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41 Cards in this Set

  • Front
  • Back

What is Sellick's Maneuver

Posteriority direct pressure

What is an indications of ICP?

High BP


Bradycardia


Shallow Breathing

A patient considered a load and go

Abdominal Tenderness


Clammy Skin


Low blood pressure


Tachycardia

What is something that should be performed prior to loading the patient?

Chest Decompression

Patient that is a trauma alert? What should be your goal time?

Less than 5 min.


Patient has a gunshot wound with an uncontrolled arterial bleed, and is asymptomatic.


What is the treatment.

Hemorrhagic treatment and enough fluid to maintain a peripheral pulse.

What is typically the most common cause of preventable trauma death in the injured adult patient.

Hemorrhagic shock

When should a emergency rescue be performed.

Toxic Fumes

Which of the following is most typical in Neurogenic shock?

Decreased pulse


Warm and Dry skin

OIf a patient is in critical condition, but not giving ems permission to provide treatment. what should you do?

Have the patient placed under protective custody.

A patient with pale skin, clear breath sounds, peripheral pulses. In a car accident, with a bent steering wheel. What is expected to find?

Myocardial Contusion

What is the most common cause of Cardiopulmonary arrest in the trauma patient?

Hypoxemia

Patient with distended abdomen, deformed pelvis, and asystole. First responders are administering CPR. What should you do.

Pronounce the patient dead.

How should a pregnant patient with severe burns be given fluids.

Early and in large amounts.

In a rear impact car accident, what part of the spine is most susceptible?

Cervical

A trauma patient who is symptomatic with a distended neck veins.

Tension Pneumothorax

Compensated Shock

Pallor


Tachycardia


Sweating


Tachypnea


Narrowed Peripheral Pulses

Decompensated Shock

Hypotension


AMS


Cardiac Arrest

Early Shock

15 to 25 percent


Late shock

30 to 45 percent

Low Volume Shock (Absolute hypovolemia)

Caused by hemorrhage or major fluid losss


Burns:


Thready pulse


Tachycardic


Pale skin


Flat neck veins

High-space Shock


Relative Hypovolemia

When vessels over dilate, affecting blood flow.


Spine Injury


Vasovagal syncope


Drug overdoses


Sepsis


Mechanical Shock


Cardiogenic (heart pumping) or obstructive (heart filling)

Pump problem:


Damaged heart, and diminished cardiac output.


Problems with filling of the heart


Obstructing blood flow


Tension Pneumothorax


Pulmonary Embolism


Myocardial Contusion and Infarction

Signs and Symptoms of High space shock/Relative hypovolemia

Neurogenic Shock: Bradycardic, warm and Dry



Signs and Symptoms of Obstructive Shock

Cyanotic


Diaphoretic


Tachycardia


Distended neck veins


Tachycardia


What can cause inaccurate Pulse Oximeter Readings?

Cyanide Poisoning


High Ambient light


Carbon Monoxide Poisoning


Tourniquet application should be limited to less than?

2 hours

What is the first priority in management of a trauma patient?

Control any major bleeding

Supine hypotension syndrome in the pregnant patient can be caused by?

Uterine obstruction of venous blood flow.

Hemostatic agents applied directly to the source of bleeding must be used in conjunction with?

Direct pressure to the wound

Which assessment tools may assist in predicting deterioration for someone who otherwise appears stable?

Serum lactate levels


Abdominal Ultrasound

Blast injury


What is the biggest concerns

Primary: Air (ear, lungs, gastrointestinal tract)


Secondary: Shrapnel


Tertiary: Body being thrown and hitting the ground.


Quaternary: Thermal Burns


Quinary: Contamination by chemicals (dirty bomb).


In an isolated stab wound to the lateral chest, what should be avoided.

Spinal motion restriction


The Golden Period starts

at the time of the injury.

Pulsus Paradoxus

Pulse disappears upon inspirations

Correct orientation for IO insertion

Medial to the midline, avoiding the growth plate.

Patient with knee pain, normal vitals, but unequal pupils.


What is causing the unequal pupils.

Pre-existing condition
(Anisocoria)

In the elderly, which of the following is most likely caused by an acute injury?

Hypotension.

ITLS primary survey should be less than

2 min

Positive Pressure time


intubated and nonintubated

Intubated: 8 to 10 min


Nonintubated: 10 to min

Burns

1st degree: Superficial


2nd degree: Partial thickness.


Entire epidermis to pertial dermis.


3rd degree: Entire dermis to partial muscle damage.