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146 Cards in this Set
- Front
- Back
The smaller vessels that carry blood away from the heart and connect the arteries to the capillaries are:
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Arterioles
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perfusion is defined as
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circulation of blood within an organ in adequate amounts to meet the body's metabolic needs
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What organ can tolerate inadequate perfusion for up to 2 hours
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muscles
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hypoperfusion is another name for
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shock
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significant vital sign changes will occur if the typical adult loses greater than what percent of his or her total blood volume
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20 percent
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The ability of a persons cardiovascular system to commpensate for blood loss is related to
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how rapidly he or she bleeds
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hypovolmic shock occurs when
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the body cannot compensate for rapid blood loss
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external bleeding from a cein is relatively easy to control because
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veins are undera lower pressure
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the pneumatic antichodk garmennt would most likely be effective in
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controlling severe bleeding associated with pelvic fractures
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exteranl bleeding to an extremity can be controlled by
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applying local direct pressure
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if dressing because socked with blood you should
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place additional dressings over the wound
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conscious, restless and rapid pulse , large area of bruising to the right upper quadrant of his abdomen : treatmen is
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preparing for immediate transport
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shock is the result of
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hypoperfusion to the cells of the body
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when perfusion to the core of the body decreases
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blood is shunted away from the skin
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pulmonary edema ad imparied ventilation occur during
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cardiogenic shock
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Neurogenic shock occurs when
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failure of the nercous system causes widespread vasodilation
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hyppovolemic shok caused by severe burns is the result of a loss of
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plasma
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result of hemorrhagic shock
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lever laceration
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anaphalactic shock
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subsequent exposure following sensitization often produces more severe reactions
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temporary widespread vasodilation and syncope caused by a sudden nervous system reaction describes
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psychogenic shock
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assessing a person with signs of shock most important to remember that
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blood pressure may be the last measurable factor to change in shock
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clininal signs of compensated shock don't include
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absent peripheral pulses
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female struck the steering wheel, signs of shock, introthoracic bleeding, what is the next intervention
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rapid transport to a trauma center
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severe leg injury, chainsaw, male, lying supine, partial amputation to leg actively bleeding, consious, breathing adequatly, diaphoretic
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apply direct pressure to the wound
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severe vomiting and diarrhea for 3 days, confused diaphoretic, weak puse after applying oxygen
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prepare for immediate transport
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layer o the skin that forms watertight protective seal for the body
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epidermis
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the dermis contaings
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hair follicsle, sweat glands, and nerve endings
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what body structure is not lined with mucous membranes
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lips
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not one of the functions of the skin
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production if jey antibodies
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when a person is exsposed to a cold environment
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peripheral vessels constrict and divert blood away from the skin
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Neurogenic shock occurs when
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failure of the nercous system causes widespread vasodilation
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hyppovolemic shok caused by severe burns is the result of a loss of
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plasma
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result of hemorrhagic shock
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lever laceration
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anaphalactic shock
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subsequent exposure following sensitization often produces more severe reactions
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temporary widespread vasodilation and syncope caused by a sudden nervous system reaction describes
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psychogenic shock
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assessing a person with signs of shock most important to remember that
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blood pressure may be the last measurable factor to change in shock
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clininal signs of compensated shock don't include
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absent peripheral pulses
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female struck the steering wheel, signs of shock, introthoracic bleeding, what is the next intervention
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rapid transport to a trauma center
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severe leg injury, chainsaw, male, lying supine, partial amputation to leg actively bleeding, consious, breathing adequatly, diaphoretic
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apply direct pressure to the wound
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severe vomiting and diarrhea for 3 days, confused diaphoretic, weak puse after applying oxygen
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prepare for immediate transport
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layer o the skin that forms watertight protective seal for the body
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epidermis
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the dermis contaings
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hair follicsle, sweat glands, and nerve endings
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what body structure is not lined with mucous membranes
