click below
click below
Normal Size Small Size show me how
CH 35
Emergency Trauma
| Question | Answer |
|---|---|
| ___________ 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 |