Severe Epistaxis after facial injury: Significant IV fluids may be required to maintain perfusion.
Lateral neck laceration with difficulty hearing: Protect the spine and control bleeding with occlusive bandage
Failed orotracheal intubation due to massive facial You will likely need cricothrotomy
trauma:
Ballistics basics: Rifle vs Handgun- High velocity with rifle
Frontal collision pneumothorax mechanisms: Caused by a deep breath before impact---> Rapid lung decompression upon
impact
Lateral impact trauma: Depending on arm position but mostly upper extremities injuries
Abrupt deceleration risks: Shearing or rupturing organs
Rapid deceleration energy dissipation: Cause major injuries (Kinetic energy)
Potential energy example: Bridge pillar
Kinetic energy impact increases with speed: Greatest energy with the highest listed speed
Chest deceleration effect mostly: Aorta
Skid marks hint: Rapid deceleration
Significant fall height: Greater than 15 ft
Fall landing on feet: Compression fractures or burst fractures in spine
Close-range GSW: Powder burns indicate
Least threatening mechanism: Rear-end collision
, Trauma Module Exam
Exit wound: Occurs when energy is not fully dissipated
Air bags help with: Preventing ejection if seat belt is not worn
Predict injuries: MIO or Index of suspicion
Post lightning cardiac arrest may: Spontaniously resume
Electrical injury cardiac arrest causes: Secoundary hypoxia or direct
Burn with hoarseness: inhalation burns
Common causes of death from electric: Asphyxia or cardiac arrrest
Common cause of death from fires: Pulmonary injury, inhalation burns
Electrical injury transport: Monitor for lethal dysrhythmias
Chemical burns ( Dry lime): Brush off with copious amounts of water
Ocular injury: Dysconjugate gaze = Discoordination of eye movements
Brady Cardia after neck injury: After carotid sinus stimulation
Impaled neck object: Airway options; possible cric
Maxillofacial trauma: protect spine, monitor neuro statis
Dental trauma: Assess for assunt signs in the knuckles
Severe head injury: Airway, intubate, neuro checks, elevate head
Wound packing: Hemostatic gauze and direct pressure