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23 Cards in this Set

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  • Back
Trauma
A physical injury or wound caused by external force or violence.
Penetrating Trauma
Injury caused by an object breaking the skin and entering the body.
Blunt Trauma
Injury caused by the collision of an object with the body in which the object does not enter the body.
Trauma Center
A hospital that has the capability of caring for acutely injured patients; they must meet strict criteria to use this description.
Trauma Triage Criteria
Guidelines to aid prehospital personnel in determining which trauma patients require urgent transportation to a trauma center.
Mechanism of Injury
The processes and forces that cause trauma.
Index of Suspicion
The anticipation of injury to a body region, organ or structure based on analysis of the mechanism of injury.
Golden Hour
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 patient.
Trauma Registry
A data retrieval system for trauma patient information, used to evaluate and improve the trauma system.
Key Point
Trauma is the leading killer of person under the age of 44 in the United States.
Key Point
Life threatening problems, such as internal bleeding and shock, may occur with only subtle signs and symptoms.
Key Point
When assessing a trauma patient, look beyond obvious injuries for evidence that suggests a life-threatening condition.
Key Point
Serious trauma is a surgical disease; its proper care is immediate surgical intervention to repair internal hemorrhage sites.
Level I - Regional Trauma Center
Commits resources to address all types of specialty trauma 24 hours a day, 7 days a week.
Level II - Area Trauma Center
Commits the resources to address the most common trauma emergencies with surgical capability available 24 hours a day, 7 days a week; will stabilize and transport speciality cases to the regional trauma center.
Level III - Community Trauma Center
Commits to special emergency department training and has some surgical capability, but will usually stabilize and transfer seriously injured patients to a higher level trauma center as needed.
Level IV - Trauma Facility
In remote areas, a small community hospital or medical care facility may be designated a trauma receiveing facility, meaning they will stabilize and prepare trauma patients for transport to a higher level facility.
Speciality Centers
Beyond classification as trauma centers, certain medical facilities may be designated as these; such as burn centers, neurocenters, etc.
Key Point
Initial patient assessment, emergency stabilization, patient packaging, and initiation of transport should ideally take less than 10 minutes.
Key Point
In applying trauma triage critera, it is best to err on the side of precuation.
Key Point
One of the best and most cost-effective ways of reducing mortality and morbidity is to prevent trauma in the first place.
Trauma Triage Criteria indicating need for immediate transport
(Mechanisms of Injury)
Falls greater than 20ft (adult) or 10ft (child) or 3 times the victim's height, ejection, pedestrian/bicyclist/auto, extrication > 20 mins, rollover with signs of serious impact, death of another occupant in same vehicle, severe vehicle impact.
Trauma Triage Criteria indicating need for immediate transport
(Physical findings)
RTS < 11, GCS < 14, Systolic BP < 90, RR <10 or > 29, Pulse < 50 or > 120, Penetrating trauma, 2 or more proximal long bone fractures, flail chest, pelvic fractures, limb paralysis, burns to more than 15% BSA or burns to face or airway