Shared Flashcard Set

Details

EMT
Trauma
104
Medical
Undergraduate 1
04/01/2013

Additional Medical Flashcards

 


 

Cards

Term
Baby head burn
Definition
18%
Term
Baby chest and abdoment
Definition
18%
Term
Baby Leg Burn
Definition
13.50%
Term
Baby arm
Definition
9%
Term
Child head burn
Definition
12%
Term
Child chest and abdoment
Definition
18%
Term
Child Leg Burn
Definition
16.50%
Term
Child arm
Definition
9%
Term
Adult head burn
Definition
9%
Term
Adult chest and abdoment
Definition
18%
Term
Adult Leg Burn
Definition
18.00%
Term
Adult arm
Definition
9%
Term
Superficial Burn
Definition
First degree. Involve only epidermis. The skin turns red but does not blister or actually burn through.
Term
Partial Thickness Burn
Definition
Second Degree. Burns involve some of the dermis, but they do not destroy the entire thickness of the skin. The skin is mottled, white to red, and is often blistered
Term
Full thickness Burn
Definition
3rd degree. Extend through all layers of the skin and may involve sucurtaneous tissue and muscle, the skin is very dry, leathery and often either white or charred.
Term
Superficial Burn Presents
Definition
Pink or red with little or no swelling
Term
Rule of palm
Definition
Using the surface of the patient's palm represents approximatley 1% of body surface area and is used to estimate percentage of burns
Term
Full thickness Burn Presents
Definition
White, Waxy and painless.
Term
Kiddywampus
Definition
Twisted out of shape in no particular order or fashion.
Term
When C-Spine is suspected
Definition
Manually stabilize C-Spine
Term
Crush Injury Caused by
Definition
Prolinged compression forces applied to soft tissue.
Term
Avulsion
Definition
An injury in which soft tissue is torn completely loose or is hanging as a flap.
Term
Concussion
Definition
A temporary loss or alteration of part or all of the brain's abilities to function without actual physical damage to the brain.
Term
When to apply tournequet
Definition
If direct pressure has failed to prevent bleeding control the next step is to apply tourniquet.
Term
Compartment Sydrome Signs
Definition
Pain, paralysis, Paresthesias (tingling, Pressure and pulseless.
Term
Compartment Sydrome
Definition
Swelling in a confined space that produces dangerous pressure may cut off blood flow or damage sesitive tissue frquently seen in closed fractures below the elbow, knees and shoulder.
Term
Compartment Sydrome Treat.
Definition
If the elbow align with gentle traction until resistance is met.
Term
Patient stabbed in the lower left quadrant. He has minor bleeding from the wound. What should you do?
Definition
Apply an occlusive dressing. Occlusive dressing will help prevent the abdomen from becoming infected. If there was profuse bleeding, a sterile dressing would be appropriate.
Term
Contustion
Definition
A bruise from an injury that causes bleeding beneath the skin withour breaking the skin.
Term
Cardiac Tamponade
Definition
Blood fills the pericardial sac around the heart. The blood does not allow for the heart to fully expandand decrease cardiac output. Narrowing of the blood pressure.
Term
Open femur facture first thing you should do.
Definition
Assess for a distal pulse.
Term
Aortic Transection
Definition
tear in the aorta. Signs Pain that radiates to the back. Verify obtain bilateral upper arm blood pressures
Term
Bubbling chest wound
Definition
Can develop into tension pneumothorax and is life threatening.
Term
Diaphragmatic tear
Definition
Pain on inhalation and shortness of breath. A puncture wound between the nipples to umbillical
Term
Patient comes out of a burning building. First thing you should do?
Definition
Remove any smoldering clothing
Term
Abrasion
Definition
Loss of superficial layer of skin due to body part scraping across rough or hard surface.
Term
Piece of glass impaled in eye.
Definition
Stableize with a paper cup.
Term
Tension Pneumothorax Signs
Definition
Hypotension, absent radial pulse, absent lung sounds, tracheal deviation and jugular vein distension.
Term
Tension Pneumothorax Pathology
Definition
