Question | Answer |
Penetrating Trauma | Injury caused by an object breaking the skin and entering the body |
Blunt Trauma | Injury caused by the collision of an object with the body in which the object does not enter the body. |
Injury prevention agenda for the future.
Authorized by Federal Trauma Care Systems Planning & Development Act of 1990. | Injury Prevention
Prehospital Care
Emergency Department Care
Interfacility Transport
Definitive Care
Trauma Critical Care
Rehabilitation
Data Collection, Trauma Registry |
Index of Suspicion | Anticipation of injury to a body region, organ, or structure based on MOI
Shock and head injury
Frequent reassessment and trending |
Newtons first law of motion | A body at rest or in motion will stay in that state until acted on by an outside force |
Conservation of energy | Energy cannot be created or destroyed
Can only change form |
Kinetic energy | 1/2 mass x x velocity (squared)
Velocity has more influence than mass |
5 P's of compartment syndrome | Pain that is out of proportion to the injury
Pulselessness
Pallor from circulation
Paraesthesia
Paralysis |
Evaluation of a fall | Determine the point of impact
The fall height
Impact surface
Transmission pathway forces across the skeleton |
Vasopressors | Dopamine-
Dobutamine-
Epinephrine-
Norepinephrine- |
Norepinephrine- | typically make a 4 Ug/cc mix (1 mg into 250cc),dose/titrate per protocol (~2- Ug/min) |
Dopamine | -typically make a 1600 Ug/cc mix (400mg into 250cc) -> titrate to effect 2-20 Ug/kg/min |
Epinephrine | - 1 mg in 250 mL D5W or NS (4 mcg/mL), dose/titrate per protocol (~1-4 Ug/min) |