rate of oxygen reservoir mask - ANSWER -11 ...

Assessed first in trauma patient -ANSWER - Airway (*)Degree of burn that is characterized by bone involvement -ANSWER - Fourth Complications of head trauma -ANSWER - Intracerebral hematoma Extradural hematoma Brain abscess Most common cause of laryngotracheal stenosis -ANSWER - Trauma Intervention that can help prevent development of acute renal failure -ANSWER - Infusion of normal saline A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision t...

Shockable rhythms - ANSWER -ventricular fibrillation and pulseless ventricular tachycardia. Non-shockable rhythms - ANSWER -Asystole, PEA Pediatric CPR - ANSWER -· Compressions greater than or equal to ½ of anteroposterior diameter of chest · 100-120/min, allowing for full recoil · If no advanced airway, 15:2 compression:ventilation ratio · If advanced airway, continuous compressions w breath every 2-3 sec VF/Pulseless VT initial treatment - ANSWER -IV, O2, monitor, CPR ...