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lips
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not one of the functions of the skin
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production if jey antibodies
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when a person is exsposed to a cold environment
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peripheral vessels constrict and divert blood away from the skin
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a closed soft-tissue injury characterized by swelling and ecchymosis is called
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contusion
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a hemetoma develops when
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large blood vessels beneath the skin are damaged
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a laceration is a
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jagge cut caused by a sharp object or blunt force trauma
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an open soft tissue injurie is limited to the superficial layer of the skin and results in the least amount of blood loss
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abrasion
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penetrating injuries external bleeding may be minimal but internal injuries
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can be extensive
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what is an abdominal evisceration
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when organs protrude through an open wound
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when caring for an amputated body part
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kepp it cool without aallowing it to freeze
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most life threatening complication associated with an open neck injury is
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an air emobolism
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burns are most appropriatly classified according to
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depth and extent
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burn taht is classified by redness and pain
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first-degree burn
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partial thickness burn involves the outer layer of skin and a portion of the
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dermal layer
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not a sign and syptoms of an airway bur
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chest pressure
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why are burns to pediatric patients considered more sever than adults
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pediatric patients have more surface area relative to total body mass
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male, evisceration to the ldft lower quadrant of his abdomen , after airway, care for his wound is
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covering it with moist, sterile dressings secured in place with bandages
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male incomplete avulsion to his right forearm, after controlling any bleeding from the wound, you should
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replace the avulsed flap to its original position and coer it with a steril dressin
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burns to the anterior aspect of both arms and to his anterior chest, rule of nines this burn covers what percentage
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18%
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burns to face and chest, nasal hairs are singed and he is coughing up sooty sputum, most concerned with
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the potential for airway swelling
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4 year old, superficial burs to her head and anterior trunk , what percentage
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36%
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blood bubbling from evtrance chest wound you should
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apply an occlusice dressing to the wound and continue your assessment
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the eyeball itself is refered to as the
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globe
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opening at the center of the iris, that allows light to move to the back of the eye is called
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pupil
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inner surface of the eyelids and the exsposed surfacce of the eye itself are covered by a delicate membrane called the
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conjunctiva
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the white portion of the eye is called
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sclera
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approximately 80% of the eyeball is protected by the
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orbit
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the palm of the patients hand is equal to
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1% ot the body's surface area
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the anterior trunk of anult is is equal to
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18% of the body surface area
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the legs of a pediatric are proportionally what than an adult
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smaller
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in order for electricity to flow through the body and cause damage
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a complete circuit muct exist between the electrical source and the ground
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tennage boy involved in a bicycle accident has a punter wound in which the kickstand is impaled in his leg you should
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unbolt the kidkstand from the bikee and stabilize it with bulky dressings
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abnormal variations in pupil size and reaction would likely be observed in a patient with
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head injuries
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when light is shone into the pupil
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it should become smaller in size
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the conjunctiva is kept moist by fluid produced by the
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lacrimal gland
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40 year old man sudden sharp pain in his left eye, small splinter of wood emedded in his cornea you should
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cover both of his eyes and transport to the hospital
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factory worker spashed in the eye with a strong acid chemical , no sterile saline or water you should
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irrigate both eyes continuouslly for 20 minutes with plain water
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most significan complication associated with facial injuries is
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airway compromise
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the skin and underlying tissues of the face
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have a rich blood supply and bleed profusely
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signicant trauma to the face should increase the index of suspicion for an
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basilar skull fracture
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frequent ongoing assessments in the patient with facial or throat injuries are most important because
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such injuries can affect the respiratory system
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when transporting a person with facial injury it is most important to be descriptive as plssible with the hospital because
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maxillofascial specialists my need to be called
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anterior epistaxis usually originates from the ? and bleeds fairly?
