Chapter 25: Trauma

Question 1

Three Collisions Experienced

Answer 1

Collision of the vehicle with object.
Collision of vechicle with solid structures of person.
Collision of solid structures with internal organs.

Question 2

Levels of Trauma Centers

Answer 2

1. Large cities (university hospitals) = Total care. Surgeons galore yippeee.
2. Initiates definitive care for patients
3. Assessment, resusitation, and stabalization of patients
4. Advanced trauma life support… Is sent to other hospital

Question 3

Vital signs and LOC which indicates a rapid transport to a trauma center

Answer 3

GCS: Less than or equal to 13
Systolic Blood Pressure: Less than 90 mmhg
Respiratory Rate: Less than 10 greater than 20. Infants (1 year) : less than 20.

Question 4

Cavitation

Answer 4

Pressure wave of a bullet, due to it’s speed, radiates and damages tissues far from the path of the bullet.

Question 5

Coup-countrecoup brain injury

Answer 5

Energy transmission of collision to the brain causes injury on opposite side of impact.
Anterior = contusion (bruising)
posterior = tension (stretching)

Question 6

4 Things To Note in Vehicle Injury

Answer 6

1. Speed of Vehicle
2. Patient Thrown?
3. Surface Landed On
4. Pulled Under Vehicle?

SPSP

Question 7

DCAP BTLS

Answer 7

Deformity
Contusion
Abrasion
Penetration

Burns
Tenderness
Lacerations
Swelling