Vol 5 ch1

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Author:
medicdice
ID:
290736
Filename:
Vol 5 ch1
Updated:
2014-12-13 20:40:31
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LVAPEC
Folders:
Vol5
Description:
Vol5 Ch1 Trauma
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  1. A physical injury or wound caused by an external force or violence is known as
    TRAUMA
  2. PENETRATING trauma refers to
    Object entering body and exchanging energy directly with human tissue
  3. A helpful tool to identify risk elements associated with trauma
    HADDON matric
  4. The MENTAL summation of anticipated injuries based on your EVENT ANALYSIS is
    Index of Suspicion
  5. What concept is to remind prehospital providers to HASTEN care and delivery to a trauma center
    GOLDEN PERIOD
  6. Recreating the incident from the evidence available at the scene will help you determine
    • Mechanism Of Injury
    • MOI
  7. The force or process THAT CAUSES THE TRAUMA is called
    • Mechanism Of Injury
    • MOI
  8. Current goal of incident-to-surgery ONE HOUR, also reffered as
    GOLDEN PERIOD
  9. Trauma is the ___ leading cause of death in the USA
    Trauma is the THIRD leading cause of death in the USA behind cardiovascular disease and cancer
  10. Trauma is the leading cause of persons under the age ___
    Trauma is the leading cause of persons under the age 44
  11. Study of the disease based on surveillance is
    EPIDEMOLOGY is the Study of the disease based on surveillance
  12. _________ refers to the Injury caused bythe collision of an object with the body in which the object does not enter the body
    BLUNT trauma refers to the Injury caused by the collision of an object with the body in which the object does not enter the body
  13. Modern day emergency medicine began with the white paper "_______" and subsequent passage of the ____________ of 1966
    Modern day emergency medicine began with the white paper "Accidental Death and Disability: The Neglicted Disease of Modern Society" and subsequent passage of the HIGHWAY SAFETY ACT of 1966
  14. Trauma as a Disease, The Public Health Module (aka MODERN MEDICINE)  has 5 parts, they are
    • Surveillance
    • Risk Analysis
    • Intervention Development
    • Implementation
    • Evaluation
  15. The collection of data to identify the existence, significance, and characteristics of a disease is
    SURVEILLANCE is the collection of data to identify the existence, significance, and characteristics of a disease
  16. About __ percent of intentional deaths are caused by ___
    About 60 percent of intentional deaths are caused by firearms
  17. _______ factors are those things that happen well before the collision and cause, influence, or prevent the outcome (Injury)
    Pre-Event factors are those things that happen well before the collision and cause, influence, or prevent the outcome (Injury)
  18. ______________ exist during the crash
    Event factors exist during the crash
  19. _______     are those that either worsen or improve the victims outcome after the energy exchange
    Post-event factors are those that either worsen or improve the victims outcome after the energy exchange
  20. at eh end of a Primary assessment during triage "CUPS" stand for
    • Critical
    • Unstable
    • Potentially Unstable
    • Stable
  21. The best and most cost effective way to reduce Trauma Morbidity and mortality is by
    Injury Prevention is The best and most cost effective way to reduce Trauma Morbidity and mortality
  22. What is the uniformed and standard set of data collected by regional Trauma Centers called
    Trauma Registry is the uniformed and standard set of data collected by regional Trauma Centers
  23. DEFINTIVE TRAUMA care is only available at facilities with rapid access to
    DEFINTIVE TRAUMA care is only available at facilities with rapid access to SURGERY
  24. The mental summation of anticipated injuries based on your event analysis is called
    The mental summation of anticipated injuries based on your event analysis is called INDEX OF SUSPICION
  25. The 3 elements of the TRANSPORT DECISION TREE are :
    • GLASCOW COMA SCALE
    • ANATOMY OF THE INJURY
    • VITAL SIGNS/Physical findings
    • followed by MOI and special consideration (eg Age)
  26. A level __ or ________ trauma center commits resources to address all types of specialty trauma emergencies with surgical capability 24 hours a day, 7 days a week. Also a teaching hospital.
    A level 1 or REGIONAL trauma center commits resources to address all types of specialty trauma emergencies with surgical capability 24 hours a day, 7 days a week.
  27. A level __ or ________ trauma center commits resources to the MOST common trauma emergencies with surgical capability 24 hours a day, 7 days a week.
    A level 1 or AREA trauma center commits resources to the MOST common trauma emergencies with surgical capability 24 hours a day, 7 days a week.
  28. A level __  or ____ trauma centers commits resources to special emergency department training and has some surgical capability
    A level 3 or COMMUNITY trauma centers commits resources to special emergency department training and has some surgical capability
  29. From CUPS category

