TNCC study guide

what roles are vital to a trauma team? -The Pt, team leader, care team, support services (anesthesia, RT, paramedics) what are the characteristics of an effective team? -Dynamic, interdependent, adaptive What are the key foundations to successful teamwork in the care of the trauma patient? - Communications, cooperation, coordination. what tools can be used to promote communication within a team structure -SBAR, DESC, CUS, callout define Kinematics -study of energy transfer as it applies to identifying actual or potential injuries define Bio mechanics -general study of forces and their effects on living tissue and the human body define Mechanism of Injury (MOI) -forces in the environment and how they are transferred to a body what are newtons 1st, 2nd, and 3rd laws of motion -1. body at rest/rest, body in motion/motion. 2. force=mass X acceleration 3. action/equal and opposite reaction law of conservation of energy -energy can neither be created nor destroyed, but it can change form what are the five forms in which energy exists -1. mechanical-motion 2. thermal 3. chemical 4. electrical 5. radiation four main types of traumatic injury -1. Blunt trauma 2. penetrating trauma 3. thermal trauma 4. blast trauma 5 mechanisms of injury in a blast trauma -1. primary-impact of pressure wave 2. secondary- result from flying debris 3. tertiary-from being thrown by blast 4. quaternary-illnesses caused by blast 5. quinary-coplications of quaternary what is the Haddon matrix -By utilizing this framework, one can then think about evaluating the relative importance of different factors and design interventions (inc. Pre, Para, and Post. event as well compared against host, vector, and environment) recommended method of opening airway -jaw thrust maneuver w/ NPA, OPA current guidelines for volume resuscitation in hemorrhagic shock -RBCs, plasma, and platelets. Large volumes not recommended. Think permissive hypo-tension. why is exposure and environmental control so important in the primary survey. -remember the triad of death; HYPOTHERMIA (halt coag. cascade), COAGULOPATHY (inc lactic acid further deduction in coag. cascade plus lactic acid released), METABOLIC ACIDOSIS (reduced cardiac output). LMNOP in resucitation adjuncts -L-labs, (abg, lactate) M-monitor cardiac rythm N-naso or orogastric tuge insertion O-oxygen P-pain assesment and management (94%, C02 35-45) MIST prehospital report -M-mechanism of injury I-injuries sustained S-signs and symptoms T-Tx in the field differentiate between SaO2, SpO2, PaO2,FiO2 -SaO2- % of the Hgb saturated w/ O2 (from ABG) SpO2- pulse ox reading (arterial O2 sat.) PaO2- reflection of tissue oxygenation FiO2- inspired concentration of O2 define; Ventilation diffusion perfusion -Ventilation- breathing, inspiration expiration of air. Diffusion- O2 delivered+diffused into bloodstream Perfusion- blood from heart to lungs to cells