Sinclairrisk

What common NVG malfunctions are not allowed? (Operational Defects) - -Edge Glow -Flashing -Flickering -Intermittent Operation -Shading (GOM 11.10) MX Flight WX minimums - Ground runs: None Hovering: 300ft 1/2mi Flight: 1000/3 VFR weather minimums 135.609 - Day NNG/NVIS 800-2 800-3 800-3 1000-3 1000-3 1000-3 1000-5 1000-5 Refusal to submit to a drug or alcohol test is grounds for what type of action? - -Denial of an application for any certificate, rating, or authorization is...

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 ...

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool 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 ...

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 Exa...

1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate trauma nurse - Initial Assessment 1. A- airway and Alertness with simultaneous cervical spinal stabilization 2. B- breathing and Ventilation 3. circulation and control of hemorrhage 4. D - disability (neurologic ...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - Vasoconstriction What results from tissue hypo perfusion and oxygen deficit? - Metabolic acidosis What type of shock results in generalized vasodilation? - Neurogenic shock Spinal cord injuries at C3-C5 causes loss of what ne...

What is the key to a high performing trauma team? - effective communication rationale: skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care When obtaining a history for an injured patient, understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the trauma provider in: - evaluating and anticipating the types of injuries that may be present rationale: ...

Expedite transfer to the closest trauma center - A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient? a pertinent medical hx is crucial - Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation - Following a review of recent drills and a real dis...

.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 re...

What is kinematics? - A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? - A body at rest will remain at rest. A body in motion will remain in motion until acted on by an outside force. What is the Law of Conservation of Energy? - Energy can neither be created nor destroyed. It is only changed from one form to another. What is Newton's Second Law? - Force equals mass mult...

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 neutrophi...

what is the key to high performance trauma team? - effective communication skilled communication, cooperation and coordination are the cornerstones of high-performance teams and high-quality trauma care when obtaining a history for an injured patient, understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the trauma provider in what? - evaluating and anticipating the types of injury that may be present MOI and energy transfer ...

Preparation and Triage - 1. Activate the trauma team. 2. Prepare the Trauma Room. - Rapid infuser - Chest trauma equipment 3. States the need to don PPE Across-the-room Observation - Assess for obvious uncontrolled external hemorrhage. Primary Survey: Airway + Cervical Spinal Stabilization (A) - 1. Assess AVPU** 2. Ask a 2nd person to provide manual cervical spinal stabilization *AND* manually open the airway using the jaw-thrust maneuver.** 3. Determine airway patency:** (4) - tong...

Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - Which of the following considerations is the most important when caring for a geriatric trauma ...

A - Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth, clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed. B - Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin color. Do supplemental o2, BVM, needle thoracentesis/chest tube, nonporous dressing taped 3 sides. C - Circulation--rate and quality (core pulse), skin color/temp/diaphoresis, external bleeding. Control bleeding, 2 large bore IVs...

Prehospital MIST report - M- mechanism of injury I- injuries S- S/S T- treatment in field Preparation - 1- activate trauma team 2- prepare trauma room 3- PPE Primary Survey - A-B-C-D-E A - Alertness- AVPU (Alert with Airway, Verbal, Pain, Unresponsive) ~Potential need for C-Spine stabilization and jaw thrust to visualize airway ~Determine airway patency- OPA or NPA if needed What can impede airway patency? - Tongue Loose/Missing teeth- teeth obstructing Foreign objects Bloo...

What roles are vital to a trauma team? - The patient; the nurses highest priority. The team leader ---> 1. designated by title and role ---> 2. situational Core team; works interdependently to manage a trauma patient from assessment to disposition. Contingency and support services; provide support to core team. They come together to solve a specific problem. What are the characteristics of an effective team? - Effective teams are group-driven. They hold shared mental models, opt...

Effective communication •Skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care - What is the key to a high-performance trauma team? Reprioritize circulation before airway or breathing. •The across-the-room observation is done at the beginning of the primary survey to rapidly assess the need to reprioritize circulation before airway or breathing. This is done if uncontrolled external hemorrhage is identified -...

What is the purpose of a debrief? - Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height - Three times How many breaths/minute do you deliver through the bag-mask device? - 10-12/ min or 1 every 5-6 sec An O2 sat of __% or higher is associated with effective ventilation - 94% Explain the difference between deceleration forces and acceleration forces? - Deceleration forces include injuries that are caused by a sudden s...