Terms in this set (24)
-The main goal the airway should be open for air movement and then
protected against aspirations.
-Initial management may be a jaw thrust or trauma chin lift in order to
Airway Management determine if their are secretions blocking the airway, then the use of a
suction to remove any secretions may be used.
Aerobic - The most efficient method for generating energy. Cells take in
oxygen and glucose and metabolize them through a process that produces
energy with CO2 by product
Anaerobic - This occurs without oxygen and is the "backup power" in the
Anaerobic vs Aerobic Metabolism
body. Uses stored body fat as its energy source. This can only be utilized
for a short time.
, Steps in bleeding control
1. Direct pressure/pressure dressing
2. Apply TQ
3. Consider use of hemostatic agent for prolonged transport
Use of a TQ
-Apply high and tight
-Tighten until stops the distal pulse
Bleeding Control
Hemostatic agents may be used in cases of non arterial severe bleeding in
extremities and sever bleeding truncal sites.
, Types of Brain Injuries
-Cerebral Concussion
-Result of symptoms persisting after a mild TBI
-Vacant stare, delayed response, confusion, disorientation, slurred speech,
lack of coordinating, inappropriate emotions, memory deficits, inability to
memorize.
-Epidural Hematoma
-Result of fracture of temporal bone that damages the middle meningeal
artery which results in arterial bleeding between the skull and dura mater.
-Brief loss of consciousness, Lucid interval (not specific to epidural),
dilated sluggish pupils.
-Subdural Hematoma
-Results from venous bleeds, bridging veins are torn during a violent blow
to the head
-Presents in two ways: Rapid will show acutely depressed mental status and
need rapid ID; occult subdural hematomas often occur in older PTs after a
fall and due to gradual effect may not be noticed for multiple days
-Subarachnoid Hemorrhage
-Bleeding beneath the arachnoid membrane, usually associate dwith
spontaneous cerebral aneurysms. Worst headache of their life.
-Cerebral Contusions
-Typically result of blunt trauma, 12-24 hours to appear on CT scans, the
only sign may be a depressed GCS (9-13).
-Penetrating Cranial Injury
-Results from open fracture to skull. Bad news.
Secondary Brain Injury
-Injury to structures that were originally unharmed by the primary injury.
Brain Injuries
Controlled Hyperventilations
-When your patient is herniating, you should use controlled
hyperventilation at a rate of 20 for adults and 25 for kids even though you
know that you may cause some cerebral vasoconstriction—the guy is going
to croak if you don't do something, even if it has a horrendous side effect.
-The main goal the airway should be open for air movement and then
protected against aspirations.
-Initial management may be a jaw thrust or trauma chin lift in order to
Airway Management determine if their are secretions blocking the airway, then the use of a
suction to remove any secretions may be used.
Aerobic - The most efficient method for generating energy. Cells take in
oxygen and glucose and metabolize them through a process that produces
energy with CO2 by product
Anaerobic - This occurs without oxygen and is the "backup power" in the
Anaerobic vs Aerobic Metabolism
body. Uses stored body fat as its energy source. This can only be utilized
for a short time.
, Steps in bleeding control
1. Direct pressure/pressure dressing
2. Apply TQ
3. Consider use of hemostatic agent for prolonged transport
Use of a TQ
-Apply high and tight
-Tighten until stops the distal pulse
Bleeding Control
Hemostatic agents may be used in cases of non arterial severe bleeding in
extremities and sever bleeding truncal sites.
, Types of Brain Injuries
-Cerebral Concussion
-Result of symptoms persisting after a mild TBI
-Vacant stare, delayed response, confusion, disorientation, slurred speech,
lack of coordinating, inappropriate emotions, memory deficits, inability to
memorize.
-Epidural Hematoma
-Result of fracture of temporal bone that damages the middle meningeal
artery which results in arterial bleeding between the skull and dura mater.
-Brief loss of consciousness, Lucid interval (not specific to epidural),
dilated sluggish pupils.
-Subdural Hematoma
-Results from venous bleeds, bridging veins are torn during a violent blow
to the head
-Presents in two ways: Rapid will show acutely depressed mental status and
need rapid ID; occult subdural hematomas often occur in older PTs after a
fall and due to gradual effect may not be noticed for multiple days
-Subarachnoid Hemorrhage
-Bleeding beneath the arachnoid membrane, usually associate dwith
spontaneous cerebral aneurysms. Worst headache of their life.
-Cerebral Contusions
-Typically result of blunt trauma, 12-24 hours to appear on CT scans, the
only sign may be a depressed GCS (9-13).
-Penetrating Cranial Injury
-Results from open fracture to skull. Bad news.
Secondary Brain Injury
-Injury to structures that were originally unharmed by the primary injury.
Brain Injuries
Controlled Hyperventilations
-When your patient is herniating, you should use controlled
hyperventilation at a rate of 20 for adults and 25 for kids even though you
know that you may cause some cerebral vasoconstriction—the guy is going
to croak if you don't do something, even if it has a horrendous side effect.
