-
Impaired coagulaition and Cardiac Abnormalities are metabolic changes associated with poor prognosis in what condition if not treated
Hypothermia
-
What is a temporary space created as a result of kinetic energy from a missle dispersing into moving body tissue
Cavitation
-
Pulmonary edema, Head injuries, pregnant females or those that are immediate post partum are all contraindicated for the use of what intervention in a traumatic scenario
Mast Garments
-
What makes IV administration over IM administration the preferred method for opiate analgesia in the trauma patient
- quicker onset
- easier to titrate the dose
-
A patient with critical injuries who will require minimal intervention to ensure the preservation of life limb or eye sight
Immediate (tirage catagory)
-
For optimal survival of a trauma patient what injury is the most important to recognize and treat effectivly first
Hemorrhage control
-
How many cavities are produced by a missile wound
2
-
THis type of cavity is caused by the direct path of the progectile and permenantly necroses and crushes tissue
Permenant cavity
-
This cavity is tissue damaged by the cavitation of the cavity due to kenetic energy
Temporary
-
Upper airway trauma, thermal/toxic inhalation and anaphylactic reaction are all clear indicators to perform what procedure
Surgical Cricothyroidotomy
-
What is the goal of fluid resuscitation in an electrocuted patient
Urine output up to 75-100ml per hr to prevent rhabdomialgia
-
what factors influence mortality and recovery in burn patients in relation to burn mortality and recovery
- depth of burn
- extent of burn
- age of patient
- prior physical condition
-
which type of tissue has the greatest resistance to high voltage current
Bone
-
The spalling affect is when bone fragments during an injury become what kind of missiles
secondary
-
What is a blow out kit?
easily open bag of unpacked trauma materials
-
NSAIDS should be avoided in a tactical enviroment because they decrease platelet aggregation and prolong bleeding times, due to this patients should switch to what prior to deployment
-
Life saving drugs should be used regardless of fetal effects in what type of patient
pregnant
-
supine hypotension is caused when a pregnant trauma patient does what
lay supine
-
During tactical field care phase two: what 2 factors provide the biggest challenge for the care of the wounded
- Limited supplies
- restricted movement
-
What is the specific drug that may be used to correct respiratoty depression in a patient who has been over medicated with morphine or nubain
Narcan
-
Patient with injuries so severe that they have minimal chance of survival or injuries incompatible with life
expectant
-
Patient with minimal injuries that can wait for treatment or even assist with medical task are categorized as what for triage
Minimal
-
What is definitive treatment for tension pnuemothorax
chest tube
-
Which of the following organs is the most sensitive to a primary blast injury
ears
-
What is the criteria for burns to be classified as minor
- 1st degree=<50% BSA
- 2nd degree=< 15% adults/10% children
- 3rd degree=< 2% BSA
-
excess cooling of large burns may lead to what complication
Hypothermia
-
What is the criteria for a reprofusion break for after applying a tornique
loosen for 20 min q2hrs
-
which of the following is the most reliable field indicators of shock
- Change in LOC
- Altered mental status
- Absent radial pulse
-
Cricothyroidotomy has a questionable efficacy airway procedure for use in what type of trauma patients
Blunt laryangial trauma
-
What are the three catagories used by the glasgow coma scale to evaluate head injury patients
-
What is a common failure of quick clot if bleeding is not controlled prior to application
Flow out of wound cavity
-
What are the benefits of tylenol for use in operational pain control
Pt can continue as a combatant
-
What is the leading cause of fetal death, second only to maternal death
Abruption placenta
-
Underwater blast have a lethal radius how many times greater than air burst
3 times
-
Peritoneal sensitivity is common due to passive stretching of the abdominal wall, after what week of gestational age
12 weeks
-
urinary output goal of .5-1ml/kg/hr when usiong fluid infusion in what type of patients
Burns
-
what is the most common narcotic medication used for pain control of trauma patients and dosage
Morphine 5/10 mg
-
