ATCN 2022 Chapter 8 Musculoskeletal
Trauma Exam 100% Correct!!
A patient with long bone fractures above and below the diaphragm is at increased risk - ANSWER for
associated internal torso injuries.
Severe crush injuries cause the release of __________________________ from the muscle, which
can precipitate in the renal tubules and result in renal failure.
____________________________, an uncommon but highly lethal complication of long-bone
fractures, can lead to pulmonary failure and impaired cerebral function - ANSWER Severe crush
injuries cause the release of myoglobin from the muscle, which can precipitate in the renal tubules
and result in renal failure.
Fat embolism, an uncommon but highly lethal complication of long-bone fractures, can lead to
pulmonary failure and impaired cerebral function
Appropriate __________________________ fractures can significantly decrease bleeding by
reducing motion and enhancing the tamponade effect of the muscle and fascia. - ANSWER
Appropriate splinting of fractures can significantly decrease bleeding by reducing motion and
enhancing the tamponade effect of the muscle and fascia.
Assess injured extremities for
__________________________________________________________________________________
_______________ - ANSWER Assess injured extremities for external bleeding, loss of previously
palpable pulse, and changes in pulse quality, Doppler tone, and ankle/brachial index.
The ankle/brachial Index is determined by taking - ANSWER the systolic blood pressure value at the
ankle of the injured leg and dividing it by the systolic blood pressure of the uninsured arm.
If time to operative intervention is longer than 1 hour, a single attempt to - ANSWER deflate the
tourniquet may be considered in an otherwise stable patient
Application of ______________________________________ into bleeding open wounds while the
patient is in the ED is not advised, unless a superficial vessel is clearly identified. - ANSWER
Application of vascular clamps into bleeding open wounds while the patient is in the ED is not
advised, unless a superficial vessel is clearly identified.
, Joint dislocations should be - ANSWER Joint dislocations should be reduced, if possible; if the joint
cannot be reduced, emergency orthopedic intervention may be required.
Patients with bilateral femur fractures are at higher risk for - ANSWER significant blood loss, severe
associated injuries, pulmonary complications, multiple organ failure, and death.
Key aspects of the patient history are - ANSWER mechanism of injury, environment, preinjury status
and predisposing factors, and prehospital observations and care.
Primary Blast injury - ANSWER from the force of the blast wave.
Secondary Blast Injury - ANSWER may occur from debris and other objects accelerated by the blast,
leading o penetrating wounds, lacerations, and contusions.
Tertiary Blast Injury - ANSWER patient may be violently thrown to the ground or against other
objects by the blast effect, leading to blunt musculoskeletal and other injuries.
An AMPLE history should be obtained, including information about the patients? - ANSWER exercise
tolerance and activity level, emotional problems or illnesses, and previous musculoskeletal injuries.
Three goals for assessing the extremities are: - ANSWER 1. Identify Life-threatening injuries (primary
survey)
2. Identify limb-threatening injuries (secondary survey)
3. Conduct a systemic review to avoid missing and other musculoskeletal injury (continuous
reevaluation)
Extremity assessment must include the following four components to avoid missing an injury: -
ANSWER Skin, which protects the patient from excessive fluid loss and infection
Neuromuscular function
Circulatory status
Skeletal and Ligamentous integrity.
Crush syndrome, or traumatic rhabdomyolysis, refers to the clinical effects of - ANSWER injured
muscle that, if left untreated, can lead to acute renal failure and shock.
Trauma Exam 100% Correct!!
A patient with long bone fractures above and below the diaphragm is at increased risk - ANSWER for
associated internal torso injuries.
Severe crush injuries cause the release of __________________________ from the muscle, which
can precipitate in the renal tubules and result in renal failure.
____________________________, an uncommon but highly lethal complication of long-bone
fractures, can lead to pulmonary failure and impaired cerebral function - ANSWER Severe crush
injuries cause the release of myoglobin from the muscle, which can precipitate in the renal tubules
and result in renal failure.
Fat embolism, an uncommon but highly lethal complication of long-bone fractures, can lead to
pulmonary failure and impaired cerebral function
Appropriate __________________________ fractures can significantly decrease bleeding by
reducing motion and enhancing the tamponade effect of the muscle and fascia. - ANSWER
Appropriate splinting of fractures can significantly decrease bleeding by reducing motion and
enhancing the tamponade effect of the muscle and fascia.
Assess injured extremities for
__________________________________________________________________________________
_______________ - ANSWER Assess injured extremities for external bleeding, loss of previously
palpable pulse, and changes in pulse quality, Doppler tone, and ankle/brachial index.
The ankle/brachial Index is determined by taking - ANSWER the systolic blood pressure value at the
ankle of the injured leg and dividing it by the systolic blood pressure of the uninsured arm.
If time to operative intervention is longer than 1 hour, a single attempt to - ANSWER deflate the
tourniquet may be considered in an otherwise stable patient
Application of ______________________________________ into bleeding open wounds while the
patient is in the ED is not advised, unless a superficial vessel is clearly identified. - ANSWER
Application of vascular clamps into bleeding open wounds while the patient is in the ED is not
advised, unless a superficial vessel is clearly identified.
, Joint dislocations should be - ANSWER Joint dislocations should be reduced, if possible; if the joint
cannot be reduced, emergency orthopedic intervention may be required.
Patients with bilateral femur fractures are at higher risk for - ANSWER significant blood loss, severe
associated injuries, pulmonary complications, multiple organ failure, and death.
Key aspects of the patient history are - ANSWER mechanism of injury, environment, preinjury status
and predisposing factors, and prehospital observations and care.
Primary Blast injury - ANSWER from the force of the blast wave.
Secondary Blast Injury - ANSWER may occur from debris and other objects accelerated by the blast,
leading o penetrating wounds, lacerations, and contusions.
Tertiary Blast Injury - ANSWER patient may be violently thrown to the ground or against other
objects by the blast effect, leading to blunt musculoskeletal and other injuries.
An AMPLE history should be obtained, including information about the patients? - ANSWER exercise
tolerance and activity level, emotional problems or illnesses, and previous musculoskeletal injuries.
Three goals for assessing the extremities are: - ANSWER 1. Identify Life-threatening injuries (primary
survey)
2. Identify limb-threatening injuries (secondary survey)
3. Conduct a systemic review to avoid missing and other musculoskeletal injury (continuous
reevaluation)
Extremity assessment must include the following four components to avoid missing an injury: -
ANSWER Skin, which protects the patient from excessive fluid loss and infection
Neuromuscular function
Circulatory status
Skeletal and Ligamentous integrity.
Crush syndrome, or traumatic rhabdomyolysis, refers to the clinical effects of - ANSWER injured
muscle that, if left untreated, can lead to acute renal failure and shock.
