Truma

Question 1

Normal tensive
Hypotensive
Severe hypotensive

Answer 1

NT
Systolic 100 to 130
IV 250ml reassess
Hypotensive s 80-90
IV. 500 mils reassess.

Severe hypo
Systolic 50 to 80
1 L than titrate to maintain normal intensive

Question 2

Critical traumas include

Answer 2

RR under 10
RR over 29
SPO2 under 90%
No memory to the event
GCS 14
Unconscious altered mental status

Question 3

Lethal triad

Answer 3

Hypothermia
Acidosis
Coagulopathy

Question 4

Five stages of a blast injury

Answer 4

Primary
initial blast

Secondary
Struck by materials

Territory
Thrown by pressure

Quaternary
Thermal burn

Quincy
Hyper inflammation state, dirty bombs

Question 5

How to control an external haemorrhage

Answer 5

Direct pressure, elevation pressure dressing, tourniquet
TXA
Then homeostatic agent

Question 6

Homeostatic agents should enhance clotting within

Answer 6

2 mins

Question 7

How to treat internal haemorrhage

Answer 7

Keep patient in pain NRB splint buying IV on route with 250 bolus ALS pain management

Question 8

Hangman’s fracture

Answer 8

Distraction at c1/C2

Question 9

Sprains

Answer 9

Ligaments

Question 10

Strains

Answer 10

Tendons

Question 11

Treat with rice

Answer 11

Rest ice compression elevate

Question 12

Close versus open wounds treatment

Answer 12

Closed equals ice compression elevate splint

Open wounds, equal control, the bleed, clean stair water do not pick out foreign matter and dry sterile dressing

Question 13

How to preserve an amputation

Answer 13

Keep clean saline moist sterile dressing place in a bag keep cold, but do not put on the freezer

Question 14

Impale objects

Answer 14

Do not remove, controlled the bleed stabilized with bulky dressing in eyes both must be covered

Question 15

Rigid split

Answer 15

For ankles and wrists
Splint below and over joints, it is stiff, reduces pain, and further damage

Question 16

Pneumatic

Answer 16

Air splint can act as a pressure dressing as well covers the whole extremity rather than one area

Question 17

Vacuum splint

Answer 17

Excellent splint except bulky vacuums of the air of the sprint to make it stiff, but does not apply external pressure

Question 18

Pillows or soft

Answer 18

Good for ankle and wrist pains

Question 19

Dislocation rule

Answer 19

If there is no pulse, you can try once to move it if it’s painful or no change splint in place

Question 20

Femur

Answer 20

Shortened with deformities
Must be a closed midshaft femur fracture to use a Seger
10% of the body weight
Max 15
Max 30
Traction splint must be 15 to 20 cm beyond the foot

Question 21

Shortened and external rotation of the pelvic is

Answer 21

Anterior pelvic fracture

Question 22

Shortened and internal rotation

Answer 22

Posterior pelvic fracture

Question 23

Best splint for a tib /fibfracture

Answer 23

Rigid

Question 24

Knee splinting

Answer 24

If there’s a pulse splint in the position found, if there is no pulse, you can reduce it one time and then splint in place

Question 25

Five phases of a mvc

Answer 25

One deceleration of the car Abrupt stop Deacceleration of the body Compression trauma Deacceleration of internal organs Moving body parts are roughly stop tears and sharing injuries Secondary collision Spinal and head trauma occur, frontal lobe inside the perennial ridge optical hits the optical ridge in the cranium contra coupe Fifth phase additional impact pelvic injury

Question 26

Shearing

Answer 26

Tissue slide apart in opposite directions

Question 27

Compression

Answer 27

Break of a bone from pressure Bone collapse

Question 28

Crushing

Answer 28

Direct force direct tissue damage

Question 29

Laceration

Answer 29

Deep tear in skin and tissue

Question 30

Disc herniation

Answer 30

At c11

Question 31

Rise eyes

Answer 31

5 20 min strong acid or base

Question 32

Arterial Venus Capillary bleed

Answer 32

Bright, red sporting Dark red steady flow Oozing

Question 33

Avulsion

Answer 33

Flap of skin reposition i if possible, dress and bandage

Question 34

How much blood can fit in a pelvis?

