PMED 130 FISDAP TRAUMA UNIT II 2026 FINAL
PAPER REVIEW QUESTIONS ANSWERS
BUNDLED PRACTICE COLLECTION
◉ Up and Over Pathway
Answer: Chest hits the steering wheel, head hits the windshield and
anterior portion of the throat hits the top of the steering wheel. Can
cause significant head and neck injuries.
◉ Head on Impact in Motorcycle Crashes
Answer: Head on impact- motorcycle strikes another object and
stops its forward motion, while the rider continues forward motion
until stopped by outside force. This causes the rider to go over the
handlebars, which causes femur fractures, and tib fractures.
◉ Angular Impact in Motorcycle Crashes
Answer: The motorcycle strikes an object, or another vehicle at an
angel so that the rider sustains direct crushing injuries to the lower
extremity between the object and motorcycle.
◉ Motorcycle Crashes
Answer: With any motorcycle crash, the helmet should be removed
carefully if airway management techniques cannot be performed
,with the helmet in place or the helmet doesn't fit properly on the
riders head.
◉ Pedestrian Injuries
Answer: Most pedestrian injuries occur at an intersection, at night.
First, the pedestrian is hit in the lower extremities with the cars
bumpers. Second, the pedestrian is thrown on the top of the car
(resulting in brain injuries, and pelvic fractures. Third, the
pedestrian hits the ground or some other object after rolling off the
top or the side of the vehicle.
◉ Waddell Triad
Answer: Refers to the pattern of automobile pedestrian injuries in
children and people of short stature; 1) bumper hits the
pelvis/femur instead of the knees, 2) the chest & abdomen hit the
grill or low on the hood of the car (sternal & rib fractures), 3) the
pt's face hits the hood, then flies back, and hits the ground.
◉ Fall Severity Factors
Answer: 1) Height- determines the velocity of the fall. A fall greater
than 15 feet or 2.5-3 times the pt's height will have a greater injury
& higher rate of death. 2) Position- children usually land on their
heads (more mass), and adults tend to try to land on their feet, cause
spinal injuries "Don Juan Syndrome or Lovers Leap". 3) Surface-
Snow vs. Concrete.
, ◉ Blunt Trauma
Answer: Refers to injuries in which the tissues are not penetrated by
an external object.
◉ Penetrating Trauma
Answer: Involves a disruption of the skin and underlying tissues in a
small, focused area. Most common cause of penetrating trauma-
GSW.
◉ Stab Wounds
Answer: Severity of the stab wound depends on the anatomic area
involved, depth of penetration, blade length and angle of
penetration.
◉ GSW
Answer: The most important factor for the seriousness of a gunshot
wound is the type of tissue through which the projectile passes.
Tissues of high elasticity like muscle, is better able to tolerate
stretch, rather than the liver.
◉ Entry Wound
Answer: Characterized by the effects of initial contact & implosion.
*As a general rule, the entrance wound (usually funnel shaped), is
always smaller than the exit wound.
PAPER REVIEW QUESTIONS ANSWERS
BUNDLED PRACTICE COLLECTION
◉ Up and Over Pathway
Answer: Chest hits the steering wheel, head hits the windshield and
anterior portion of the throat hits the top of the steering wheel. Can
cause significant head and neck injuries.
◉ Head on Impact in Motorcycle Crashes
Answer: Head on impact- motorcycle strikes another object and
stops its forward motion, while the rider continues forward motion
until stopped by outside force. This causes the rider to go over the
handlebars, which causes femur fractures, and tib fractures.
◉ Angular Impact in Motorcycle Crashes
Answer: The motorcycle strikes an object, or another vehicle at an
angel so that the rider sustains direct crushing injuries to the lower
extremity between the object and motorcycle.
◉ Motorcycle Crashes
Answer: With any motorcycle crash, the helmet should be removed
carefully if airway management techniques cannot be performed
,with the helmet in place or the helmet doesn't fit properly on the
riders head.
◉ Pedestrian Injuries
Answer: Most pedestrian injuries occur at an intersection, at night.
First, the pedestrian is hit in the lower extremities with the cars
bumpers. Second, the pedestrian is thrown on the top of the car
(resulting in brain injuries, and pelvic fractures. Third, the
pedestrian hits the ground or some other object after rolling off the
top or the side of the vehicle.
◉ Waddell Triad
Answer: Refers to the pattern of automobile pedestrian injuries in
children and people of short stature; 1) bumper hits the
pelvis/femur instead of the knees, 2) the chest & abdomen hit the
grill or low on the hood of the car (sternal & rib fractures), 3) the
pt's face hits the hood, then flies back, and hits the ground.
◉ Fall Severity Factors
Answer: 1) Height- determines the velocity of the fall. A fall greater
than 15 feet or 2.5-3 times the pt's height will have a greater injury
& higher rate of death. 2) Position- children usually land on their
heads (more mass), and adults tend to try to land on their feet, cause
spinal injuries "Don Juan Syndrome or Lovers Leap". 3) Surface-
Snow vs. Concrete.
, ◉ Blunt Trauma
Answer: Refers to injuries in which the tissues are not penetrated by
an external object.
◉ Penetrating Trauma
Answer: Involves a disruption of the skin and underlying tissues in a
small, focused area. Most common cause of penetrating trauma-
GSW.
◉ Stab Wounds
Answer: Severity of the stab wound depends on the anatomic area
involved, depth of penetration, blade length and angle of
penetration.
◉ GSW
Answer: The most important factor for the seriousness of a gunshot
wound is the type of tissue through which the projectile passes.
Tissues of high elasticity like muscle, is better able to tolerate
stretch, rather than the liver.
◉ Entry Wound
Answer: Characterized by the effects of initial contact & implosion.
*As a general rule, the entrance wound (usually funnel shaped), is
always smaller than the exit wound.
