Multisystem Trauma

Question 1

Golden principles of care for multisystem trauma

In order of operations (10)

Answer 1

• Scene safety
• Call for additional resources if needed
• Determine MOI and severity
• Identify and manage life threats
• Maintain airway whil managing spine motion restrictions
• Support ventilation and oxygenation
• Control the bleed if there is one
• Secondary assessment and obtain a history
• Splint
• make a transport decision

Question 2

Increased risks for pregnant patients

(6)

Answer 2

• Tension pneumothorax - diaphram pushes upward increasing tension
• Higher risk for vomiting and aspiration - Gastric motility decreases
• Uterine injuries - continues to grow and rises out of the pelvis
• Bladder is displaces into abdominal cavity
• Pelvic joints lossen and center of gravity changes which increases risk of falls
• Fetus size during 2nd-3rd trimester increases risk of supine hypotensive syndrome

Question 3

Most common problem cause by maternal hypovolemia

Answer 3

Contractions that may progress into labor

Question 4

Most reliable vital sign that indicates a pediatric trauma pt is in hemorrhagic shock

why?

Answer 4

• Skin temp, color, cap refill, and mental status
• Blood pressure can remain relatively normal throughout all stages of compensatory shock

Question 5

what age should you pad beneath a childs sholders to hips when doing spine motion restriction?

Answer 5

• Less than 8 years old

Question 6

Most common cause of injury in the elderly and most common injury associated with it

Answer 6

• Falls
• Fractures

Question 7

Why is suction important in elderly?

Answer 7

Its always important but they have a decreased cough reflex

Question 8

Primary goal for multisystem trauma

Answer 8

Manage life threats

Question 9

What do you do with a bradycardic pediatric trauma pt

Answer 9

• requires PPV