Answer 34

2 to 3 L each break can be 500 Miles

Question 35

Solid versus hollow organs

Answer 35

Spleen, liver kidney Stomach bowel

Question 36

Simple/commuinuted

Answer 36

Still in alignment Break a long, many lines

Question 37

Transvereve vs oblique

Answer 37

90° break 0 to 90° break

Question 38

Collies versus Greenstick

Answer 38

Dispose wrist fracture Partial fracture from Bending

Question 39

Wet dressing for expose spelled yes or no

Answer 39

Yes

Question 40

Lordosis Kyphosis Scoliosis

Answer 40

But out Hunchback A s spine

Question 41

Aerobic versus anaerobic

Answer 41

Anaerobic more waste products

Question 42

How much is a significant loss of blood?

Answer 42

1 L or roughly 20%

Question 43

How much does a femur hold?

Answer 43

1.5

Question 44

Compartment

Answer 44

5 p pain, pallor pulselessness paralysis Parasthesia Poikilothermia Increased pressure within a closed compartment, usually a limb with decreasing blood flow leading to a ischaemia and Nelcrosis Example tight casts, severe burns, fractures

Question 45

Crush syndrome

Answer 45

Is prolonged compression of large muscle groups leading to muscle necrosis How long do entrapment Swelling and bruising, dark colored, urine weakness, arrhythmias hypotension

Question 46

Impact fracture

Answer 46

End of the Bone are driven into each other

Question 47

Spiral fracture

Answer 47

Twisting breaking off in torque or rotation

Question 48

fBAO

Answer 48

Second to hypoxia Can have JVD Chest thrust for a pregancy and fat people Let them cough it out first increase CO2 Arrhythmia VTac Defib Asystole

Question 49

Pneumo simple

Answer 49

Air leak outside of the lungs Partial or complete collapse of the lung Most common causes rib factors Decrease breath sounds

Question 50

Spontaneous pneumo

Answer 50

Webburst, allowing air to escape the long and enter the pleural space Decrease breath sounds Unilateral chest rise Subcutaneous emphysema Tall, thin, young males, who smoke

Question 51

Open Pune ( sucking chest wound)

Answer 51

Asherman seal Sam seal one-way valve three sided occlusive dressing ( if drainage is needed) Four sided dressing ?. NRB 2IV

Question 52

Tension pneumo

Answer 52

JVD Absent breath sounds Increased work of breathing Tracheal deviation very late sign Loss of radial pulses ALOC Hyperresonace ( hey abnormally, loud, booming or low pitch sound). 45° angle NRB 12 to 15

Question 53

Hemo pneu

Answer 53

Dull breath sounds No JVD Blood in the pleural space same symptoms as all the otherPune minus JVD Each throw out a cavity can hold 3000cc Considered a massive at 1000ml

Question 54

Penetrating, thoracic trauma

Answer 54

Do not take SMR with isolated, penetrating,trauma

Question 55

Diaphragm tear

Answer 55

Usually from blunt Vowel sounds in the thorax Loss of peripheral pulses Abdo dissension BVMIVALS

Question 56

Pulmonary contusion

Answer 56

Bruised lung Takes hours Crackles and Weezes Tacky, piña, hypoxia Decreased lung sounds

Question 57

Cardiac confusion

Answer 57

Basically the same as it a MI Most common when hitting a steering wheel Crackles A flutter PACs A fib Can hear crackles IV. To a systolic of 90.

Question 58

Aortic rupture

Answer 58

Most common cause of immediate death Retro sternal pain Altered mental status Murmur Pulsating mass Assess all blood pressures. Keep systolic at 90.

Question 59

Pericardial tapenade

Answer 59

Becks triad Muffled heart sounds JVD low blood pressure Pulseless, paradox, or narrowing pulse pressure ST change T-wave change O2 ton94% IV. On route

Question 60

Boyles law Charlie’s law Dalton’s law Henry’s law Newton law

Answer 60

Question 61

Plevis hold

Answer 61

1500-3000ml