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Trauma-Midlands EMS

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Question
Answer
_____ emergencies are a result of physical forces applied to the body.   Trauma  
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The way in which taumatic injuries occur in called the _______ ___ ______.   Mechanism of Injury (MOI)  
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The _____ __ _______ is your awareness and concern for potentially serious underlying and unseen injuries.   Index of Suspision  
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Force acting over distance is ____   Work.  
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_____ = Mass X velocity   Kinetic energy.  
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Energy cannot be _____ or _____.   Created or destroyed.  
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_____ _____ is the product of mass, force of gravity, and height. Falling objects.   Potential energy.  
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Blunt trauma is...?   Force to the body causing injury without penetrating soft tissue, internal organs, or cavities .  
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Penetrating trauma is...?   Injury to the body by objects that pierce or penetrate the surface of the body, causing damage to the soft tissue, internal organs, and body cavity.  
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The three collisions in a typical impact are...?   1) Car against car/tree/other object. 2) Passenger against interior of car. 3) Passenger's internal organs against solid structures of the body.  
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Coup-contracoup brain injury   Compression injury to the anterior portion of the brain and stretching of the posterior portion.  
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Significant MOI's include what findings?   1)Death of an occupant in the vehicle. 2)Severe deformity/intrusion of vehicle. 3)Altered mental status. 4)Ejection from vehicle.  
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The five types of collisions include...?   1)Frontal 2)Rear-end 3)Lateral 4)Rollover 5)Rotational  
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Significant falls are falls from ___ times the patient's height.   Three  
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The mechanisms of balst injuries include...?   1)Primary blast injury (blast wave) 2)Secondary blast injury (flying debris) 3)Tertiary blast injury (impact with another object)  
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On-scene times should be limited to ___ minutes or less.   Ten  
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The major components of patient assessment include...?   Scene size up, Primary assessment, History taking, Secondary assessment, Reassessment.  
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Solid organs include...?   Liver, spleen, pancreas, and kidneys.  
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Hollow organs include...?   Stomach, intestines, and uninary bladder.  
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The cardiovascular syster circulates blood to all the body's cells and tissues, delivering _____ and nutrients and carrying away metabolic _____.   Oxygen. Waste.  
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Three parts of the cardiovascular system.   Heart (pump) Blood vessels (container) Blood and body fluids (fluid)  
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The ____ is the is largest artery in the body.   Aorta  
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Describe bloodflow through the heart.   Infereior/Superior vena cave->right atrium->tricuspid valve->pulmonic semilunar valve->pulmonary atery to the lungs. Oxygenated in the lungs->pulmonary veins->left atrium->bicuspid (mitral) valve->left ventricle->aortic semilunar valve->aorta->body.  
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What forms blood clots?   Platelets.  
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______ is the circulation of blood within an organ or tissue.   Perfussion.  
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How long can the brain and spinal cord avoid injury without perfussion?   4-6 minutes.  
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After 45 minutes the _____ can sustain damage after inadequate perfussion.   Kidneys.  
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With inadequate perfussion, the _____ ______ will show evidence of damage after two hours.   Skeletal system.  
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Weak, rapid pulse. Low blood pressure. Changes in mental status. Cool, clammy skin. Cyanosis. These are signs and symptoms of what?   Hypovolemic shock.  
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The body will not tolerate an acute blood lossof more than ___%.   20  
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____ bleeding is brighter red and spuurts with the pulse.   Arterial.  
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____ bleeding is darker red and flows slowly or severely, depending on the size.   Venous.  
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The narrowing of vessels to reduce bleeding is called what?   Vasoconstriction.  
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Coagulation is __________________________________.   the forming of a clot, plugging and sealing injured protions of a vessel.  
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The lask of one or more of the blood clotting factors is called _____.   Hemophilia.  
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_____ is the most common symptom of internal bleeding.   Pain.  
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List the three most common methods for controling external bleeding.   Direct, even pressure. Pressure dressing or splint. Tourniquets.  
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Epistaxis is a _____.   Nosebleed.  
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Vomited blood is called what?   Hematemesis.  
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The ____ is our first line of defense against external forces and infection. It is also the _____ largest organ in the body.   Skin, largest.  
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List the three main layers of the skin.   Epidermis. Dermis. Subcutaneous tissue.  
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The three types of soft-tissue injuries are...?   Closed injuries (brusies). Open injuries (abrasions). Burns.  
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______ _____ is caused when arterial blood flow is compromised.   Crushing syndrome.  
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Compartment syndrome is __________________________.   when compressed blood vessels cut off blood flow to the tissue.  
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Types of open unjuries include...?   Abrasions, lacerations, avulsions, amputations, and penetrating wounds.  
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RICES stands for what?   Rest. Ice. Compression. Elevation. Splinting.  
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Five factors for determining the severity of a burn ...?   Depth of burn? Extent of burn? Critical areas? Preexistinng medical conditions or injuries? Younger than 5 or older than 55?  
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Burn depth is classified into three cetegories, they are what?   Superficial (1st degree) Partial-thickness (2nd degree) Full thickness (3rd degree)  
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Use the ____ __ ____ to determine the amount of surface area that has been burned.   Rules of nine.  
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Thermal burns are caused by ____.   Heat.  
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The most common thermal burns are caused by ____ and ____.   Flames, scalds.  
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Signs and symptoms of edema include ...?   Hoarse voice, singed nasal hairs, singed facial hairs, burns of the face, or carbon particles in the sputum.  
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Three types of ionizing radiation and descriptions.   Alpha-Little penetrating engery, easily stopped by skin. Beta-Greater penetrating power, travel faster, can be blocked by protective clothing. Gamma- Very penetrating, easily passes through the body and solid objects.  
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Occlusive dressing can be made of what?   Vaseline gause, aluminum foil, or plastic to prevent air and liquids from entering or exiting the wound.  
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The six facial bones are ...?   Nasal bone, two zygomas, two maxilliae, and the mandible.  
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