Chamberlain NR 224: Fundamentals Skills Exam 2 Review
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Chamberlain college NUR 340 Critical Care Exam 2 Trauma
QUESTIONS AND ANSWERS
·Trauma - caused by injury or external force o 3 types
▪ Blunt
·Most common type
·When something hits the body. Ex. Car accidents, falls, beatings.
,Problem: Is you don’t always see the extent of the injury. Don’t know what’s going on under the
·
surf ace.
·FAST Scan (Focused Assessment with Sonography for Trauma)
o Quick ultrasound of organs in the abdomen to determine any internal
injuries · Abdominal injury most commonly associated with blunt forced
trauma. ▪ Penetrating
· Anything that penetrates the body. Ex. Gunshot, stabbing, anything that piercing the skin and
is sticking out of you, ice picks. Less Common.
· 2 Problems:
o High infection risk. Especially with
o Did object injuries to the abdomen. hit any
vital/internal organs?
▪ Depending on what organ is hit it can leak into the body (i.e stomach/GI contents). We look at
this when someone gets shot. Did it hit anything vital? ▪ Blasts
· 3 concerns
o What got blasted? What kind of shrapnel what is exploding? Anything
that explodes.
o Injury to internal hollow organ from shockwaves. Depends on how close
you are to the
o First concern: blast. What is blasted out of the bomb maybe a Whatever
is chemical or object ex: screws being blasted out, chemicals from the bomb.
Second concern: Trauma to our hollow internal organs from the shock waves.
Final Concern: Secondary injuries related to how close you were to the blast.
Ex: Could be thrown a distance injuring spinal cord.
o Secondary (tertiary) injuries (Blunt, head, spinal cord, burns, bleeding)
·Means to sort – based on the need of each patient.
·Any time you have multiple people in a large trauma. We triage patients by color.
,·Color coding system
o Red – A B or C is compromised, priority. These individuals will get to the
hospital first; they will take the first ambulances or get flown out. o Yellow –
ABC intact but still has serious injury, second priority
▪ Femur factures with stable vitals, second degree burns (stable vitals)
o Green – Minor injury (sprains, minor burns, scratches, abrasions), least
priority people who will wait the longest and be bitching the longest.
o Black – Dead (no breathing, no pulse, fixed dilated pupil) use resources
elsewhere.
▪ Someone with Cardiac Tamponade with hill 3 specifics: Beck’s
· Trauma Triad JVD, Hypotension, and muffled
Hospitals: Trauma heart sounds Patient needs
centers get graded on pericardialcentesis
scale 1 - 4 o Level 1 -
most comprehensive Ex: Color Red o Level 4 – least comprehensive: Stabilizes patient and ships
them out elsewhere
·Trauma Team – when patient gets to hospital they are presented with a trauma team o Preset
o Doctor, trauma surgeon, nurses, respiratory therapist, lab, radiology,
PCT o Pastoral services (support of family or patient), end of life - last
rights(prayers) Ex: Priest, Pastor
o Security – shit gets wild. (gangs, domestic violence, famous people,
patients (medications)
·Primary Survey (see table)
o One to two minute evaluation tool in which we assess establish priorities
and treat at the very same time. o
Airway comes first always EXCEPT when patient was a spinal cord injury
toy would FIRST stabilize spine before
airway if suspected
spinal injury.
o Drug and alcohols effect on the trauma
, If you make it to secondary survey and your patient starts to be
▪ unstable what do you do? START
▪ OVER, go
Survey back to A
A=Airway – is Primary Survey: facial/head
our patient Treatment/Actions
airways intact Rationale Abnormal Assessment
if so move on to Findings First: Opening the airway
B, if not with a headtiltchin-lift or
Obstructions can occur due Shallow,
perform an jaw-thrust maneuver
noisy breathing, to edema, posterior dis-
intervention. Insertion of an oral or
stridor, central cyanosis, placement
Assess airway nasal airway
of the tongue, in- nasal flaring, accessory
patency Endotracheal intubation
musability to protect airway due cle
Treatment, use, anxiety, inability to to neurological Tracheostomy of
causes of impairment speak or swallow, crycoidthyrotomy
trauma, drooling, or high level spinal cord in
withdrawals. decreased level of conjury, vomit,
blood or a for sciousness,
B=Breathing Breathing pulmonary Asymmetrical chest
Assess for problems can contusion, flail occur dueexpansion, absent,
breathing to chest and spinal altered mental decreased or unequal
effectiveness cord injury status, tension breath sounds, chest
eign object trauma pneumothorax, wounds, accessory muscle
pneumothorax use, anxiety, tracheal shift,
decreased level of
(open or closed), hemothorax,
consciousness, tracheal
deviation,
cyanosis, increased If patient has lung them. insertion, early intubation
resp trouble Sometimes you and mechanical
rate, breathing give might place: ventilation, cervical spine them oxygen or (Listed
Below) stabilization
Airway always give them a Needle comes first ventilator. You decompression,
EXCEPT read also need to chest tube above!! think about the
Exam Latest Updated Exam | Fully comprehensive
Questions Bank With Expert Curated Questions & Answers
+ Rationales | Verified For Accuracy
Chamberlain college NUR 340 Critical Care Exam 2 Trauma
QUESTIONS AND ANSWERS
·Trauma - caused by injury or external force o 3 types
▪ Blunt
·Most common type
·When something hits the body. Ex. Car accidents, falls, beatings.