    Patients who do not make it out of primary assessment because you are unable to stabilize airway, breathing or circulation are considered__________
    Patients who do not make it out of primary assessment because you are unable to stabilize airway, breathing or circulation are considered CRITICAL
  30. From CUPS category
    Patients who present with limited injuries but are breathing well and have a strong pulse are _______
    Patients who present with limited injuries but are breathing well and have a strong pulse are STABLE
  31. Ideally you should be able to provide Primary and Secondary assessments, emergency stabilization, patient packaging and initiate transportation in________
    Ideally you should be able to provide Primary and Secondary assessments, emergency stabilization, patient packaging and initiate transportation in TEN MINUTES
  32. "Guidelines for field triage of injured patients" use a step by step approach for care offered by Level 1 or 2. THese steps are
    • "Guidelines for field triage of injured patients"
    • 1) Physiologic Criteria
    • 2) Anatomic Criteria
    • 3) MOI (Mechanism of injury)
    • 4) Special Consideration
  33. "Guidelines for field triage of injured patients" 1) Physiologic Criteria are
    • Glasgow Coma Score (GCS) < 13 or
    • Systolic BP (SBP) of <90mmHg or
    • Resp Rate <10 or >29 BPM (RR<20 in <1yo)or
    • Need for ventilation
  34. "Guidelines for field triage of injured patients" 2) Anatomic Criteria
    • All penetrating injuries include
    • chest wall instability/deformity
    • crushed, degloved, mangled, or pulseless extremity
    • amputation proximal to wrist or ankle
    • pelvic fracture
    • open or depressed skull fracture
    • paralysis
  35. "Guidelines for field triage of injured patients" 3) MOI (Mechanism of injury)
    • falls Adult >20ft (ONE story=10Ft)
    • falls children >10ft or 2-3 times height of child
    • High risk autocrash:12 occupant, 18 other
    • ejection partial or complete
    • death in same passenger compartment
    • veh telementary data consistent with High risk injury
    • AutoVsPed/bicycle thrown,run over, or signinficant (>20mph) impact
    • motorcycle crash >20mph
  36. "Guidelines for field triage of injured patients" 4) Special Consideration
    • Special consideration
    • Older PTs over age 55
    • SBP<110 in 65yo might represent shock
    • low impact mechanisms might result in severe injury to elderly
    • Children should be triaged to pediatric capable trauma centers
    • pregnant>20 weeks
    • anticogualnt and blleding disorder
  37. Auto accidents account for how many deaths per year
    Motor Vehicle Crashes (MVC) account for 34,5000 deaths per year
  38. Gun shot wound account for how many deaths per year
    Guns Shot Wounds (GSW) account for 31,500 deaths
  39. Overall how much do EMS respond to trauma calls?
    30% of EMS calls are trauma
  40. Auto accidents account for how many deaths each year?
    34,500 deaths due to auto accidents
  41. True or False
    Although trauma poses a serious threat to life, its presentation often mask the patients true condition.
    True Although trauma poses a serious threat to life, its presentation often mask the patients true condition.
  42. THe trauma system is predicated on the principle that trauma is ____
    The trauma system is predicated on the principle that trauma is a SURGICAL DISEASE
  43. _____________ is a significant method of assessing system quality and providing for its improvement.
    Quality Improvementis a significant method of assessing system quality and providing for its improvement.
  44. _______________ are the guidelines to aid prehospital personnel in determining which trauma patients require urgent transportation to a trauma center
    Trauma Triage Criteria are the guidelines to aid prehospital personnel in determining which trauma patients require urgent transportation to a trauma center

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