TNCC Trauma Nursing Core Course 7th Edition ENA
Components of SBAR and its purpose - answer--S:
Situation B: Background A: Assessment R:
Recommendation Purpose- to provide framework for
communication amount members of the healthcare team p.
7 Component
Describe the three E's of injury control
- ans -Engineering: technological interventions such as side impact airbags,
automated blind spot alarms, ignition lock devices for those with DUIs. In
playgrounds and sports, this involves surface material under playground
equipment and athletic safety gear. Another intervention is improved use of
smoke alarms in fire prevention
Enforcement and legislation: include laws at all jurisdictional levels regarding
driving while intoxicated, booster seats, primary seatbelt use, and distracted
driving. For sports this includes rules regarding illegal hits, examination after
impact, and return-to-play requirements after a head injury
Education: these can be community-based initiatives such as public service
announcements for improved seatbelt use, education regarding risks of distracted
driving, programs to commit to no texting while driving, and promotions for
bicycle helmet giveaways with instructions for proper use
p. 11
How can the trauma nurse have an impact when it comes to the legislative
process?
- ans -By advocating for stronger laws and more consistent enforcement
p. 11
Define kinematics
- ans -The study of energy transfer as it applies to identifying actual or intentional
injuries
,p. 25
Define biomechanics
- ans -The general study of forces and their effects
p. 25
Define mechanism of injury (MOI)
- ans -How external energy forces in the environment are transferred to the body
p. 25
Newton's First Law of Motion
- ans -A body at rest will remain at rest, and a body in motion will stay in motion
p. 26
Newton's Second Law of Motion
- ans -Force = Mass X Acceleration
p. 26
Newton's Third Law of Motion
- ans -For every action, there is an equal and opposite reaction
p. 26
Law of Conservation of Energy
- ans -Energy can neither be created nor destroyed, but it can change form
p. 26
Describe energy forms
- ans -- Mechanical (energy transfer from one object to another in the form of
motion)
- Thermal (energy transfer of heat in environment to the host)
,- Chemical (heat energy transfer from active chemical substances such as
chlorine, drain cleaner, acids, or plants)
- Electrical (energy transfer from light socket, power lines, or lightning)
- Radiant (energy transfer from blast sound waves, radioactivity such as a nuclear
facility, or rays of the sun)
p. 26
External energy forces can be exerted on the body by the following forces
- ans -- Deceleration forces: include those applied in falls and collisions where
injuries are caused by sudden stop of the body's motion
- Acceleration forces: not as common as deceleration forces and result from a
sudden and rapid onset of motion (parked car being hit by a vehicle traveling at a
high rate of speed)
- Compression force is an external force applied at times of impact, explains
include:
+ Stationary objects such as dashboards or steering wheels, that collide with or
push up into a person
+ Objects in motion such as bullets and stabbing instruments, bats and balls, fists
and feet, or heavy falling objects
+ Blast forces
p. 27
The degree to which tissues resist destruction under circumstances of energy
transfer depends on...
- ans -Their proximity to the impact and their structural characteristics
p. 27
Structural strengths of tissue are described in what three ways?
- ans --Compression
-Tensile
-Shear
p. 27
, Compression strength refers to the tissue's ability to:
- ans -Resist crush force
- Compression injuries to organs occur when the organs are crushed from
surrounding internal organs or structures such as a seatbelt worn up across the
abdomen causing compression of the small bowel or a fracture to the lumbar
spine
p. 27
Tensile strength describes the tissue's ability to:
- ans -Resist pulling apart when stretched
- Tendons, ligaments, and muscles can tear when they are overstretched (Achilles
tendon)
p. 27
Shear strength describes the tissue's ability to:
- ans -Resist a force applied parallel to the tissue
- Coup/contrecoup injury, such as a boxer being hit in the head, is an example of
this
p. 27
Types of injuries include
- ans -- Blunt trauma
- Penetrating trauma
- Thermal trauma
- Blast trauma
p. 28
Lateral impacts (T-bone) are associated with
- ans -Shear injuries to aorta and other organs, fracture of the side clavicle, lateral
pelvic and abdominal injuries, and lateral head and neck injury
p. 30
Components of SBAR and its purpose - answer--S:
Situation B: Background A: Assessment R:
Recommendation Purpose- to provide framework for
communication amount members of the healthcare team p.
