NSER 7410 - Module 5 Exam Questions with Correct Answers Already Passed

NSER 7410 - Module 5 Exam Questions with Correct Answers Already Passed Define a blunt trauma - Answers The trauma does not break skin, distributes force over a larger area and can result in more widespread (and usually) hidden damage Injury will depend on the amount of force involved and the type of structure of organ(s) involved Define an acceleration injury and state and example - Answers A change in speed of an object. As speed or velocity increases so does the tissue damage. Ex: Whiplash Define an decceleration injury and state and example - Answers injuries result from the decrease in speed and causes objects or organ strikes with a stationary object. MVA into a tree Define a compression injury and state an example - Answers Application of a squeezing or inward force. Causes solid organs to rupture and vascular organs to bleed, and hollow organs to spill contents Crush or fall injury Describe the paper bag effect in trauma - Answers In a traumatic accident, a person will often instinctively take a deep breath and hold their breath. This deep breath fills the lungs with air (paper bag) and closes the glottis (neck of the bag). On impact, the chest is hit (by the steering wheel, ground, or handle bars), which causes the internal pressures of the lungs to increase. Consequently, a hole is created in the lung and pleural covering, creating a pneumothorax Define a penetrating trauma - Answers Penetrating trauma breaks the skin Can cause internal bleeding, external bleeding, vessel damage, and organ damage. Can cause potentially life threatening injuries such as pneumothorax, hemothorax, cardiac tamponade Describe the patho of a gunshot wound - Answers As the bullet enters tissue, it creates a sonic wave as well as a cavity. The tissue then recoils leaving a permanent wound track or cavity. As the bullet passes through tissue, it creates both temporary and crush injuries, stretching the tissues in its path State 5 specific questions in the triaging/documentation of gunshot wounds - Answers 1. Distance from the weapon to the victim 2. Number of wounds and their appearances 3. Description of soot and burns, wound edges, tearing of the skin and location of palpable bullets 4. Blood loss at the scene and amount of fluid the patient has already received 5. Patient condition at the scene Describe the process of the duty to report gunshot and stab wounds - Answers All gunshot wounds, and all stab wounds that are not thought to be self inflicted or accidental, must be reported to the police Must report the following: - The patients name, if known - If the person is being, or has been treated - The location or institution where the patient was treated Describe the 4 components of the Assessment of Blood Consumption score, that can help determine if a patient needs a massive transfusion protocol - Answers SBP > 90 HR > 120 FAST positive Penetrating trauma