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septal area , slowly
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30 female, robbed, assulted, massive fascial trauma and slow gurgling respirations , as partner stabalizes the head you should
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suction her oropharynx for up to 15 seconds
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44 male laceration to left ear, minimal bleeding, appropriate care
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padding beween the ear and the scalp
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29 male , an anterior nosebleed . conscious and alert adaqueate breething.care should be
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placing him supine and pinching his nostrils together
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laceration to the neck during robbery, bright red blood spurting from the laceration, you should
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apply direct pressure below the lacerateed vessel
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pleural fluid is contained between the
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visceral and parietal pleurae
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the thoracic cavity is seperated from the abdominal cavity by the
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diaphragm
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the ? nerves control the diaphragm
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phrenic
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hemoptysis is defined as
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coughing up blood
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pneumothorax is defined as
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accumulation of air in the pleural space
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and open pneumothorax occurs when
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air enters the pleral space from outside the body
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definitive are for a tension pneumothorax involves
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inserting a needle through the rib cage into the pleural space
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subcutaneous emphysema is an indication that
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air is escaping into the chest wall from a damaged lung
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patients with rib fractures will commonly
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breathe rapidly and shallowly
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a flail chest occurs when
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a segment of the chest wall is detatched from the thoracic cage
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a rapid irregular pulse following blunt trauma to the chest is suggestive of a
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myocardial contusion
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19 male acute onset of shortness of breath and pleuritic chest pain, conscious aler stable vital signs, diminished breath counds over the left side of the chest
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administer oxygen and transport to the hospital
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28 male struck in the chest, conscious and alert severe chest pain, ecchymosis over the sternum and a rapid irregular pulse
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prepare for immediate transport
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the presence of tachycardia following a significant abdominal injury should be assumed to be a sign of
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shock
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bruising to the right upper quadrant of the abdomen following blunt trauma is most suggestive of injury to the
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liver
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early bruising following abdominal trauma is often indicated by
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red areas of skin
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mesentery is
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membranous folds that attach the intestines to the walls of the body
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airbags are most benefit when a person is involoved in a
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head on crashq
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when a hollow organ is punctureed during a penetrating injury to the abdomen
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peritonitis may not develop for several hours
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protuding organs should be kept
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warm and moist
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what organ is at most risk for injury as the result of a pelvic fracture
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urinary bladder
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placing a pregnant patient in a suping position during the third trimester of pregnancy
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may decrease the amount of blood that returns to the heart
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you should never give a patient who is diaphoretic and thirsty
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small sips of water
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football player struck in the right flank area just below the posterior rib cage , small amount of blood in his underwear
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blunt injury to the kidney
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the musculoskeletal system refers to the
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bones and voluntary muscles of the body
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skeletal muscle is also referred to as
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straited muscle
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smooth muscle is not found in what organ
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myocardium
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skeletal mucle is attached to the bone by tough ropelike fibrous structures alled
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tendons
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bones are connected to other bones by tough fibrous tissues called
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ligaments
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in moving joints the ends of the bones are covered with
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articular cartilage
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a fracture is mos accurately defined as a
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break in the continuity of the bone
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the disruption of a joint in which the bone ends are no longer in contact is called a
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dislocation
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musculoskeletal injury in which there is partial temporary separation of the bone ends as well as partial stretching or tearing of the supporting ligaments
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sprain
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an open fracture is
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a fracture in which the overlying skin is no longer intact
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musculoskeletal injuries most lkelt result in deformities are
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dispalced fracture
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afrature that occurs in the growth section of a child's hone and may lead to bone growth abnormalities
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epiphyseal
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most reliable indicator of a fracture is
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point tenderness
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crepitus and false motion are
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positve indicators of a fracture
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comprtment syndrome is
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pressure within the fascial compartment is increased
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least svere musculoskeletal injuries
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nondisplaced pelvic fracture
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assessing a persons nerovascullar status following an injury should not be
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evaluating proximal pulses
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applying ice and elevating an injured extremity are performed in order to
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reduce pain and swelling
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musculoskeltal injuries should be splinted before moving the patient unless
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the patient is clinically unstable
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primary prupose for splinting is
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prevent further injury
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prior to splinting an open extremity frature you should first
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cover all bleeding or open wounds
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when should you splint an injured limbe in the position of the the deformity
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when distal circulation and neurological functions are absent
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the most significan hazard associated with splinting is
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delaying transport of a criticallly injured patient
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a colles fracture involves a fracture of apply gntle manual tracture in line with the limb and eassess for a pulsethe
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distal radius
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the hand should be placed in what position when splintin
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a functional position
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bilateral femur fractures can result in up to ? ml of internal blood loss
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2,000
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a hip fracture is actually a fracture of the
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proximall femur
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a person who experiences a calcaneus fracture after jumping and landing on his or her feet would likely experience an accompanying fracture of the
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lubar spin
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dislocated shoulder, you should
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assess distal pulse,motor, and sensory functions
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deformity to her left elbow unable to palpate a radial pulse, transport time to hospital is 40 min. you should
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apply gentle manual traction in line with the limb and reasses for a pulse
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49 male, fell 20 feet landed on his feet, severe pain to bothe of his hells and to his lower back prior to transport the patient you should
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fully immobilize the spinal collumn
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22 female ejected from car, closed deformities to both of he femurs, not moving and appear to be conscious you should
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stabalize her head and perform an initial assessment
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19 femal, multiple trauma, bilateral humeral deformities and deformity to the left midshaaft femur, skin is diaphoretic and her pulse is rapid and weak. partner has appropriatly managed the patients airwat andis maintaining manual stabilization of her head.most appropriate treatment
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immobilization to a backboard and rapid transport
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