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31 Cards in this Set
- Front
- Back
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Trauma is the number ____ killer of persons under the age of 44 in the US.
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1
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Define trauma
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A physical injury or wound caused by external force or violence
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Define penetrating trauma
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Injury caused by an object breaking the skin and entering the body
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Define blunt trauma
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Injury caused by the collision of an object with the body in which the object does not enter the body
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Auto accidents account for how many deaths each year?
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44,000
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True or false: Although trauma poses a serious threat to life, its presentation often masks the pts true condition.
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True
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____% of all trauma pts do not have serious, life-endangering injuries.
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90
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True or false: Pay close attention to the obvious injuries because they will indicate the seriousness of the pts condition.
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False. When assessing a trauma pt, look beyond obvious injuries for evidence that suggests a life-threatening condition
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The trauma system is predicated on the principal that serious trauma is a _______________ _______________.
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surgical disease
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Define trauma center
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A hospital that has the capability of caring for acutely injured pts; trauma centers must meet strict criteria to use this designation
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What level trauma center commits resources to address all types of specific trauma 24/7?
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Level I
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A regional trauma center is what level center?
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Level I
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What level trauma center is an area center?
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Level II
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What level trauma center commits resources to address the most common trauma emergencies w/surgical capability 24/7; will stabilize and transport specialty cases to the regoinal trauma center?
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Level II
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What level trauma center is a community center?
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Level III
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What level trauma center commits to special emergency department training and has some surgical capability, but will usually stabilize and transfer seriously injured trauma pts to a higher level trauma center as needed?
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Level III
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What level trauma center is a trauma facility?
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Level IV
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What level trauma center can be a small community hospital or medical care facility that will stabilize and prepare trauma pts w/moderate to serious injuries for transport to a higher level facility?
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Level IV
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Define trauma triage criteria
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Guidelines to aid prehospital personnel in determining which trauma pts require urgent transportation to a trauma facility
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Define MOI
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Mechanism of injury - the processes and forces that cause trauma
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When does the consideration of the MOI begin?
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During scene size-up and then should be reconsidered as the first step of the focused history and physical exam
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Define index of suspicion
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The anticipation of injury to a body region, organ or structure based on analysis of the mechanism of injury
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What is a general rule for determining if a pt should be entered into the trauma system or not?
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If you have any reason to suspect that the pt has sustained serious internal injuries, they should be entered
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Define the golden hour
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The 60 minute period after a severe injury; it is the maximum acceptable time between the injury and initiation of surgery for the seriously injured trauma pt
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How long should the initial pt assessmet, emergency stabilization, pt packaging, and initiation of transport?
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Less than 10 minutes
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In applying the trauma triage criteria, it is best to err on the side of __________________.
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precaution
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The trauma triage criteria is designed to "___________ _______________" trauma pts.
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over triage
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Define relative speed
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If 2 cars hit each other, each going 20 MPH, the relative speed is 40 MPH
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What is one of the best and most cost effective ways of reducing mortality and morbitity?
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Trauma prevention
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Define trauma registry
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A data retrieval system for trauma pt information, used to evaluate and improve the trauma system
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True or false: Quality improvement is a significant method of assessing system quality and providing for its improvement.
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True
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