Term
| Trauma is the _____ of persons under ____ in the US |
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Definition
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Term
| Highway safety act did what in 1966 |
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Definition
| 1963 death toll dropped from 56000 to 45000 a year |
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Term
| American College of Surgeons worked on what in 1990? |
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Definition
| The passage of Trauma Care Systems Planning and Development of 1990 |
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Term
| Serious trauma is a ____ disease |
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Definition
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Term
Level III Trauma center
Level IV Trauma Center |
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Definition
| III- Community- Some surgical capability, stabilize and transfer IV- Trauma facility- remote areas, stabilize and transfer |
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Term
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Definition
| the anticipation of possible injuries |
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Term
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Definition
| the capacity to do work in the strict physical sense |
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Term
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Definition
KE= Mass(Weight) X Velocity(Speed)2
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2 |
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Term
| Down and Under Pathway Collision |
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Definition
| Results in Pneumothorax and pulmonany contusion (Paper bag syndrome-Deep Breath) Book 4 Page 35 |
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Term
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Definition
| Index of suspicion for serious life-threat p.36 possible aortic injury |
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Term
| fatal auto collisions ____% of people were intoxicated |
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Definition
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Term
Adults turn ______ oncoming vehicle
Peds turn _____ from vehicle |
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Definition
Adults- away
Peds- towards |
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Term
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Definition
| the study of projectile motion and interactions with the gun, the air, and object it encounters |
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Term
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Definition
| very damaging to heavier weight and very high velocity p.68 |
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Term
| Pressure waves travel well through ____ and may injure ____ _____ |
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Definition
-fluid such as blood
-blood vessels distant from projectile pathway |
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Term
| The cavity is not ____ but filled with _____, ______, and ____ |
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Definition
-void
-disrupted tissues, some air, and debris |
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Term
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Definition
| They reflect the potential damage caused by a bullet's passage through the body than an entrance wound |
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Term
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Definition
| CO= stroke volume X Heart Rate |
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Term
| Veins contain how much blood |
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Definition
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Term
| A clean lateral cut permits what to happen? |
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Definition
| vessel retracts and thickens its wall |
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Term
| Blood loss femur-? tib?fib-? humerus-? pelvis? |
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Definition
| fem- up to 1500 tib/fib and hum- 500 to 750 pelvis- 2000? |
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Term
| I remember a question about the meat cutter guy who was in shock. What type of hemorrhage did he have? |
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Definition
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Term
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Definition
| release of accumulated lactic acid, CO2, potassium, and rouleaux into venous circulation |
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Term
| Contraindications for PASG |
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Definition
| penetrating chest trauma, pulmonary edema, cardiogenic shock |
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Term
| what is the most common type of traumatic injury? |
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Definition
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Term
| Crush syndrome takes place after _ Hours |
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Definition
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Term
| What type of cooling do you use with amputated parts? |
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Definition
| dry cooling(plactic bag the limb and place in cold water) Water may have a few ice cubes in it p.172 |
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Term
| Adjusting the hot water temp to below ___ can prevent most scalding burns |
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Definition
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Term
| Incidence of burn injuries have been ____ |
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Definition
| declining for several decades |
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Term
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Definition
| disruptions of proteins in cell membranes |
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Term
| Zone or Coagulation, stasis, hyperemia |
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Definition
| Coag- nearest to heat source, clotted blood Stasis- surrounds coag area and has decreased blood flow Hyper-increased Blood flow |
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Term
| Electricity passes through ____ and ____ because they offer least resistance |
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Definition
| nerves, and blood vessels |
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Term
| Alternating current is in ______ |
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Definition
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Term
| Carbon monoxide has ____times the affinity than oxygen |
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Definition
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Term
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Definition
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Term
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Definition
| hard, leathery product of deep full thickness burns; dead denatured cells can cause constriction |
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Term
| Any partial or full thickness burn to the face, feet, hands, joints, or genitalia is a _____ Burn |
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Definition
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Term
| Early ____ can be life saving for the inhalation injury burn pt. |
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Definition
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Term
| Electrical burn pt's get an _____ to monitor ______ |
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Definition
| ECG to monitor possible dysrhythmias |
