Mod 5 Multisystem Trauma

Question 1

Multiple trauma

Answer 1

-More than one serious injury

Question 2

Multisystem trauma

Answer 2

-One or more injuries that affect more than one body system

Question 3

The 3 most critical decisions to be made for any trauma patient

Answer 3

• Patient priority/severity
• Whether to limit scene time or not
• Which hospital or transport method is best for your patient

Question 4

Valuable findings during an assessment of patient (physiologic conditions)

Answer 4

-Altered mental status (GCS 28) usually indicates shock. Slow respiratory rate (

Question 5

Determining severity anatomic criteria

Answer 5

• All penetrating injuries head, neck, torso, and extremities proximal to elbow and knee
• Chest wall instability or deformity (flail chest)
• Two or more proximal long bone fractures.
• Crushed, degloved, mangled, or pulseless extremity
• Amputation proximal to wrist or ankle
• Pelvic fractures
• Open or depressed skull fracture
• Paralysis

Question 6

Determining severity mechanism of injury criteria

Answer 6

• Adults fall >20 feet (One story is equal to 20 feet)
• Children fall >10 feet or two or three times the height of the child
• High risk auto crash intusion (including roof) >12 in occupant site > 18 in any site
• Ejection (partial or complete) from auto mobile
• Death in same passenger compartment
• Vehicle telemetry data consistent with high risk of injury

Question 7

What to limit scene treatment to for a critical patient

Answer 7

• Stabilizing the cervical spine during all interventions
• Suctioning the airway
• Inserting an oral or nasal airway
• Restoring a patent airway by sealing a sucking chest wound
• Ventilating with a BVM
• Administer O2
• Control bleeding
• Immobilize patient with cervical collar and a long backboard

Question 8

Principles of multisystem trauma management

Answer 8

• Scene safety is paramount
• Ensure an open airway
• Perform urgent or emergency moves as necessary
• Adapt to the situation
• Overall goal is to treat immediate life threats
• Do not spend to much time at a scene treating patient injuries

Question 9

Trauma score

Answer 9

-A system of evaluating trauma patients according to a numerical rating system to determine the severity of the patients trauma

Question 10

Revised trauma score

Answer 10

• Glasgow coma scale 13-15 (4 points), 9-12 (3 points), 6-8 (2 points), 4-5 (1 point), 3 (0 points)
• Systolic blood pressure >89 mmHg (4 points), 76-89 mmHg (3 points), 50-75 mmHg (2 points), 1-49 mmHg (1 point), 0 (0 points)
• Respiratory rate 10-29/min (4 points), >29/min (3 points), 6-9/min (2 points), 1-5/min (1 point), 0 (0 point)