The affected side is hyperinflated and is stopping blood from returning to the heart. The onesided lung sounds,left lung is not exchanging air because air is trapped in the plural space.
Term
Hemothorax
Definition
Blood in the Pleural of the lung
Term
Hemopneumothorax
Definition
When blood and air are present in the pleural space of the lung.
Term
Hemopneumothorax Treat
Definition
Transport rapidly
Term
Hemothorax Treat
Definition
Transport rapidly
Term
Glasgow Eye
Definition
1. None 2. Pain 3. Responds to speech 4. Spontaneous
Term
Glasgow Verbal
Definition
1. None 2. Incomprehesible 3. Inappropriate words 4. confused 5. oriented
Term
Glasgow Motor response
Definition
1. None 2. Abnormal extension 3. Abnormal flexion 4 withdrawls from pain 5 localizes pain 6 obeys commmands
Term
Signs and symptoms of referred pain.
Definition
Pain felt in an area of the body other than the area where the cause of pain is located.
Term
Kehr sign
Definition
Left shoulder pain caused by blood in the peritoneal cavity
Term
Subcutaneous emphysema
Definition
A characteristic crackling sensation felt on the palpation of the skin, caused by the presence of air in soft tissues.
Term
Crepitus
Definition
A grinding sensation caused by fractured bone ends or joints rubbing together; alos airbubbles under the skin that produce crackling sound or crinkly feeling.
Term
Ecchymosis
Definition
Bruise, contusion
Term
Techniques for opening the airway
Definition
Jaw thrust
Term
Pathophysiology of CushingÕsÕ reflex
Definition
Cushing tirade Ð the brain swells, Increased blood pressure and pulse goes down irregular respirations
Term
Complications of spinal cord injuries
Definition
Numbness and tingling to the extremities
Term
Indications for spinal immobilization
Definition
Car accident or high impact collision
Term
Signs and symptoms of commotion cordis
Definition
Trauma to the heart at the correct point during venerable period. Puts patient into V-FIB. Treat with AED.
Term
Signs and symptoms of chest wall injuries (such as, but not limited to, sucking chest wound and tension pneumothorax)
Definition
Worry about ribs breaking and puncturing through the lungs. Wound anywhere form the belly button to the clavical could be a respiratory issue
Term
C-Spine no back story
Definition
If we donÕt know the back story we always put the patient in C-Spine
Term
Evaluate barriers from inhibiting CPR
Definition
Remove impaled object in chest or airway that inhibit airway or ability to perform CPR
Term
Treat a patient with an abdominal evisceration
Definition
Put sterile moist dressing over abdominal evisceration. C-Spine.
Term
Solid organs
Definition
Solid masses of tissue where much of the chemical work of the body takes place ( liver spleen, pancreas, and kidneys.
Term
Hollow Organs
Definition
Structures through which materials pass, such as the stomach, small intestines, large intestines, ureters, and bladder.
Term
Palpate Abdomen
Definition
If one area is affected in the abodomen that is the last area we palpate.
Term
Three levels of velocity
Definition
Low velocity something that is held in the hand, Medium velocity hand guns, High velocity military weapons.
Term
Treat a patient with a scalp injury
Definition
High flow oxygen. Control bleed and don't apply pressure to open compressed skull injury.
Term
Treat impaled patient
Definition
Only remove object if it interferes with CPR or airway and control bleeding with direct pressure and stabilizet he object using bulking dressing to prevent movement, tabe rigid object over impaled item and badaging.
Term
Treat a patient with soft tissue injury avulson
Definition
If avulsion is complete wrap in sterile gauges and bring it to emergency room. Replace if not visibly contaminated with dirt and other forgien materials
Term
Treat a patient with a thermal injury
Definition
Stop the burning source, cool burned area if appropriate and remove all jewlrey, suspect inhalation injuries, Dry dressing applied,
Term
Calculate percent of body surface area burned
Definition
Rule of nines
Term
Differentiate between traumatic brain injury (TBI) patterns.
Definition
