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41 Cards in this Set
- Front
- Back
What is Sellick's Maneuver |
Posteriority direct pressure |
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What is an indications of ICP? |
High BP Bradycardia Shallow Breathing |
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A patient considered a load and go |
Abdominal Tenderness Clammy Skin Low blood pressure Tachycardia |
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What is something that should be performed prior to loading the patient? |
Chest Decompression |
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Patient that is a trauma alert? What should be your goal time? |
Less than 5 min.
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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. |
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What is typically the most common cause of preventable trauma death in the injured adult patient. |
Hemorrhagic shock |
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When should a emergency rescue be performed. |
Toxic Fumes |
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Which of the following is most typical in Neurogenic shock? |
Decreased pulse Warm and Dry skin |
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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. |
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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 |
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What is the most common cause of Cardiopulmonary arrest in the trauma patient? |
Hypoxemia |
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Patient with distended abdomen, deformed pelvis, and asystole. First responders are administering CPR. What should you do. |
Pronounce the patient dead. |
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How should a pregnant patient with severe burns be given fluids. |
Early and in large amounts. |
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In a rear impact car accident, what part of the spine is most susceptible? |
Cervical |
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A trauma patient who is symptomatic with a distended neck veins. |
Tension Pneumothorax |
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Compensated Shock |
Pallor Tachycardia Sweating Tachypnea Narrowed Peripheral Pulses |
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Decompensated Shock |
Hypotension AMS Cardiac Arrest |
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Early Shock |
15 to 25 percent
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Late shock |
30 to 45 percent |
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Low Volume Shock (Absolute hypovolemia) |
Caused by hemorrhage or major fluid losss Burns: Thready pulse Tachycardic Pale skin Flat neck veins |
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High-space Shock Relative Hypovolemia |
When vessels over dilate, affecting blood flow. Spine Injury Vasovagal syncope Drug overdoses Sepsis
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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 |
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Signs and Symptoms of High space shock/Relative hypovolemia |
Neurogenic Shock: Bradycardic, warm and Dry
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Signs and Symptoms of Obstructive Shock |
Cyanotic Diaphoretic Tachycardia Distended neck veins Tachycardia
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What can cause inaccurate Pulse Oximeter Readings? |
Cyanide Poisoning High Ambient light Carbon Monoxide Poisoning
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Tourniquet application should be limited to less than? |
2 hours |
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What is the first priority in management of a trauma patient? |
Control any major bleeding |
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Supine hypotension syndrome in the pregnant patient can be caused by? |
Uterine obstruction of venous blood flow. |
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Hemostatic agents applied directly to the source of bleeding must be used in conjunction with? |
Direct pressure to the wound |
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Which assessment tools may assist in predicting deterioration for someone who otherwise appears stable? |
Serum lactate levels Abdominal Ultrasound |
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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).
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In an isolated stab wound to the lateral chest, what should be avoided. |
Spinal motion restriction
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The Golden Period starts |
at the time of the injury. |
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Pulsus Paradoxus |
Pulse disappears upon inspirations |
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Correct orientation for IO insertion |
Medial to the midline, avoiding the growth plate. |
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Patient with knee pain, normal vitals, but unequal pupils. What is causing the unequal pupils. |
Pre-existing condition |
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In the elderly, which of the following is most likely caused by an acute injury? |
Hypotension. |
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ITLS primary survey should be less than |
2 min |
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Positive Pressure time intubated and nonintubated |
Intubated: 8 to 10 min Nonintubated: 10 to min |
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Burns |
1st degree: Superficial 2nd degree: Partial thickness. Entire epidermis to pertial dermis. 3rd degree: Entire dermis to partial muscle damage. |