Trauma overview Chapter 27

Question 1

Kenetic energy equation

Answer 1

Mass x velocity squared/2

Question 2

What is the more significant factor. Mass or velocity

Answer 2

Velocity

Question 3

types of impacts in a vehicle collision

in order

Answer 3

• Vehicle collision
• Body collision
• Organ collision

Question 4

what are your high index of suspicion in a MVA

Answer 4

• Death of another occupant of the vehicle
• Unresponsive
• AMS
• Intrusion greater than WHAT? 12 inches…good job
• Ejection from the vehicle
• Vehicle telemetry data consistent with a high risk of injury

Question 5

Up and over frontal impact potential injuries

Answer 5

• Head
• Neck
• Chest
• Abdomen

Question 6

Down and under frontal impact potential injuries

Answer 6

• Knees
• Femur
• Pelvis
• Spine

Question 7

what two organs take the most damage when the abdomen hits the steering wheel or dashboard

Are they solid or hollow?

Answer 7

• Liver
• Spleen
• Solid

Question 8

Paper bag injury

Answer 8

Air compressed inside the limited areas of a lung can rupture the lung when the chest hits the steering wheel

Question 9

Starburst

What is it indicitive of

Not the candy!

Answer 9

The pts head hit the windsheild and was unrestrained

Question 10

Multisystem trauma patient

What does that mean

Answer 10

Multiple injuries or involvement or more than one body system

Question 11

Morbidity

Define

Answer 11

Ilness or injury

Question 12

Mortality

Define

Answer 12

Death or chance of death

Question 13

Golden hour

Time frame

in what situation would this pertain to?

Answer 13

• 1hour
• Full trauma

Question 14

Platinum 10 minutes

Why is this significant?

Answer 14

• Maximum time devoted on scene for a full trauma
• Some patients need definitive care in less than an hour to survive

Question 15

Pattern of injury for a child in a pedistian vs car MVA

Answer 15

• Children turn towards the vehicle
• Typically go under the vehicle
• Gonna see more hip. chest, abdomen, and head injuries

Question 16

Pattern of injury for adults vs car MVA

Answer 16

• Typically turn away from the vehicle
• See more spine, rib, tib fib fractures, and femur fractures
• Typically go up and over the vehicle

Question 17

Indications for platinum 10 minutes and rapid transport

Hold onto your seat there is a shit ton (26)

Answer 17

• Airway occlusion or difficulty in maintaining a patent airway
• Respiratory rate <10 or >29
• Inadequate tidal volume
• Hypoxia
• Respiratory distress, failure, apnea
• Suspected skull fracture
• Flail chest
• Suspected pneumothorax, hemothorax, or tension pneumo
• Pelvic fracture
• Two or more proximal long bone fractures
• Crushed or mangled extremity
• Uncontrolled external hemorrhage
• S/S of shock
• Significant external blood loss with controlled hemorrhage
• Glasgow coma score of 13 or less
• AMS
• Seizure activity
• Sensory or motor deficit
• Any penetrating trauma
• Amputation of an extremity proximal to the finger
• Multisystem trauma
• Open or depressed skull fracture
• Suspected brain injury
• Paralysis
• Trauma in a patient with significant medical history

Question 18

Level one regional trauma center

What kind of cases can they manage?

Answer 18

• All types of trauma 24/7

Question 19

Level two area trauma center

What cases can they manage?

Answer 19

• Can manage a vast majority of trauma and surgical capabilities
• Can stabalize trauma patients before transfering them to a level 1 trauma center

Question 20

Level three Community trauma center

What cases can they manage

Answer 20

• Some surgical capabilities but not really what they do
• they manage the trauma and stabalize serious injuries before transfering them to a higher level center

Question 21

Level four trauma facility

What cases can they handle?

Answer 21

• Typically a small community hospital in a remote area capable of stabalizing seriously injured trauma patients and then transferring to a higher level center

Question 22

4 key factors for high velocity (bullets) injuries

Answer 22

• Drag
• Profile
• Cavitation
• Fragmentation

Question 23

Drag

Define

Answer 23

• the factors that slow a bullet down such as wind resistance

Question 24

Profile

Define

Answer 24

• The impact point of the bullet is its profile. The greater the size of the impact point the more energy is transferred

Question 25

Cavitation | Define

Answer 25

* How big is the hole in the body

Question 26

Fragmentation | Define

Answer 26

* A bullet that breaks up into small pieces or releases small pieces upon impact creating a larger injured area