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Term
| Irrigate eye alkali burns for ___minutes |
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Definition
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Term
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Definition
| Distance, shielding, duration (or time) |
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Term
| ___ ____ are the greatest single cause of musculoskeletal injuries |
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Definition
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Term
| A tough membrane called the ______ covers the exterior of the diaphysis. Transmits sensation of pain |
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Definition
| periosteum- very vascular |
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Term
| Synovial fluid circulates |
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Definition
| oxygen, nutrients, and waste products and for the joint cartilage |
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Term
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Definition
| tearing of joint capsule'c connective tissues (ligaments) |
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Term
Spiral fracture
Green stick fracture |
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Definition
-break involving twisting motion
-partial fracture in children |
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Term
| Use a ____ for pelvic or bilateral femur fracture |
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Definition
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Term
| Injuries within _inches of a joint are considered a ____ ____ |
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Definition
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Term
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Definition
| placement of long, padded splint boards laterally and medially |
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Term
| Serious blood loss from scalp wounds can contribute to ___ and may cause ____ and ____ |
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Definition
shock
hypovolemia and shock p.298 |
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Term
Epidural hematoma involves ____ vessels
Subdural hematoma involves ____ vessels |
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Definition
Epi- arterial vessels (Fast)
Sub- venous (Slow) |
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Term
Retrograde amnesia
Anterograde amnesia |
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Definition
Retro- before accident
Antero- after accident |
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Term
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Definition
| increased BP, slow pulse, irregular resp due to increased ICP |
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Term
| Spinal cord is from ____ to _____ |
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Definition
| base of brain(medulla Oblongata) to L1 to L2 |
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Term
| Spinal Tap is safest at the ___ level |
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Definition
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Term
| Most common site of axial loading is between __ and ___ |
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Definition
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Term
| What is a spinal cord contusion? |
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Definition
| Bruising of spinal cord and has limited residual deficits or none at all |
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Term
| What accounts for over half of all spinal injuries? |
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Definition
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Term
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Definition
| Partial cutting of one side of Spinal cord resulting in sensory and motor loss to that side of body p371 |
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Term
| Autonomic hyperrelexia syndrome |
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Definition
| suddent hypertension(300mmhg), bradycardia, pounding headache, blurred vision, flushing above point of injury |
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Term
| Complete spinal immobilization involves |
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Definition
placement of rolled blanket under knees
remember to elevate shoulders in infants and small children |
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Term
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Definition
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Term
| Mediastinum is location of |
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Definition
| larynx, esophagus, trachea, bronchi, and superventricular tissues of heart |
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Term
| Ribs _ through _ are most commonly fractured |
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Definition
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Term
| mortality rate with sternal fractures is __ to ___ because of _____- |
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Definition
| 25 to 45% due to underlying causes, blunt cardiac injury, cardiac, rupture, pericardial tamponade |
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Term
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Definition
| 3 or more adjacent ribs are fractured in two or more places |
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Term
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Definition
| causes aveoli collapse and is called a VENTILATION/PERFUSION MISMATCH causes hypoxemia |
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Term
| For air to go through chest wall (sucking chest wound) it must be ___ diameter of trachea |
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Definition
| 2/3 size of trachea p.427 |
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Term
| Spalding effect (Pulmonary contusion) |
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Definition
| (microhemorrhage and edema)(small flame shaped areas throughout the membrane)p.430 |
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Term
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Definition
| JVD, Distant heart sounds, hypotension. Indicative of a pericardial tamponade |
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Term
| Relative mortality and morbidity have ____ for abdominal injuries |
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Definition
| declined due to surgery and critical care techniques |
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Term
| Penetrating trauma almost always involves the ____ and ______ |
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Definition
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Term
| High powered projectiles may ___ and enter the _____ |
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Definition
| deflect when hitting bone and enter abdomen |
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Term
| Abdomen may contain ____ of blood before distention becomes noticeable |
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Definition
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Term
| Dosing for Fluid resuscitation neonates Peds and adults |
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Definition
neonates- 10ml/kg
peds- 20ml/kg up to 3 times
adults 250ml bolus |
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Term
| ___ is the greatest cause of death and disability in peds over 1 years old |
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Definition
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Term
| Peds may lose ___% of blood volume before signs of shock appear |
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Definition
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