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Soft tissue trauma, Chapter 22
Mosby's Paramedic Textbook 3ED-R
46
Health Care
Undergraduate 1
03/31/2012

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Cards

Term
What is the largest organ of the body
Definition
skin
Term
How many distinct layers of tissue makes up skin
Definition
2- the dermis and the epidermis
Term
how many layers of skin make up the epidermis
Definition
5
Term
What are the layers of the epidermis
Definition
stratum corneum, stratum lucidum, stratum germinativum, stratum spinosum, stratum basale
Term
What is the waterproofing protein of the skin
Definition
keratin
Term
this is the dense layer of fibrous tissue beneath the derimis
Definition
deep fascia
Term
what is the purpose of the deep fascia
Definition
it provides for insulation, cushioning, caloric reserv
Term
this is the initial physiological response to wounding
Definition
homeostasis
Term
How long does the vasoconstriction response usually last in the clotting process
Definition
10 min
Term
What do platelets contact that causes them to swell, become sticky and adhere to one another?
Definition
collagen
Term
How does warfarin suppress the bodies ability to clot
Definition
it suppresses the ability of the liver to make certain clotting factors
Term
What cells prepare the wound for healing by clearing foreign bodies and dead tissue
Definition
granulocytes, lymphocytes and macrophages
Term
What is the main structural protein of most body tissues
Definition
collagen
Term
How does the skin benefit from collagen
Definition
it increases the tensile strength of the tissue
Term
This is an excessive accumulation of scar tissue that extends beyond the original wound borders
Definition
keloid scar
Term
This is an excess accumulation of scar tissue within the original wound borders
Definition
hypertrophic scar
Term
Def contusion
Definition
blood vessel disruption beneath the epidermis
Term
another term for bruising
Definition
ecchymosis
Term
Def hematoma
Definition
a collection of blood beneath the skin
Term
What is the difference between a contusion and a hematoma
Definition
A hematoma represents a larger amount of tissue damage and disruption of larger vessels
Term
This is a partial thickness skin injury caused by the scraping or rubbing away of layers of the skin
Definition
abrasion
Term
What is the biggest problem with abrasions
Definition
they are at a high risk for infection from contamination and are very painful
Term
This syndrome may result from an injection of substance into the body under high pressure
Definition
compartment syndrome
Term
This wound is a full thickness skin loss
Definition
avulsion
Term
What areas of the body are frequently involved in avulsion accidents
Definition
ear lobes, nose tip, and finger tips
Term
degloving is a form of what type of injury
Definition
avulsion
Term
What are the three factors that must be figured when determining the degree of injury produced by a crushing force
Definition
amount of pressure applied, how long the pressure was applied and the region to which the pressure was applied
Term
What muscle groups are typically affected by compartment syndrome
Definition
muscle groups that are confined in tight fibrous sheaths with minimal ability to stretch- below the knee, supra-elbow,
Term
What type of tissue does compartment syndrome affect
Definition
muscles
Term
What are the 5 P's of compartment syndrome
Definition
Pain, paresis, paresthesia, pallor, pulselessness
Term
Def Paresthesia
Definition
sensation of tingling, burning, pricking, or numbness of a person's skin
Term
Def paresis
Definition
light or incomplete paralysis
Term
What are late finding in compartment syndrome
Definition
paresis and pulselessness
Term
When does the crush syndrome process start
Definition
When the compression forces are released
Term
Define Rhabdomyolysis
Definition
Its a process of crush syndrome in which breakdown of muscle fibers that leads to the release of muscle fiber contents (myoglobin) into the bloodstream. Myoglobin is harmful to the kidney and often causes kidney damage.
Term
How many minutes of direct pressure can control most types of hemorrhage
Definition
4-6 min
Term
If a patient has excessive bleeding from the scalp, what pressure point would you use
Definition
Temporal artery
Term
how many inches proximal to the wound should a tourniquet be applied
Definition
2
Term
this type of dressing attaches to the wound surface by incorporating wound exudate into the dressing mesh
Definition
adherent dressing
Term
this type of dressing allows the passage of wound exudate and does not adhere to the wound surface
Definition
Nonadherent dressings
Term
What part of the body does tetanus affect
Definition
central nervous system
Term
What age group is commonly affected by tetanus
Definition
people over 50
Term
How often do you need a booster for tetanus
Definition
5-10 years
Term
What parts of the body have a higher risk for infection
Definition
foot, hands, perineum
Term
How do you transport disconnected tissue
Definition
wrap the tissue in gauze(Wet or dry), place in plastic bag and place on crushed ice but not directly on ice
Term
how do you hydrate a crush syndrome patient
Definition
with D5 1/2NS, Sodium bicarbondate
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