AQA • TNCC

Initial Assessment - 1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (Primary Survey) - Airway and alertness with simultaneous cervical spinal stabilization. Alertness Assessment - A-Alert V-Verbal P-Painful U-Unresponsive Airway Assessment - Inspect: tongue obstruction, loose/missing teeth, foreign objects, blood, vomitus, secretions, edema, burns o...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? - subdural hematoma A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation? - Elevated creatine kinase A ...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? - subdural hematoma A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation? - Elevated creatine kinase A ...

The major cause of preventable death after injury - Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - Base deficit Examples of primary blast injuries - Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage Examples of secondary blast injuries - Wounds from debris and bomb fragments Examples of tertiary blast injuries - Blunt or penetrating trauma from the body being thrown by the blast Examples o...

The major cause of preventable death after injury - Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - Base deficit Examples of primary blast injuries - Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage Examples of secondary blast injuries - Wounds from debris and bomb fragments Examples of tertiary blast injuries - Blunt or penetrating trauma from the body being thrown by the blast Examples o...

What are the greatest risks for transport? - Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team members According to newtons law which of these two force is greater: size or force? - Neither. For each force there is an equal and opposite reaction. What is the relationship between mass and v...

What are the greatest risks for transport? - Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team members According to newtons law which of these two force is greater: size or force? - Neither. For each force there is an equal and opposite reaction. What is the relationship between mass and v...

An adult patient who sustained a severe head trauma has been intubated and has been manually ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral blood flow? - decrease the rate of manual ventillation An older patient with a history of anticoagulant ...

You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? A. Clean the ear with a cotton-tipped applicator. B. Pack the ear with gauze. C. Notify the physician D. Document and continue the exam. - C. Notify the physician A patient is brought to the emergency department of a rural hospital following a high-speed motor...

A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't sleep because a young child kept coming into the room. What is the most likely cause for these signs and sympt...

ust keep evaluating - vipp - What does the J stand for at the end of the secondary survery? vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? flank - During the head-to-toe, where would you find Grey-Turner's sign? umbilicus - During the head-to-toe, where would you find Cullen's sign? inspecting posterior - What is sometimes deferred at the end of the head-to-toe? AFTER head-to-toe, BEFORE J (VIPP) - Antibiotics, consults, head CT, imaging, law enforce...

An adult pt who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The pt has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mmHg. What is the most important intervention to manage the cerebral blood flow? Decrease the rate of manual ventilation An older adult presents to the emergency depart...

C What are the primary benefits of a team approach to trauma care - it provides a systemic approach to care and organizes care A In the primary survey AVPU is performed to determine if the patient can: - Protect their aiway B WHich may lead to unreliable pulse ox reading - carboxyhemoglobin A The systemic inflammatory response is a normal part of the body's response to shock from traumatic injury. what best describes this response - it is activated by tissue hypoxia and sends neutrophils ...

Biomechanics - is the general study of forces and their effects kinematics - the study of energy transfer as it applies to identifying actual or potential injuries Mechanism of Injury (MOI) - is how external forces are transferred to the body, resulting in injury Newton's First Law - a body at rest will stay at rest unless acted on by an outside force Newton's Second Law - Force = mass x acceleration Newton's Third Law - For every action there is an equal and opposite reaction Law of Co...

Biomechanics - is the general study of forces and their effects kinematics - the study of energy transfer as it applies to identifying actual or potential injuries Mechanism of Injury (MOI) - is how external forces are transferred to the body, resulting in injury Newton's First Law - a body at rest will stay at rest unless acted on by an outside force Newton's Second Law - Force = mass x acceleration Newton's Third Law - For every action there is an equal and opposite reaction Law of Co...

1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver's side of the car. The patient is asking to have the cervical collar ...

Major cause of death 1-44 - Trauma: major cause of death for people ages 1-44 years Epidemiology: Unintentional injury is a leading cause of death across all age groups in the US - • 65+ falls are the leading cause of injury-related deaths • 25-64: poisoning is the leading cause of death • 5-24: MVC leading cause of death • TBI: more for males, 0-4 highest rate of death Injury prevention: 3 E's - • Engineering: technological interventions (airbags, alarms, safety gear) • Enfo...

What is the key to a high performing trauma team? - x When obtaining a history for an injured patient, determing energy transfer through biochemical data help the nurse to: - x The major preventable cause of death in the trauma patient is: - x The across-the-room observation step in the inital assessment provides the opportunity to: - x Which of the following accurately describes ventilation principles associated with a bag-mask device? - x Which of the following is the best measure of th...

What is the key to a high performing trauma team? - Consistent communication (Communication, cooperation, and coordination are the foundations of successful teamwork in trauma care p.6) When obtaining a history for an injured patient, determining energy transfer through biomechanical data helps the nurse to: - Anticipate the types of injury that may be present (Mechanism of injury and energy transfer can help predict potential injuries and injury patterns p.29) The major preventable cause ...

What is the key to a high performing trauma team? - Consistent communication (Communication, cooperation, and coordination are the foundations of successful teamwork in trauma care p.6) When obtaining a history for an injured patient, determining energy transfer through biomechanical data helps the nurse to: - Anticipate the types of injury that may be present (Mechanism of injury and energy transfer can help predict potential injuries and injury patterns p.29) The major preventable cause ...