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TCRN Review - Continuum of Care for
Trauma (Injury Prevention, Patient
Safety, Patient Transfer, Forensic Issues,
End-of-life Issues and Rehabilitation)
What are the 8 components to the Trauma System? - Correct
answer- 1. Rapid identification of the injury, followed by easy
access to EMS with a central dispatching system
2. Appropriately trained and appropriate level of EMS providers
available on scene
3. Pre-hospital triage protocols authorizing EMS providers to
make triage decisions before the patient is taken to the hospital
4. A communication system that allows direct conversation
between pre-hospital providers, trauma center personnel, and
physicians who provide medical direction
5. A designated trauma center with immediate availability of
specialized surgeons, anesthesia providers, nurses, equipment,
and radiologic capabilities.
6. A system that coordinates care among all levels of trauma
centers and an interfacility transfer process that allows for
prompt transfer of the patient to a higher level of care.
7. Access to rehabilitative services in both the acute and long-term
phases of recovery.
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8. A thorough performance improvement plan that includes all
aspects of trauma care (pre-hospital through rehabilitation) and
ensures "loop closure"
What is primary prevention in the trauma continuum? - Correct
answer- Designed to prevent occurrence of the injury
What is secondary prevention in the trauma continuum? - Correct
answer- Designed to reduce the severity of the injury that has
occurred
What is tertiary prevention in the trauma continuum? - Correct
answer- Improvement in outcomes related to traumatic injury
What are the goals of primary prevention? - Correct answer- To
reduce injury and save money
What are the steps of injury prevention? (3) - Correct answer- 1.
Injury incidence is monitored through data collection
2. Injury risk factors are identified and used to identify where,
who, and with whom
3. Evaluate effectiveness of effort on injury occurrence
What is the term for the number of new cases of an injury that
occur during a specified period of time in a population at risk for
that injury? - Correct answer- Incidence
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What is the term for the number of affected persons with a
particular injury present in the population at a specified time
divided by the number of persons in the population at that time? -
Correct answer- Prevalence
What is the number of people alive with the effects of a particular
disease or illness? - Correct answer- Morbidity
What is the term for the number of deaths in a specified time
frame? - Correct answer- Mortality
What is the term for measurable costs of healthcare such as
medical care costs, costs of rehabilitation, etc.? - Correct answer-
Direct costs
What is the term for the value of foregone productivity? - Correct
answer- Indirect Costs
What is the term for costs like property damage, police and fire
services, etc.? - Correct answer- Additional costs
What are the 6 components of Injury Incidence? - Correct answer-
1. What is the magnitude of this injury (incidence and
prevalence)?
2. What is the severity of this injury (mortality and morbidity)?
3
TCRN Review - Continuum of Care for
Trauma (Injury Prevention, Patient
Safety, Patient Transfer, Forensic Issues,
End-of-life Issues and Rehabilitation)
What are the 8 components to the Trauma System? - Correct
answer- 1. Rapid identification of the injury, followed by easy
access to EMS with a central dispatching system
2. Appropriately trained and appropriate level of EMS providers
available on scene
3. Pre-hospital triage protocols authorizing EMS providers to
make triage decisions before the patient is taken to the hospital
4. A communication system that allows direct conversation
between pre-hospital providers, trauma center personnel, and
physicians who provide medical direction
5. A designated trauma center with immediate availability of
specialized surgeons, anesthesia providers, nurses, equipment,
and radiologic capabilities.
6. A system that coordinates care among all levels of trauma
centers and an interfacility transfer process that allows for
prompt transfer of the patient to a higher level of care.
7. Access to rehabilitative services in both the acute and long-term
phases of recovery.
1
, 2
8. A thorough performance improvement plan that includes all
aspects of trauma care (pre-hospital through rehabilitation) and
ensures "loop closure"
What is primary prevention in the trauma continuum? - Correct
answer- Designed to prevent occurrence of the injury
What is secondary prevention in the trauma continuum? - Correct
answer- Designed to reduce the severity of the injury that has
occurred
What is tertiary prevention in the trauma continuum? - Correct
answer- Improvement in outcomes related to traumatic injury
What are the goals of primary prevention? - Correct answer- To
reduce injury and save money
What are the steps of injury prevention? (3) - Correct answer- 1.
Injury incidence is monitored through data collection
2. Injury risk factors are identified and used to identify where,
who, and with whom
3. Evaluate effectiveness of effort on injury occurrence
What is the term for the number of new cases of an injury that
occur during a specified period of time in a population at risk for
that injury? - Correct answer- Incidence
2
, 3
What is the term for the number of affected persons with a
particular injury present in the population at a specified time
divided by the number of persons in the population at that time? -
Correct answer- Prevalence
What is the number of people alive with the effects of a particular
disease or illness? - Correct answer- Morbidity
What is the term for the number of deaths in a specified time
frame? - Correct answer- Mortality
What is the term for measurable costs of healthcare such as
medical care costs, costs of rehabilitation, etc.? - Correct answer-
Direct costs
What is the term for the value of foregone productivity? - Correct
answer- Indirect Costs
What is the term for costs like property damage, police and fire
services, etc.? - Correct answer- Additional costs
What are the 6 components of Injury Incidence? - Correct answer-
1. What is the magnitude of this injury (incidence and
prevalence)?
2. What is the severity of this injury (mortality and morbidity)?
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