Decreased mentation, irregular breathing pattern, slow heart rate, brusng about the eyes or ear. CSF leakage. Unequal Pupil size. Failure of puples to respond to light loss of sensation or motor function. Seizures. Abnormal behavior
Term
Battle signs
Definition
Brusing behind the ear over the mastoid process. From skull fracture.
Term
Treat a patient with an amputated extremity
Definition
Use tornequt, Bring extremity to hospital, control bleeding, Immobilize part if partial amputation.Wrap complete part in sterile dressing in plastic bag, Pack on ice.
Term
Raccon eyes
Definition
Brusing around eyes due to skull fracture
Term
Normal BP
Definition
blood pressure 120/80
Term
Hypo perfusion
Definition
Bad is 100/anything
Term
Hyperprefusion
Definition
130/90
Term
Shock
Definition
A condition in which the circulatory system fails to provide sufficient circulation to enable every body part to perform its function. Hypopurfusion. Blood pressure changes is a late sign of shock]Compensation does not last forever.
Term
Fuels compensation
Definition
Epi and NorEpi
Term
Tension pneumothorax
Definition
Decreased, absent lung sounds tracheal deviation. There is a hole in a lung and a shift in the lungs, which affects the other lung. Air in the parietal sac. Difference in lung sounds narrowing pressure. Each lung has its own sac but they share the same cavity and are subject to the same pressure.
Term
Tension Pneumothorax Treatment
Definition
Occlusive dressing
Term
Cardiac Tamponade
Definition
Pressure on the pericardial sac
Term
Obstructive shock
Definition
Some kind of obstruction. Ex. Tension pneumothorax
Term
Cardiogenic shock
Definition
In adequate function of the heart, pump failure.
Term
Distributive shock
Definition
Pipes are too big
Term
Septic shock
Definition
Severe Infection (meningitis is the most common. Have the patient move their neck forward if they have stiffness in the neck)
Term
Neurogenic shock
Definition
Damage to the spinal cord
Term
Anaphylactic shock
Definition
Severe allergic reaction
Term
Psychogenic shock
Definition
Patient faints(syncope) due to stressful situations
Term
Hypovolemic shock
Definition
Loss of fluid or lack of fluid, Hemorrhagic (involves blood), Internal or external bleeding, Non-hemorrhagic (does not involve blood), Dehydration, Vomiting, Diarrhea
Term
3 stages of shock
Definition
Compensated, Decompensated, Irreversible, First things to change are pulse and AVPU
Term
Hypoperfusion that is leading to potential cellular death.
Definition
Cells need a constant flow of these items. Oxygen, water, sugar and electrolytes (sodium potassium calcium. EMTs cannot figure this out)
Term
Air embolism
Definition
When we do not do a good job making sure there is no air in the lines
Term
On the neck or the thorax and put what type of dressing
Definition
occlusive dressing
Term
Spontaneous pneumothorax Tall thin skinny people.
Definition
Any injury to the diaphragm or above should be assumed to impact the airway
Term
Signs of excessive bleeding page 784
Definition
Internal, External Ð clotting on the outside of the body
Term
Indications for tourniquet use
Definition
When to us tourniquet,Direct pressure. More direct pressure, If you can not stop bleeding with direct pressure in 2 min try something elsepressure-dressing then tourniquet
Term
Chemical burns
Definition
Call Hazmat What substance was involved
Term
Burn with dry substance
Definition
Brush dry chemical off the skin and clothing before flushing the patient with water
Term
Battery acid in eyes,
Definition
Rinse for 20 minutes
Term
Inhalation burns
Definition
Inhalation burns are associated with stridor causes swelling
Term
CO
Definition
CO is carbon monoxide is associated with combustion. Binds to hemoglobin much more readily than Oxygen.
Term
Amputation of hand or leg
Definition
Out it in a bag. Put it on ice and attach it to a patient. So it does not get lost
Term
Face and neck bleed a lot
Definition
Unequal pupils point to head injury and the big one does not react to light.
Term
Sub cutaneous emphazema
Definition
Give to als, Swelling underneath skin, Crackling sensation
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