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TNCC Questions And Answers

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PRIMARY - Blast lung primary - rupture of tympanic membranes/middle ear damage primary - abdominal hemorrhage and perforation primary - eye rupture primary - TBI, concussion secondary - wounds from flying debris secondary - eye penetration secondary - closed and open brain injur...

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.N.C.C. - ... What is kinetic energy (KE)? - KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? - A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/...

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Energy forces: Tension - forces stretch by pulling at opposite ends. Example: Tensile strength describes the tissues ability to resist pulling apart when stretched. Tendons, ligaments, and muscles can tear when they are overstretched (Achilles tendon) Energy Forces: Compression - Compression ...

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What is the purpose of a debrief? - Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height - Three times How many breaths/minute do you deliver through the bag-mask device? - 10-12/ min or 1 every 5-6 sec An O2 sat of __% or h...

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Effective communication •Skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care - What is the key to a high-performance trauma team? Reprioritize circulation before airway or breathing. •The across-the-room observ...

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What roles are vital to a trauma team? - The patient; the nurses highest priority. The team leader ---> 1. designated by title and role ---> 2. situational Core team; works interdependently to manage a trauma patient from assessment to disposition. Contingency and support services; prov...

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Prehospital MIST report - M- mechanism of injury I- injuries S- S/S T- treatment in field Preparation - 1- activate trauma team 2- prepare trauma room 3- PPE Primary Survey - A-B-C-D-E A - Alertness- AVPU (Alert with Airway, Verbal, Pain, Unresponsive) ~Potential need for C-Spine stab...

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A - Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth, clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed. B - Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin color. Do supplemental o2, BVM, ...

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Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Whic...

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Preparation and Triage - 1. Activate the trauma team. 2. Prepare the Trauma Room. - Rapid infuser - Chest trauma equipment 3. States the need to don PPE Across-the-room Observation - Assess for obvious uncontrolled external hemorrhage. Primary Survey: Airway + Cervical Spinal Stabilization...

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what is the key to high performance trauma team? - effective communication skilled communication, cooperation and coordination are the cornerstones of high-performance teams and high-quality trauma care when obtaining a history for an injured patient, understanding the kinematic concepts associa...

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C What are the primary benefits of a team approach to trauma care - it provides a systemic approach to care and organizes care A In the primary survey AVPU is performed to determine if the patient can: - Protect their aiway B WHich may lead to unreliable pulse ox reading - carboxyhemoglobin ...

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What is kinematics? - A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? - A body at rest will remain at rest. A body in motion will remain in motion until acted on by an outside fo...

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.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. E...

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Expedite transfer to the closest trauma center - A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient? a...

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What is the key to a high performing trauma team? - effective communication rationale: skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care When obtaining a history for an injured patient, understanding the kinematic c...

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What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - Vasoconstriction What results f...

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1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate trauma nurse - Init...

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The major cause of preventable death after injury - Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - Base deficit Examples of primary blast injuries - Blast lung, ruptured tympanic membrane, TBI, abdominal hemorr...

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The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? - subdural hematoma A patient is found l...

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Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the u...

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What are the greatest risks for transport? - Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team ...

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