7 Component
Describe the three E's of injury control
- ans -Engineering: technological interventions such as side impact airbags,
automated blind spot alarms, ignition lock devices for those with DUIs. In
playgrounds and sports, this involves surface material under playground
equipment and athletic safety gear. Another intervention is improved use of
smoke alarms in fire prevention
Enforcement and legislation: include laws at all jurisdictional levels regarding
driving while intoxicated, booster seats, primary seatbelt use, and distracted
driving. For sports this includes rules regarding illegal hits, examination after
impact, and return-to-play requirements after a head injury
Education: these can be community-based initiatives such as public service
announcements for improved seatbelt use, education regarding risks of distracted
driving, programs to commit to no texting while driving, and promotions for
bicycle helmet giveaways with instructions for proper use
p. 11
How can the trauma nurse have an impact when it comes to the legislative
process?
- ans -By advocating for stronger laws and more consistent enforcement
p. 11
Define kinematics
- ans -The study of energy transfer as it applies to identifying actual or intentional
injuries
,p. 25
Define biomechanics
- ans -The general study of forces and their effects
p. 25
Define mechanism of injury (MOI)
- ans -How external energy forces in the environment are transferred to the body
p. 25
Newton's First Law of Motion
- ans -A body at rest will remain at rest, and a body in motion will stay in motion
p. 26
Newton's Second Law of Motion
- ans -Force = Mass X Acceleration
p. 26
Newton's Third Law of Motion
- ans -For every action, there is an equal and opposite reaction
p. 26
Law of Conservation of Energy
- ans -Energy can neither be created nor destroyed, but it can change form
p. 26
Describe energy forms
- ans -- Mechanical (energy transfer from one object to another in the form of
motion)
- Thermal (energy transfer of heat in environment to the host)
,- Chemical (heat energy transfer from active chemical substances such as
chlorine, drain cleaner, acids, or plants)
- Electrical (energy transfer from light socket, power lines, or lightning)
- Radiant (energy transfer from blast sound waves, radioactivity such as a nuclear
facility, or rays of the sun)
p. 26
External energy forces can be exerted on the body by the following forces
- ans -- Deceleration forces: include those applied in falls and collisions where
injuries are caused by sudden stop of the body's motion
- Acceleration forces: not as common as deceleration forces and result from a
sudden and rapid onset of motion (parked car being hit by a vehicle traveling at a
high rate of speed)
- Compression force is an external force applied at times of impact, explains
include:
+ Stationary objects such as dashboards or steering wheels, that collide with or
push up into a person
+ Objects in motion such as bullets and stabbing instruments, bats and balls, fists
and feet, or heavy falling objects
+ Blast forces
p. 27
The degree to which tissues resist destruction under circumstances of energy
transfer depends on...
- ans -Their proximity to the impact and their structural characteristics
p. 27
Structural strengths of tissue are described in what three ways?
- ans --Compression
-Tensile
-Shear
p. 27
, Compression strength refers to the tissue's ability to:
- ans -Resist crush force
- Compression injuries to organs occur when the organs are crushed from
surrounding internal organs or structures such as a seatbelt worn up across the
abdomen causing compression of the small bowel or a fracture to the lumbar
spine
p. 27
Tensile strength describes the tissue's ability to:
- ans -Resist pulling apart when stretched
- Tendons, ligaments, and muscles can tear when they are overstretched (Achilles
tendon)
p. 27
Shear strength describes the tissue's ability to:
- ans -Resist a force applied parallel to the tissue
- Coup/contrecoup injury, such as a boxer being hit in the head, is an example of
this
p. 27
Types of injuries include
- ans -- Blunt trauma
- Penetrating trauma
- Thermal trauma
- Blast trauma
p. 28
Lateral impacts (T-bone) are associated with
- ans -Shear injuries to aorta and other organs, fracture of the side clavicle, lateral
pelvic and abdominal injuries, and lateral head and neck injury
p. 30
