A+ Grade
Subcutaneous Emphysema
- correct answer is a characteristic crackling sensation produced by the presence of air. Sign of Laryngeal
injury.
Crepitus
- correct answer A grinding sensation caused by fractured bone ends or joints rubbing together.
Ecchymosis
- correct answer a discoloration of the skin resulting from bleeding underneath, typically caused by
bruising.
Opening the Airway
- correct answer Jaw Thrust with any suspected head/spinal injury! Head tilt chin lift in medical with no
indication for C spine.
Cushing's Triad
- correct answer Increased blood pressure, decreased heart rate, irregular breathing (cheyne-stokes or
biot). Perform controlled hyperventilation of your patient via positive-pressure ventilations at a rate of
20 breaths per minute.
Complications of SCI
- correct answer spinal shock, neurogenic shock, autonomic dysreflexia
Indications for Tourniquet Use
- correct answer Spurting, arterial bleeding that is not controlled by direct pressure. approx 2 inches
above.
, Indications for Spinal Immobilization
- correct answer Always suspect with: MVA, Pedestrian-MVA, Falls, Blunt Trauma, Penetrating Trauma
to head/neck/back/torso, Rapid Deceleration Injuries, Hangings, Axial Loading Injuries, Diving Accidents
Commotio Cordia
- correct answer Hard hit to the center of the chest, causing disturbance of rhythm and V fib. Treat
immediately with CPR and AED.
Body Surface Area (Burns)
- correct answer Head/neck - 9% TBSA Each arm - 9% TBSA Anterior thorax - 18% TBSA Posterior thorax -
18% TBSA Each leg - 18% TBSA Perineum - 1% TBSA
Traumatic Brain Injury Patterns
- correct answer
Intracranial Pressure
- correct answer As a result of TBI. Signs: cheyne stokes respirations, ataxic respirations, decreased PR,
headache, nausea, vomiting, decreased alertness, nonreactive or sluggish pupils, cushing reflex
Concussion
- correct answer Dizziness, weakness, visual changes, nausea/vomiting, ringing in ears, slurred speech,
inability to focus, lack of coordination, delay of motor function, inappropriate emotional response,
temporary headache, disorientation
Glasgow Coma Scale
- correct answer Eye Opening (spontaneous 4) (response to speech 3) (pain 2) (none 1)
Verbal Response (oriented 5) (confused 4) (inappropriate 3) (incomprehensible 2) (none 1)
Motor (Obeys command 6) (localizes pain 5) (withdraws to pain 4) (abnormal flexion 3) (abnormal
extension 2) (none 1)
Contusion
- correct answer Far more serious than concussion. Involves injury to brain tissue. May exhibit any or all
of the signs of brain injury.