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CH 35

Emergency Trauma

QuestionAnswer
___________ is/are the leading cause of death between the ages of 1 and 45 and the third leading cause of death in all age groups. Trauma
During a true surgical emergency, more so than in any other scenario, is key to a successful outcome for the patient Teamwork
Although the ability to respond quickly to the demand of surgery is important, so is ____________ . Accuracy
Clear __________ is the pivot point of team efforts in an emergency. Communication
ATLS is: Advance Trauma Life Support
____________ is/are treatment pathways in trauma surgery. Algorithms
Subnormal core body temperature for an extended period of time is known as: Hypothermia
Lower-than-normal blood pH is what condition? Metabolic acidosis
Potentially lethal disorder of the normal blood clotting system in patients who survive the first hour after injury are at risk for which of the following of these conditions: Coagulopathy
A vascular failure, caused by prolonged, severe blood loss, is the most common cause of mortality in trauma and is called: Hemorrhagic shock
The compensatory mechanisms in acute injury can lead to the condition called: Compartment syndrome
_______________ is the process of restoring physiological balance in injury. Resuscitation
The secondary survey is also known as: Hospital care
Consent for invasive procedures, including emergency surgery, is obtained from the patient if he or she is able, or from _____________ according to hospital policy. Responsible individuals
The surgical technologist (ST) working in an urban trauma facility is likely to have some contact with ______________. Forensic evidence
Death from ________ is the second leading cause of mortality in the United States, and approximately 115,000 cases of _______ injury are treated each year. Firearms, firearm
When passing any instrument that will come in contact with a bullet, fragments, shrapnel, or other ballistic item, ensure that the _________ of the instrument are protected with rubber shod or completely covered with a sponge Tips
One goal of damage control surgery is to focus solely on lifesaving maneuvers, including all of the following EXCEPT: Control of feeding
If the patient is stabilized in 12 to 48 hours, he or she can then be returned to surgery for a __________ procedure. Definitive
Hospitals should have basic setups for: Craniotomy
Copious amounts of ______________ solution are often needed during trauma surgery. Irrigation
__________-based tissue sealants are used only if there is no coagulopathy present because these depend on an intact coagulation response Thrombin
Postoperative serosanguinous pooling is controlled with wound ____________. Drains
The real potential for extending the patient’s injuries exists during ______________ and ____________ . Moving, Handling
Normothermia is: Maintaining normal body temperature as normal as possible
You are called in on a motor vehicle accident, the patient is disoriented and scared. As a health care professional, it is important to provide some measure of ____________ comfort for the patient. Emotional
You are scrubbed in on an emergency case when the circulator tells you that all standardized ____________ procedures may be suspended in life-threatening situations. Counts
The term “up” means what during an emergency case? On the Mayo ready for use
Pressure on the heart causing restriction and damage to the conduction system Cardiac tamponade
Injury that results in air in the pleural space causing displacement or collapse of the respiratory structures Pneumothorax
Bruising aka Contusion
Trauma that results in deep tissue injury without rupture of the skin Blunt injury
A protocol of ATLS in which ultrasound is used in a focus area to diagnose severe trauma FAST
An injury that is not detected in normal assessment procedures Penetrating injury
Condition in which the body’s normal blood clotting mechanism ceases to function; characteristic in severe multi trauma Coagulopathy
Tearing of the atria or ventricles as a result of trauma Cardiac rupture
Bleeding into the pleural space Metabolic acidosis
Evidence-based diagnosis of a medical problem using normal investigative procedures, such as imaging studies Definitive diagnosis
A type of shock characterized by vascular failure resulting from severe bleeding Hemorrhagic shock
Hemorrhage with the potential to deplete the patient’s total blood volume Exsanguinating
Surgery whose objective is to stop hemorrhage and prevent sepsis without attempting reconstruction or anatomical continuity Damage control surgery
Increased pressure in any compartment of the body Compartment syndrome
A potentially lethal physiological condition occurring in shock, characterized by abnormally low blood pH Occult injury
A planned surgical procedure, usually with specific objectives for reconstruction or restoring continuity of anatomical structures Definitive procedure
Created by: kinseyj27
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