TNCC Pre course study guide
Study online at https://quizlet.com/_frhb91
1. Why is it im- Understanding how energy forces affect the human body is useful for better
portant to un- anticipating effects of trauma on a person
derstand biome-
chanics as it re-
lates to types
of energy forces
and MOI?
2. What are com- blunt, penetrating, blast
mon MOIs that
result in trauma
3. What injuries are Primary (direct blast effects) - pulmonary barotrauma, tympanic membrane rup-
expected in each ture, abdominal hemorrhage/perforation, globe rupture, mild TBI
stage of a blast Secondary (projectiles) - penetrating or blunt injuries, eye penetration
(explosion) Tertiary (propulsion of body onto hard surface) - blunt/penetrating injury, frac-
ture, traumatic amputation, closed/open TBI
Quaternary (heat/fume/combustion) - burns, crush injury, asthma, COPD, angina,
hyperglycemia, hypertension
Quinary (hazardous materials) - depends on agent (bacteria, radiation, chemical
etc)
4. Why is it impor- To maximize outcomes and reduce the risk of undiscovered injuries.
tant to use a sys-
temic approach
to the initial as-
sessment of a
trauma patient?
5. What is included Activate the Trauma Team and assign roles
in the prepara- Prepare the room/equipment
Don PPE
, TNCC Pre course study guide
Study online at https://quizlet.com/_frhb91
tion for a trauma Consider safety threats
patient? Decontamination
6. What informa- overall status and identification of hemorrhage; identify all life threatening in-
tion is obtained juries; APVU
in the general im-
pression
7. What does the A-J A - airway/alertness
mnemonic stand B - breathing/ventilation
for? C - circulation, control of hemorrhage
D - disability (neuro status)
E - exposure and environmental control
F - full set of vitals/family presence
G - get adjusts/give comfort
L - labs
M - monitor cardiac status
N - nasogastric/orogastric
O - oxygenation
P - pain
H - history/head to toe
I - inspect posterior
J - just keep reevaluating
8. What does alert- APVU
ness include in
airway assess-
ment?
9. When an inter- reassess
vention is tak-
en during the
primary survey,
, TNCC Pre course study guide
Study online at https://quizlet.com/_frhb91
what must the
nurse do after
the intervention?
10. What are com- history
ponants of sec- head to toe assessment
ondary survey? inspect posterior surfaces
reassessment
11. What should all aspects of the primary and secondary assessments
nurse reevalu- V - vitals
ate? I - injuries/interventions
P - primary survey
P - pain
12. What are the dif- ventilation - mechanical process of breathing
ferences in ven- diffusion - movement of gases (higher to lower concentration)
tilation, diffusion perfusion - movement of blood through circulatory system
and perfusion?
13. What are possi- altered consciousness - tongue falling posteriorly into oropharynx, blood/vom-
ble causes of air- it/fluids unable to be cleared
way obstruction
in the trauma pa- maxillofacial trauma - edema, secretions, bleeding, dislodeged teeth/dentures
tient?
neck/larangeal trauma - vascular injuries resulting in hematomas
obese patients - increased fat deposition
14. What interven- suction
tions address air- jaw thrust
way obstruction? insert airway
15.
Study online at https://quizlet.com/_frhb91
1. Why is it im- Understanding how energy forces affect the human body is useful for better
portant to un- anticipating effects of trauma on a person
derstand biome-
chanics as it re-
lates to types
of energy forces
and MOI?
2. What are com- blunt, penetrating, blast
mon MOIs that
result in trauma
3. What injuries are Primary (direct blast effects) - pulmonary barotrauma, tympanic membrane rup-
expected in each ture, abdominal hemorrhage/perforation, globe rupture, mild TBI
stage of a blast Secondary (projectiles) - penetrating or blunt injuries, eye penetration
(explosion) Tertiary (propulsion of body onto hard surface) - blunt/penetrating injury, frac-
ture, traumatic amputation, closed/open TBI
Quaternary (heat/fume/combustion) - burns, crush injury, asthma, COPD, angina,
hyperglycemia, hypertension
Quinary (hazardous materials) - depends on agent (bacteria, radiation, chemical
etc)
4. Why is it impor- To maximize outcomes and reduce the risk of undiscovered injuries.
tant to use a sys-
temic approach
to the initial as-
sessment of a
trauma patient?
5. What is included Activate the Trauma Team and assign roles
in the prepara- Prepare the room/equipment
Don PPE
, TNCC Pre course study guide
Study online at https://quizlet.com/_frhb91
tion for a trauma Consider safety threats
patient? Decontamination
6. What informa- overall status and identification of hemorrhage; identify all life threatening in-
tion is obtained juries; APVU
in the general im-
pression
7. What does the A-J A - airway/alertness
mnemonic stand B - breathing/ventilation
for? C - circulation, control of hemorrhage
D - disability (neuro status)
E - exposure and environmental control
F - full set of vitals/family presence
G - get adjusts/give comfort
L - labs
M - monitor cardiac status
N - nasogastric/orogastric
O - oxygenation
P - pain
H - history/head to toe
I - inspect posterior
J - just keep reevaluating
8. What does alert- APVU
ness include in
airway assess-
ment?
9. When an inter- reassess
vention is tak-
en during the
primary survey,
, TNCC Pre course study guide
Study online at https://quizlet.com/_frhb91
what must the
nurse do after
the intervention?
10. What are com- history
ponants of sec- head to toe assessment
ondary survey? inspect posterior surfaces
reassessment
11. What should all aspects of the primary and secondary assessments
nurse reevalu- V - vitals
ate? I - injuries/interventions
P - primary survey
P - pain
12. What are the dif- ventilation - mechanical process of breathing
ferences in ven- diffusion - movement of gases (higher to lower concentration)
tilation, diffusion perfusion - movement of blood through circulatory system
and perfusion?
13. What are possi- altered consciousness - tongue falling posteriorly into oropharynx, blood/vom-
ble causes of air- it/fluids unable to be cleared
way obstruction
in the trauma pa- maxillofacial trauma - edema, secretions, bleeding, dislodeged teeth/dentures
tient?
neck/larangeal trauma - vascular injuries resulting in hematomas
obese patients - increased fat deposition
14. What interven- suction
tions address air- jaw thrust
way obstruction? insert airway
15.
