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P2 Trauma Midterm

QuestionAnswer
Survival rates increase dramatically as time from initial injury to surgery decreases: Golden period
Scene time in reference to the golden period Platinum ten minutes
Commits resources to address all types of specialty trauma 24 hours a day, 7 days a week Level I (regional trauma center)
Commits the resources to address the most common trauma emergencies with surgical capability available 24/7; stabilizes and transports specialty cases to the regional trauma center: Level II (area trauma center)
Commits to specialty emergency department training and has some surgical capability but usually stabilitzes and transfers seriously injured trauma patients to a higher level trauma center as needed Level III (community trauma center)
In remote areas, a small community hospital or medical care facility can be designated a trauma receiving facility, meaning that it stabilizes and prepares seriously injured trauma patients for transport to a higher level facility Level IV (trauma facility)
A physical injury or wound caused by an external force or forces trauma
The branch of physics dealing with objects in motion and energy exchanges that occur as these objects collide Kinetics
Describes how objects in motion behave; a body in motion will remain in motion unless acted upon by an outside force Newton’s First Law of Inertia
Trauma that occurs when kinetic energy forces, but not the object, enter the body and damage tissue Blunt trauma
Trauma that occurs as an object physically enters the body and directly or indirectly injures tissue Penetrating trauma
Injury occurs when impact abruptly stops a portion of the body while intertidal causes the remaining structures to continue in motion Compression
Injury in which the tissues and fibers that hold organs and other structures together are pulled and injured or torn Stretch
Injury occurs along edges of the impacting force or at organ attachments Shear
Five phases of a vehicle collision Vehicle, body, organ, secondary, additional impacts
Collision begins when a vehicle strikes an object or an object strikes the vehicle Vehicle collision
Collision occurs when an occupant remains in motion and subsequently strikes the vehicle’s interior Body collision
Collisions result as an occupant contacts the vehicle’s interior and/or restrains and slows or stops Organ collision
Collision occurs when the occupant is struck by loose objects within the vehicle Secondary collision
MOI in which the unrestrained occupant tenses their legs in preparation for the collision, unrestrained upper body pivots forward and upward, steering wheel impinges the femurs Up and over
MOI in which the unrestrained occupant slides downward as the vehicle comes to a stop, the knees contact the firewall under the dashboard and absorb the initial impact Down and under
What is considered the most common type of vehicle accident? Frontal impact
Which type of vehicle collision is responsible for the most vehicular deaths? Lateral impact
The study of projectiles in motion and their effects on objects they impact Ballistics
The curved path a bullet follows after it is fired from a gun Trajectory
Bullet meets air resistance as it travels through the air Drag
Speed Velocity
The portion of the bullet you would see if it traveled straight toward you Profile
What organs are most affected by the blast wave? Lungs, abdomen, ears
State of inadequate tissue perfusion Shock
Supplying of oxygen and nutrients to the body tissues as a result of the constant passage of blood through capillaries Perfusion
Phase of cardiac cycle when ventricles contract; force blood against arteries when ventricles contract Systolic
Phase of cardiac cycle when ventricles relax and when cardiac filling and coronary perfusion occur; force of blood against arteries when ventricles relax Diastolic
The pressure (volume) within the ventricles at the end of diastole Preload
The resistance against which the heart must pump against Afterload
How do you calculate a patient’s pulse pressure? Systolic - diastolic
Contain about 13% of total blood volume and have a thick external layer (tunica adventitia) that helps determine the artery’s maximum diameter Arteries
Contain about 64% of the blood volume; contain a small amount of both connective tissue and musculature in their walls Veins
Contain about 7% for the vascular volume; microscopic vessels only large enough for red blood cells to pass through in single file. Capillaries
Blunt, non-penetrating injuries that crush an damage small blood vessels Contusion
Collection of blood beneath the skin or trapped within a body compartment Hematoma
The causal equina is located: Below the level of L2
T/F: Linear fractures are small cracks in the cranium and represent about 80% of all skull fractures. True
T/F: Le Fort fractures usually result in CSF leakage. True
Created by: Stephanie96
 

 



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