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5 Cards in this Set

  • Front
  • Back

What are the four particular laws of physics that are relevant to mechanism of injury?

Newton’s first law of physics - a body at rest will remain at rest, and a body in motion will remain in motion unless acted on by an outside force


Law of conservation of energy - energy is neither created or destroyed, but changes form


Newton’s second law of physics - the force that an object exerts on another object is equal to the mass of the object multiplied by its acceleration


The law of moving objects - kinetic energy is the energy associated with motion and reflects the connection between weight and speed

What is the difference between compression and shearing injuries?

Shearing - The result of one organ or structure changing speed faster than another organ or structure


Compression - results from an organ or structure being directly squeezed between other organs or structures

What are the five categories of motor vehicle crashes?

1. Frontal impact


2. Rear impact


3. Lateral impact


4. Rotational impact


5. Rollover

What are the essential concepts for mechanism of injury?

Assessment: primary- correct life threats, ensure airway latency, optimise oxygenation, avoid hypotension/hypoxia. Secondary- observations, pulse ox, GCS/pupils, BGLs, EtCO2


Decision-making - minimise out of hospital time, transport direct to a appropriate care centre


Airway- use airway adjuncts as required to maintain airway patency and keep SpO2 >92%. Stabilise cervical spine as required (ensure it does not restrict venous return)


Breathing - apply supplemental oxygen, avoid hyperventilation, keep it simple: bag-valve-mask ventilation


Circulation - maintain SBP within recommended ranges: >100 aged 50-69, > 110 aged 15-40, 70+

What are the injuries associated with the 5 phases of blast injury?

Primary- the impact of the over-pressurisation wave with body surfaces: affects gas filled structures- lungs, GI tract, ear drum(middle ear)


Secondary- injury as a result of debris or shrapnel caused by the blast


Tertiary- results from the individual being thrown by the blast wind


Quarternary- injury as a result of gas and flames


Quinary- injury as a result of bacteria