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WVU NSG 460 Trauma I & II Exam 6 Content Questions And Answers | 2026 Updated Solutions | 100% Correct Answers

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The Typical Trauma Victim -male, 15-24, intoxicated, low income Head Injuries Statistics -typical patient is male, 15-24, intoxicated, low income -ETOH often involved -500,000/yr with brain damage Trauma Statistics -leading cause of death ages 1-40 -350,000 permanently disabled per year -$87,000,000,000 cost per year Spinal Trauma Statistics -16-30 yr olds -50% c-spine -MVC, violence, falls -male, 15-24, intoxicated, low income -8-10,000 new a yr2 Types Of Mechanical Trauma -blunt: MVC, falls ^no penetration of skin -penetrating: gunshot, stab wounds Blunt Trauma -rapid deceleration ^spinal hyperflexion/extension, organs moving at different speed causing them to tear -compression/crush ^against objects and within the body ^ex: landing on legs in fall, and even tho we think this is good, spine is actually crushed Penetrating Trauma -Gunshot ^size and speed of bullet/type of tissue it impacted, diffuse damage ^when bullet goes in, it decelerates, and causes tissue damage..consider-what was it's path? -stab wound ^usually local damage, but can be lethal. Little bit cleaner than gunshot Initial Assessment and Management 3 Phases Of Death are?1. immediate 2. early 3. late Immediate Phase Of Death -minutes -severe closed head injury/c-spine damage, hemorrhage -"dos"- dead on scene -immediately compromises ventilation/perfusion Early Phase Of Death -hours -this is the group we hope to save -the golden hour: begins when the injury occurs, get to a trauma center ASAP! Late Phase Of Death -days/weeks -sepsis, MODS, ARDS, DIC ^this is pt that came in, was stabilized, and then developed something later ^folks end up dying from nothing r/t trauma Mechanism Of Injury -important clues to potential injuries -can suggest both type and severity of injury -"they fell"--think... How far? -"he crashed his car"--think... How fast? -"she was hit by a car"--think...what speed? what car?^compression injury is different between sedan and SUV -50% of people who fall 30 feet die Triage Groups -from french word meaning "to sort" -divides people into 3 groups: beyond need/help (black), immediate need/help (red), delayed need/help (green) Primary Survey & Resuscitation -rapid evaluation to discover and treat lethal injuries -identify immediately treatable life threatening injury with initial resuscitation -airway, breathing, circulation, disability, exposure

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WVU NSG 460 Trauma I & II Exam 6
Content

The Typical Trauma Victim
-male, 15-24, intoxicated, low income

Head Injuries Statistics
-typical patient is male, 15-24, intoxicated, low income

-ETOH often involved

-500,000/yr with brain damage

Trauma Statistics
-leading cause of death ages 1-40

-350,000 permanently disabled per year

-$87,000,000,000 cost per year

Spinal Trauma Statistics
-16-30 yr olds

-50% c-spine

-MVC, violence, falls

-male, 15-24, intoxicated, low income

-8-10,000 new a yr

,2 Types Of Mechanical Trauma
-blunt: MVC, falls

^no penetration of skin

-penetrating: gunshot, stab wounds

Blunt Trauma
-rapid deceleration

^spinal hyperflexion/extension, organs moving at different speed causing them to
tear

-compression/crush

^against objects and within the body

^ex: landing on legs in fall, and even tho we think this is good, spine is actually
crushed

Penetrating Trauma
-Gunshot

^size and speed of bullet/type of tissue it impacted, diffuse damage

^when bullet goes in, it decelerates, and causes tissue damage..consider-what was
it's path?

-stab wound

^usually local damage, but can be lethal. Little bit cleaner than gunshot

Initial Assessment and Management

3 Phases Of Death are?

, 1. immediate
2. early
3. late

Immediate Phase Of Death
-minutes
-severe closed head injury/c-spine damage, hemorrhage
-"dos"- dead on scene
-immediately compromises ventilation/perfusion

Early Phase Of Death
-hours

-this is the group we hope to save

-the golden hour: begins when the injury occurs, get to a trauma center ASAP!

Late Phase Of Death
-days/weeks

-sepsis, MODS, ARDS, DIC

^this is pt that came in, was stabilized, and then developed something later

^folks end up dying from nothing r/t trauma

Mechanism Of Injury
-important clues to potential injuries

-can suggest both type and severity of injury

-"they fell"--think... How far?

-"he crashed his car"--think... How fast?

-"she was hit by a car"--think...what speed? what car?

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