Deceleration correct answers Not all organs decelerate at once
Will die from a tear in these 2 things correct answers 1. Descending thoracic aorta (ligamentum
arteriosum)
2. Duodenum (ligament of trites)
Difference between pellets and bullets correct answers Pellets expand on impact and cause
multiple injuries to internal structures
Bullets damage whatever is in the direct path and can ricochet off bones
Trimodal distribution of trauma death correct answers 1. Minutes- at scene, "the golden hour"
2. Minutes-hours: ER, OR
3. Days-weeks: ICU from complications
6 phases of trauma care correct answers 1. Prehospital resuscitation
2. Hospital resuscitation
3. Definitive care and operative phase
4. Critical care.
5. Intermediate care
6. Rehabilitation
1. Prehospital Resuscitation correct answers GOAL: immediate stabilization and transport
2. ER Resuscitation correct answers 1. Rapid primary survey
2. Resuscitation of vital functions
3. Secondary survey
, 4. Initiation of definitive care 9home or admit)
a) Primary survey correct answers ABCDE
Airway
Breathing
Circulation
Disability
Exposure/environmental control
Airway correct answers -Assess airway patency
-Position patient
-Open airway
-Stabilize c-spine
-Interventions
Breathing correct answers OPEN AIRWAY DOES NOT ASSURE ADEQUATE VENTILATION
AND GAS EXCHANGE
-Supplemental O2 for ALL trauma pts
Circulation correct answers Look for hemorrhage
Disability correct answers -Rapid neuro assessment
AVPU
Alert
Responds to Verbal
Responds to Pain
Unresponsive