with Correct Answers
Subcutaneous Emphysema - Answer-is a characteristic crackling sensation produced
by the presence of air. Sign of Laryngeal injury.
Crepitus - Answer-A grinding sensation caused by fractured bone ends or joints rubbing
together.
Ecchymosis - Answer-a discoloration of the skin resulting from bleeding underneath,
typically caused by bruising.
Opening the Airway - Answer-Jaw Thrust with any suspected head/spinal injury! Head
tilt chin lift in medical with no indication for C spine.
Cushing's Triad - 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 - Answer-spinal shock, neurogenic shock, autonomic dysreflexia
Indications for Tourniquet Use - Answer-Spurting, arterial bleeding that is not controlled
by direct pressure. approx 2 inches above.
Indications for Spinal Immobilization - 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 - 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) - 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 - Answer-
Intracranial Pressure - 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 - 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