,Problem: Is you don’t always see the extent of the injury. Don’t know what’s going on under the
·
surf ace.
·FAST Scan (Focused Assessment with Sonography for Trauma)
o Quick ultrasound of organs in the abdomen to determine any internal
injuries · Abdominal injury most commonly associated with blunt forced
trauma. ▪ Penetrating
· Anything that penetrates the body. Ex. Gunshot, stabbing, anything that piercing the skin and
is sticking out of you, ice picks. Less Common.
· 2 Problems:
o High infection risk. Especially with
o Did object injuries to the abdomen. hit any
vital/internal organs?
▪ Depending on what organ is hit it can leak into the body (i.e stomach/GI contents). We look at
this when someone gets shot. Did it hit anything vital? ▪ Blasts
· 3 concerns
o What got blasted? What kind of shrapnel what is exploding? Anything
that explodes.
o Injury to internal hollow organ from shockwaves. Depends on how close
you are to the
o First concern: blast. What is blasted out of the bomb maybe a Whatever
is chemical or object ex: screws being blasted out, chemicals from the bomb.
Second concern: Trauma to our hollow internal organs from the shock waves.
Final Concern: Secondary injuries related to how close you were to the blast.
Ex: Could be thrown a distance injuring spinal cord.
o Secondary (tertiary) injuries (Blunt, head, spinal cord, burns, bleeding)
·Means to sort – based on the need of each patient.
·Any time you have multiple people in a large trauma. We triage patients by color.
,·Color coding system
o Red – A B or C is compromised, priority. These individuals will get to the
hospital first; they will take the first ambulances or get flown out. o Yellow –
ABC intact but still has serious injury, second priority
▪ Femur factures with stable vitals, second degree burns (stable vitals)
o Green – Minor injury (sprains, minor burns, scratches, abrasions), least
priority people who will wait the longest and be bitching the longest.
o Black – Dead (no breathing, no pulse, fixed dilated pupil) use resources
elsewhere.
▪ Someone with Cardiac Tamponade with hill 3 specifics: Beck’s
· Trauma Triad JVD, Hypotension, and muffled
Hospitals: Trauma heart sounds Patient needs
centers get graded on pericardialcentesis
scale 1 - 4 o Level 1 -
most comprehensive Ex: Color Red o Level 4 – least comprehensive: Stabilizes patient and ships
them out elsewhere
·Trauma Team – when patient gets to hospital they are presented with a trauma team o Preset
o Doctor, trauma surgeon, nurses, respiratory therapist, lab, radiology,
PCT o Pastoral services (support of family or patient), end of life - last
rights(prayers) Ex: Priest, Pastor
o Security – shit gets wild. (gangs, domestic violence, famous people,
patients (medications)
·Primary Survey (see table)
o One to two minute evaluation tool in which we assess establish priorities
and treat at the very same time. o
Airway comes first always EXCEPT when patient was a spinal cord injury
toy would FIRST stabilize spine before
airway if suspected
spinal injury.
o Drug and alcohols effect on the trauma
, If you make it to secondary survey and your patient starts to be
▪ unstable what do you do? START
▪ OVER, go
Survey back to A
A=Airway – is Primary Survey: facial/head
our patient Treatment/Actions
airways intact Rationale Abnormal Assessment
if so move on to Findings First: Opening the airway
B, if not with a headtiltchin-lift or
Obstructions can occur due Shallow,
perform an jaw-thrust maneuver
noisy breathing, to edema, posterior dis-
intervention. Insertion of an oral or
stridor, central cyanosis, placement
Assess airway nasal airway
of the tongue, in- nasal flaring, accessory
patency Endotracheal intubation
musability to protect airway due cle
Treatment, use, anxiety, inability to to neurological Tracheostomy of
causes of impairment speak or swallow, crycoidthyrotomy
trauma, drooling, or high level spinal cord in
withdrawals. decreased level of conjury, vomit,
blood or a for sciousness,
B=Breathing Breathing pulmonary Asymmetrical chest
Assess for problems can contusion, flail occur dueexpansion, absent,
breathing to chest and spinal altered mental decreased or unequal
effectiveness cord injury status, tension breath sounds, chest
eign object trauma pneumothorax, wounds, accessory muscle
pneumothorax use, anxiety, tracheal shift,
decreased level of
(open or closed), hemothorax,
consciousness, tracheal
deviation,
cyanosis, increased If patient has lung them. insertion, early intubation
resp trouble Sometimes you and mechanical
rate, breathing give might place: ventilation, cervical spine them oxygen or (Listed
Below) stabilization
Airway always give them a Needle comes first ventilator. You decompression,
EXCEPT read also need to chest tube above!! think about the
