Shared Flashcard Set

Details

Trauma systems and MOI CH-20
Mosby's Paramedic Textbook 3ED-R
65
Health Care
Undergraduate 1
03/24/2012

Additional Health Care Flashcards

 


 

Cards

Term
what is the 5th leading cause of death among all Americans
Definition
unintentional injury
Term
what are the three phases of trauma care
Definition
preincident, incident, and post incident
Term
During this critical time period , surgical intervention for the trauma patient can enhance survival
Definition
golden hour
Term
What paper caused hospitals to separate into trauma levels
Definition
Position paper on trauma center designation in 1980
Term
what trauma center level can provide total care for every aspect of injury
Definition
level 1
Term
this is the first hour after the injury when surgical intervention is needed to increase survival
Definition
golden hour
Term
what level of trauma center can provide total care for every aspect of injury
Definition
level 1
Term
This term is defined by national standards in which definitive care within 60 min after the injury for severe trauma
Definition
Reasonable time( golden hour)
Term
The extent of the injury is determined by these three factors
Definition
the amount of energy applied, the part of the body injured, how quickly the energy was applied
Term
this type of death occurs within seconds or minutes of the injury
Definition
immediate
Term
this type of death occurs within the first 2-3 hours of the injury
Definition
Early
Term
This type of death occurs days or weeks after the injury
Definition
late
Term
In this period surgical intervention can enhance survival.
Definition
golden hour
Term
Newtons first law of motion
Definition
an object at rest stays at rest
Term
conservation of energy law
Definition
energy cannot be created or destroyed, it can only change form
Term
newtons second law
Definition
force = mass x acceleration
Term
what is more critical in determining total kinetic energy- mass or velocity
Definition
velocity
Term
foot pounds
Definition
pounds multiplied by mph
Term
this is the process of predicting injury patterns
Definition
kinematics
Term
this is an injury produced by the wounding forces of compression and change of speed
Definition
Blunt Trauma
Term
how many impacts are there in a vehicle collision
Definition
3- vehicle hits object, occupant inside vehicle hits vehicle, organs hit wall
Term
which state does not have a mandatory seatbelt law
Definition
New Hampshire
Term
when are airbags ineffective
Definition
in multiple collisions, rear impact collisions and lateral or rollover impacts
Term
when can an air bag produce significant injury
Definition
when it deploys within 10 inches of the occupant chest
Term
When is it common to see an air bag caused death
Definition
when the occupant is to close to it when deployed
Term
how far back should the front passangers be from the air bag while driving
Definition
18 inches
Term
children below what age should always ride in the back the back seat
Definition
12
Term
Where is the descending aorta attached
Definition
thoracic spine
Term
where does the aorta usually shear
Definition
ath the level of ligamentum arteriosum
Term
what is the most common organ commonly injured by deceleration forces
Definition
kidneys
Term
this phenomenon is though to be the cause of most pneumothoraces after vehicle trauma
Definition
paper bag effect
Term
What could cause an aortic valve rupture
Definition
compression of the abd could increase the pressure inside the aorta
Term
How do adult and kids differ when about to be hit by on comming traffic
Definition
Adult turn away from the car while kids turn towards the car
Term
How many typical mechanisms of injury are there for auto-pedestrian collisions
Definition
3- person hits vehicle, pedestrain hits hood, person hit the ground
Term
this is damage to a patient who is exposed to a presure field that is produced by an explosion
Definition
Blast injury
Term
What types of energy are released from blasts
Definition
heat and pressure
Term
This type of blast injury is the result from sudden changes in the environmental pressure
Definition
Primary blast injury
Term
what organs are most vunerable to primary blast injuries
Definition
ears, lungs, blast lung injury (BLI)
Term
There was an explosion, your patients has respiratory difficulty and hypoxia w/o any external injury to the chest. What your dx?
Definition
Blast lung injury
Term
This blast injury results from being struck by flying debris
Definition
secondayr blast injury
Term
This blast injury results from being propelled throug space and strike a stationaly object
Definition
tertiary blast
Term
this blast injury results from radiation exposure and inhalation of dust and toxic gases
Definition
miscellaneous blast injuries
Term
what are the three things to evualate for fall patients
Definition
distance fallen, body position on impact, landing surface struck
Term
Falls from what height are typically associated with severe injuries
Definition
3 times the patient height or 15-20 feet
Term
Adults who fall greater than 15 typically land on their ____?
Definition
feet
Term
patiets who try to brace their fall with their hands commonly experience these types of fx
Definition
bilateral colles fx aka silver fork deformity
Term
Childern who fall typically land on their ____?
Definition
head
Term
This is an opening produced by a fore that pushes body tissues laterally away from the tract of a projectile
Definition
cavitation
Term
The amount of cavitation is directly related to what?
Definition
the density of the tissue.
Term
What types of tissues are more likely to experience permenate cavitation
Definition
tissues with high water content -liver speen and muscle ore solid density like bone
Term
formula for kenitic energy
Definition
1/2 the mass x V2
Term
what level of body armor is generally recemended for ems providers
Definition
type III
Term
Why does the sonic wave follow the bullet until it enters the tissues
Definition
This is because the sonic wave travels faster in the tissues thus causing cavitation
Term
What is the problem with high velocity bullets regarding entry and exit wounds
Definition
High velocity bullets tend to fragment
Term
Another term for bullet tumble
Definition
yaw
Term
what type of injury is likely if the lap belt is applied improperly
Definition
duodenal injuries
Term
This is a common avulsion/separation/shear point for the heart and aortic arch as a whole
Definition
from the spine
Term
the lungs commonly separate or shear from this
Definition
bronchus
Term
The liver commonly separates or shears from this
Definition
to inferior vena cava
Term
Brain commonly is sheared from this
Definition
venous sinuses
Term
What type of organs rupture more readily?
fluid or air filled
Definition
fluid filled
Term
what are examples of fluid filled organs
Definition
liver, kidney, spleen, full bladder, full stomach
Term
what are examples of air filled organs
Definition
alveoli, middle ear
Term
what are examples of solid organs
Definition
bone, pancreas
Term
If a motorcycle rider is not wearing a helmet, what percentage is there an increase in brain injury
Definition
300%
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