Paramedic Trauma FISDAP Exam

Paramedic Trauma FISDAP Exam If you see a cracked windshield in a MVC... what will the pt represent with? Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until proven otherwise), tracheal injury. If you see a deformed steering column in a MVC... what will the pt represent with? Bruised neck, bruised chest. Sternal or rib fracture, flail chest, myocardial contusion, *pericardial tamponade, pneumo/hemothorax, aortic tear. If you see a deformed dashboard in a MVC... what will the pt represent with? Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee, *femoral fracture, dislocated hip. Phases of Deceleration 1) Deceleration of the vehicle, occurs when the vehicle strikes another object & comes to a stop. 2) Deceleration of occupant, which starts during sudden braking & continues through the whole crash. 3) Deceleration of internal organs, that consist of internal organs that continue forward momentum until they're stopped by anatomical restraints. 4) Secondary collisions, which occur when a vehicle occupant is hit by objects moving within the vehicle (loose objects). 5) Additional impacts, that the vehicle may receive when it is hit by a second vehicle or is deflected into another. Seat Belt Use All arguments against seat belt use are unfounded. Primary Blast Injury Injuries due to the wave blast itself, usually causing damage to the lungs, eardrums and other compressible organs (air filled cavities). Burns also may occur. Secondary Blast Injury Injuries due to missiles being propelled by blast force (struck by flying debris). Tertiary Blast Injury Injuries due to body impact with another object (when a person is hurled by the force against stationary objects). Perfusion Circulation of blood within an organ or tissue in adequate amounts to meet the cells needs. Autonomic Nervous System Monitors the body's needs from moment to moment, adjusting the blood flow as required. Maintains homeostasis & is divided into the parasympathetic & sympathetic components that oppose each other and keep vital functions in balance. Compensated Shock (Phase 1) Tachycardia, NORMAL BP, thirst, anxiety, clammy/cool skin. Decompensated Shock (Phase 2) AMS, DROP IN BP, thready/absent peripheral pulse, labored or irregular breathing. Wet Dressing Used for small, superficial burns. Rhabdomyolysis The destruction of muscle tissue leading to a release of potassium and myoglobin. Chemical Burns Flush the area off with water, remove pt's clothing & jewelry. Hydrofluoric Acid (HF) Is found in drain cleaner, and for etching glass, and in industrial settings. Pt will complain of burning, and will not stop with copious amounts of flushing. Calcium chloride will work to relieve the pain/burning. How to assess a electrical injury...? The first thing is to protect yourself and bystanders. If powerlines are down on a car, you tell your pt to remain in the car and do not go near it. Le Fort 1 Fracture From the bottom of the nose down. Involves the mandible and the maxilla. Le Fort 2 Fracture Involving the nasal bone and the maxilla. Le Fort 3 Fracture A fracture of all midfacial bones, seperating the entire midface from the cranium. Includes the eyes. Foreign Body in the Eye Shards of metal, wood, etc. can become embedded into the globe of they eye. It can cause irritation and conjunctivitis. When this happens, attempt to flush out the eye from inside (tear duct) to out (outer corner). Dysconjugate Gaze For paralysis of gaze or discoordination between the movements of the two eyes. When a foreign body is impaled in the globe... you should? DO NOT remove it! Stabilize it, cover the eye with a moist, sterile dressing, place a cup or other protective barrier over the object & secure it in place with a bulky dressing. Cover the unaffected eye to prevent movement.