Paramedic FISDAP Trauma V2 Questions and Answers 100%
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Subcutaneous emphysema
A physical finding of air within the subcutaneous tissue,
described as a crackling or popping feeling under the skin
Disseminating Intravascular Coagulation
A pathological process characterized by the widespread
activation of the clotting cascade that results in the formation
of blood clots in the small vessels throughout the body.
Interferes with the body's ability to use fibrin for clotting when
its actually needed thus increasing the chances of severe
hemorrhage
Disseminating intravascular coagulation is most commonly
caused by?
Sepsis, tumors, and trauma
Also referred to as a traumatic dissection or rupture of the
aorta
Transected aorta
Transected aorta
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Shear forces cause the layers of the aorta to separate allowing
blood to enter, this increases the pressure within the artery
causing it to begin to dissect
Signs and symptoms of a transected aorta
Severe hypotension
Severe tearing chest pain that may radiate to the back
Difference in pulses in the left/ right upper extremities or weak
pulses in the lower extremities
Rhabdomyolysis
Acute destruction of skeletal muscle
Occurs when crush syndrome causes skeletal muscle to undergo
necrosis and cellular changes causing it to begin degeneration
Rhabdomyolysis
Kehr's sign
Referred pain to the left shoulder caused by a ruptured spleen
Obstructive shock
The heart and vessels are working but oxygenated blood is not
being delivered adequately due to an obstruction
Common causes of obstructive shock
Cardiac tamponade, tension pneumothorax, pulmonary
embolism
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Distributive shock
Lack of vascular tone or major vasodilation hinders the ability of
blood to perfuse through the body (the pipes are too big)
Common causes of distributive shock
Sepsis, anaphylaxis, neurological/ spinal trauma, toxic exposure
Hypovolemic shock
Any significant reduction in the volume of the cardiovascular
system
Common causes of hypovolemic shock
Hemorrhage, severe burns, fluid/ electrolyte loss (vomiting,
diarrhea, sweating, excessive urination), and "third spacing" of
fluid that can occur in severe pancreatitis or ascites of the liver
Neurogenic shock
Due to the loss of sympathetic tone from a spinal cord injury,
the "message" to constrict is no longer being sent to the
smooth muscle in the vascular system
Cushing's Triad
Bradycardia, widening pulse pressures, and irregular
respirations (Cheyenne-Stokes)
Cardiogenic shock