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Patient Care in Imaging Technology: Chapter 9
Trauma and Mobile Radiographic Considerations
55
Health Care
Not Applicable
04/30/2012

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Term
A scraping or rubbing away of the surface skin by friction:
Definition
abrasion
Term
An injury that does not break the skin; caused by a blow to the body; characterized by swelling, discoloration, and pain:
Definition
contusion
Term
An oozing of blood from a vessel into tissues, forming a discolored area on the skin:
Definition
ecchymosis
Term
An abnormal pregnancy in which the embro implants outside of the uterine cavity:
Definition
ectopic pregnancy
Term
Manner of moving or walking:
Definition
gait
Term
Paralysis affecting one side of the body:
Definition
hemiparesis
Term
Collection of blood in the pleural cavity:
Definition
hemothorax
Term
Abnormally decreased volume of circulating fluid (plasma) in the body:
Definition
hypovolemic
Term
An abnormal sensation such as burning, itching, tickling, or tingling:
Definition
paresthesia
Term
Accumulation of air or gas in the pleural cavity resulting in collapse of the lung on the affected side:
Definition
pneumothorax
Term
Pertaining to or characteristic of the body (soma):
Definition
somatic
Term
______ is a sudden, unexpected, dramatic, forceful, or violent event.
Definition
Trauma
Term
______ is the leading cause of death in the U.S.A. for people under the age of 44.
Definition
Trauma
Term
____ is critical in caring for a trauma patient.
Definition
Time
Term
What does the EMT (0-12) scale entail? (3)
Definition
1. Neurologic function
2. Respiratory function
3. Blood pressure
Term
10-12 on the EMT scale signifies what?
Definition
The pt needs to be taken to the ER.
Term
1-9 on the EMT scale signifies what?
Definition
The ER is notified that the pt is a high trauma alert.
Term
0 on the EMT scale signifies what?
Definition
DOS
Term
The 1st 60 minutes after an accident determines whether a pt will live or die. This concept is know as what?
Definition
The golden hour
Term
The primary survey is used to assess the trauma patient. What comprises the primary survey? (5)
Definition
(ABCDE)
1. Airway
2. Breathing
3. Circulation
4. Disability
5. Exposure (look at pt head to toe to assess extent of injuries)
Term
What is the secondary survey used to assess a trauma pt? (3)
Definition
1. Head to toe assessment 2. Patient medical history 3. Diagnostic tests
Term
What are the 3 phases of post-traumatic death?
Definition
1. Immediate upon impact
2. At the scene of the accident (DOS)
3. 1 hr after accident (golden hour)
Term
What are the 2 most important things to consider when trying to save pts?
Definition
1. Control the bleeding
2. Make sure pt can breathe
Term
What does F.A.S.T. stand for? What is it used for?
Definition
Focused Assessment with Sonography for Trauma - it is used to find fluid in the abdomen
Term
What x-rays are commonly ordered on trauma pts? (5)
Definition
1. CxR
2. Lat c-spine
3. Pelvis
4. L-spine and t-spine (as needed)
5. Extremities (as ordered)
Term
Why are CxRs ordered a lot for trauma pts?
Definition
1. To show an airway
2. Pneumothorax
3. Hemothorax
4. Wide mediastinum
Term
Long bone breaks increase the chances of the pt developing a _________ embolism.
Definition
pulmonary
Term
Cardiac _________ is compression of the heart that occurs when blood or fluid builds up in the space between the myocardium (heart muscle) and the pericardium (outer covering sac of the heart).
Definition
tamponade
Term
_______ _________ can be caused by injury to the pericardial sac after a blunt chest trauma.
Definition
Cardiac tamponade
Term
(True or False) Barrier protection doesn't always have to be used when in the trauma room.
Definition
False: must always be used
Term
What universal precautions must be used when in the trauma room? (5)
Definition
1. Gown
2. Gloves
3. Face protection (mask w/ shield or glasses)
4. Booties (when blood is on floor)
5. Wash hands
Term
(True or False) If the pt has a head injury, assume that the pt also has a c-spine injury.
Definition
True
Term
What is the #1 concern for open skull head injuries?
Definition
Infection
Term
What is the #1 concern for closed skull head injuries?
Definition
Intracranial swelling
Term
What is the medical term for black eyes?
Definition
periorbital ecchymosis
Term
A numerical score between 3 and 15 that monitors changes in the LOC:
Definition
Glasgow Coma Scale
Term
The score of the glasgow coma scale is based on what 3 attributes?
Definition
1. Eye opening
2. Verbal response
3. Motor response
Term
What is the medical term for a nosebleed?
Definition
epitaxis
Term
Numbness and tingling caused by pressure on nerves:
Definition
paresthesia
Term
What are the 5 different LOC?
Definition
1. Drowsiness
2. Confusion
3. Irritability
4. Stupor
5. Coma
Term
A person is deemed comatose when s/he has been unconscious for more than _ hrs.
Definition
6
Term
Most spinal cord injuries occur in the ________ or ______ areas.
Definition
1. cervical
2. lumbar
Term
Cannot control bladder:
Definition
incontinence
Term
Constant erection:
Definition
priapism
Term
What is the name for a hidden fx?
Definition
Occult fx
Term
__% of c-spine exams have repeats.
Definition
79
Term
When might a cystogram or a urethragram be ordered because of a fx?
Definition
When the pt has a pelvic fx
Term
What is the #1 most common type of trauma?
Definition
abdominal trauma
Term
The radiographer assesses the pt's neurologic status and LOC before beginning any procedure, and then reassess every _ - __ minutes while the pt is in the dept.
Definition
5 - 10
Term
Each year approximately __ million head injuries are predicted to occur in the U.S.A.
Definition
10
Term
Fxs at the base of the skull often have accompanying fxs of the ______ _____.
Definition
facial bones
Term
The outer membrane surrounding the brain and the spinal cord:
Definition
dura mater
Term
(True or False) The radiographer should consider all pts w/ head injuries to have accompanying c-spine injuries until it is medically disproved.
Definition
True
Term
Injuries to the facial bones are usually associated w/ injury to the ____ _______ of the face.
Definition
soft tissues
Term
What is the leading cause of death after MVAs?
Definition
Internal injuries caused by fxs of the pelvic bones
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