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Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - ANSWER-Herniation Middle Meningeal Artery - ANSWER-Epidural Hematoma (results from collection of blood that forms between dura mater and skull) Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What is the cause? - ANSWER-2nd Impact Syndrome Bowel sounds heard in the L chest. What is this a symptom of? - ANSWER-Ruptured diaphragm Symptoms of __________________: include muffled heart sounds and hypotension - ANSWER-Pericardiocentesis How should you dress a severed limb? - ANSWER-Sterile gauze with normal saline THEN put ice on it Amylase level looks at _____________ - ANSWER-Pancreas What should you do if your patient has hyphema (collection of blood inside the front part of the eye?) - ANSWER-Sit HOB up to 30 degrees Principle that people have to take action after suffering a loss in order to decrease severity, seriousness, or painfulness - ANSWER-Mitigation What organ is most at risk following a gunshot - ANSWER-Liver 8 year old child with longitudinal thigh lacerations - ANSWER-Sign of child abuse Bleeding around belly button - ANSWER-Cullen's Sign What would cause an inaccurate reading from an 02 saturation probe? - ANSWER-Carboxyhemoglobin (increase FiO2 to 100%) General study of forces and their effects on living tissue and the human body - ANSWER-Biomechanics Study of energy transfer as it applies to identifying actual or potential injuries - ANSWER-Kinematics Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the effect is a crushing pressure wave which creates a temporary cavity, followed by a rapid and violent closing of the cavity. - ANSWER-Cavitation This rapid motion can lead to crushing, tearing, and shearing forces on tissue - ANSWER-Cavitation Used in OR; does not provide protection against aspiration and not recommended in patients who have eaten recently. It is a supraglottic airway. - ANSWER-Laryngeal Mask Airway Single tube retroglottic device inserted into the esophagus and traps the glottis opening between an esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each with a separate cuff. Does NOT provide protection against aspiration and is not indicated in children. It is a retroglottic airway. - ANSWER-King Tube Types of Shock (4) - ANSWER-Hypovolemic, Obstructive, Cardiogenic, Distributive Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD)