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, Paramedic Trauma FISDAP Exam
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1. If you see a Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until
cracked wind- proven otherwise), tracheal injury.
shield in a MVC...
what will the pt
represent with?
2. If you see a Bruised neck, bruised chest. Sternal or rib fracture, flail chest, myocardial contu-
deformed steer- sion, *pericardial tamponade, pneumo/hemothorax, aortic tear.
ing column in a
MVC... what will
the pt represent
with?
3. If you see a Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bow-
deformed dash- el, diaphragm. Fractured patella, dislocated knee, *femoral fracture, dislocated
board in a MVC... hip.
what will the pt
represent with?
4. If you see the Secondary anterior injuries, esp if the pt wasn't restrained. "Wiplash" injuries,
rear end of the *coup contrecoup injury.
vehicle is dam-
aged in a MVC...
what will the pt
represent with?
5. Phases of Decel- 1) Deceleration of the vehicle, occurs when the vehicle strikes another object &
eration comes to a stop. 2) Deceleration of occupant, which starts during sudden braking
& continues through the whole crash. 3) Deceleration of internal organs, that
consist of internal organs that continue forward momentum until they're stopped
by anatomical restraints. 4) Secondary collisions, which occur when a vehicle
occupant is hit by objects moving within the vehicle (loose objects). 5) Additional
, Paramedic Trauma FISDAP Exam
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impacts, that the vehicle may receive when it is hit by a second vehicle or is
deflected into another.
6. Velocity "Speed kills"- causes more damage than mass.
7. Seat Belt Use All arguments against seat belt use are unfounded.
8. Airbag Injuries Common injuries include abrasions to the face, chest and arms. Minor corrosive
effects can occur because of the cornstarch on the airbag, and it may irritate the
skin.
9. Down and Under Occupant slides under the steering wheel or the dash. The knees hit the dash-
Pathway board, and transmit energy up the leg, to the femur/pelvis. If the feet are locked
in place, it can cause femur fractures.
10. Up and Over Chest hits the steering wheel, head hits the windshield and anterior portion of
Pathway the throat hits the top of the steering wheel. Can cause significant head and neck
injuries.
11. Head on Im- Head on impact- motorcycle strikes another object and stops its forward motion,
pact in Motorcy- while the rider continues forward motion until stopped by outside force. This
cle Crashes causes the rider to go over the handlebars, which causes femur fractures, and
tib fractures.
12. Angular Impact The motorcycle strikes an object, or another vehicle at an angel so that the rider
in Motorcycle sustains direct crushing injuries to the lower extremity between the object and
Crashes motorcycle.
13. Motorcycle With any motorcycle crash, the helmet should be removed carefully if airway
Crashes management techniques cannot be performed with the helmet in place or the
helmet doesn't fit properly on the riders head.
14. Pedestrian In- Most pedestrian injuries occur at an intersection, at night. First, the pedestrian
juries is hit in the lower extremities with the cars bumpers. Second, the pedestrian is