which of the following conditions should a inhalation burn patient closely monitored for
Pulmonary edema
-
What organ would be most likely injured in blunt force trauma to the abdomen when the victims present with symptoms of hypovolemic shock but no obvious bleeding
liver
-
Shear trauma is most frequently produced from what type of injury to the body
Accel-decel injury
-
What are the examples of PPE for preventions of combat trauma
- Eye protection
- Ear protection
- Sapi plates
- Head gear
-
What is the parkland-baxter formula what is the proper infusion rate for a burn patient and how is it administered
- 2-4 cc/k per % of BSa over a 24 hr period
- first 1/2 over 8 hrs, second 1/2 over 16
-
What are two preferred medication used for thier anesthestic effects? describe the benefits of each of them
- Lidocain-quick uptake; short duration
- Morcain- slow uptake; long lasting
-
patients with injuries not requiring immediate intervention to prevent loss of life, eyesight or limb
Delay
-
Describe all the components of MARCH mnemonic used for the extended field care
- M-Massive Hemorrhage
- A-Airway Compromise
- R- Respiratory
- C-
- H-
-
A pregnant female presentsing with vaginal bleeding, abdominal pain and tetanic uterine contractions is likely experiencing what condition
- Abruption placenta
- 8 contractions in a 4 hr period
-
What evacustion priority would you give to a patient tht you feel needs to be CASEVAC within 2 hrs
Urgent
-
Evacuation priority for a routine catagory should be CASEVAC in what time frame
Within 24 hrs
-
You recieve an injured person with multiple puncture wounds to neck and face. Minimal bleeding, but increasing difficulty breathing. What should be your first course of action in this person
Airway
-
In a sucking chest wound, what secondary complication must you monitor the patient for
Tension pneumothorax
-
What is the fluid challenfe in an electrocution injury patient
20/40 cc/k over 60 min LR
-
Rhabdomylosis is a condition that can be a result of a patient being electrocuted, aggressive fluid resuscitation is vital to prevent which complication
Renal failure
-
Patients that sustain an electrical shock injury should be monitored for 24 hrs for what complication
Cardical dysrythmias
-
What are some potential complications for the patient skin and provider are associated with quick clot
Burns
-
Severe acidosis and toxic shock can result in rapid release of a tornique left inplace longer than what time frame
6 hrs
-
In the absence of hemorrhage control what is contraindicated in a trauma patient
Fluid recessitation
-
What volume expander draws in 800 cc for 8 hours
Hetastsrch
-
You may give 500cc Hetastarch infusions every 30 minutes to what maximum amount of fluid
1000 cc
-
Using insulation for warming a hypothermic casualty, is an example of what type f technique
Passive
-
In severe hypothermia cases, core temp below 82.4 what is a severe life threatening event that can occur
ventriccular fibulation
-
All trauma patients are susceptibe to what regardless of envromental conditions, even the warmest desert conditions
Hypothermia
-
Adequate direct pressure must be applied long enough to provide what
Occlusion of blood vessel so a blood clot can form
-
How many patient catagories are there n a CASEVAC decesion path
4
-
What blast injury is the direct effect of an overpressure wave
prmary
-
Secondary blast injury effect is caused how
Energized projectiles
-
What are two indicators that ventilations of a closed head injury patient are effetive if unable to obtain pCO2
-
What are the five p's pf compartment syndrom
-
In blunt force trauma evaluation of the GCS is <7 what action is needed
Immedicate medivac
-
In secondary trauma assesment what does the p in the mnemonic AMPLE mean
Past medical or durgical HX
-
Penicillin should be avoided in wound care for what purpose
High incedent of allergic reactions
-
How many patient catagories are there in the truage decesion path
4
-
displacement of the diaphram up to 4 cm, causes decreased maternal ability to tolerate what
Respiratory compromise
-
A poor fetal prognosis is ecpected when a patient has how many contactions in 4 hours following a major trauma
8
-
What opiod analgesic has less affect to the respiratory system than morphoine
nubain
-
narcan is a narcotic competitive inhibitor with a half life of how long
45 min
-
What is the process of sorting casualities to identify the priority of treatment
triage
|
|