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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 nerves functio...

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? Expedite transfer to the closest trauma center Which of the following considerations is the most important when caring for a geriatric trauma pt? a pertinent medical hx is crucial Following a review of recent drills and a real disaster event, ...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? Airway/Intubate Lab evidence of cellular perfusion Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? Biologic Suspected shock type with a spinal cord injury Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), an...

When might a patient need an ETT placed? Apnea, GCS 8 or less, severe maxillofacial injuries, evidence of inhalation injuries, altered LOC/inability to protect airway What is part of the initial team prep for a pregnant patient? Call the OB team, get a fetal heart monitor What are the earliest signs of shock in a pregnant patient? Fetal tachycardia, bradycardia, and changes in fetal movement How is supine hypotension syndrome relieved? 15-degree tilt of the spine board in either direc...

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 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

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 and d...

Initial Assessment 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 ABCDEFGHI 1. A- airway and Alertness with simultaneous cervical spinal stabilization 2. B- breathing and Ventilation 3. circulation and control of hemorrhage 4. D - disability (neuro...

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 coll...

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

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

TNCC 8th Edition Questions and Answers 100% Pass 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 r...

TNCC 8th Edition Provider Exam Latest Update with Verified Solutions EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? Alert with no neurological deficits The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? Endotracheal tub...

Which two statements explain why the definition of "Done" is important to the Product Owner? It assures the Increment reviewed at the Sprint review is usable so the Product Owner may choose to release it. It creates transparency regarding progress within the Scrum Team. Which description best fits the role of the Product Owner? Value Maximizer How can a Product Owner use time-boxed Sprints to obtain feedback from users and the market? Through frequent delivery of Increments of the produ...

Which of the following is most vital or important in planning a subdivision: Market Analysis When rent is computed on the gross sales of a business occupying real property, the lease is correctly termed: Percentage Lease What is not an adequate method of transferring property? Executive Sale What is considered personal property? Existing Mortgage If an income property is valued at $100,000 based on an 8% capitalization rate, what would be the value of the property if a 10% return is requ...

When agent Andy took a listing, he promised the seller that he would advertise the property in a magazine until it was sold. Andy told the seller he submitted the ad, but the magazine said Andy never contacted them or submitted the ad. Andy is guilty of: Actual Fraud A fee simple estate is: an estate of inheritance If an appraiser is appraising a special purpose property he would probably use the: Cost Approach The main purpose of "RESPA" (Real Estate Settlement Procedures Act) is to: ...

Assessing Customer Needs Assist customer with finding the right match Customer Service Learning about products and services, Assessing customer needs, Educating your customer about products, and Meeting customer needs and providing ongoing support SAM Suggest Additional Merchandise Shrinkage the loss of products between point of manufacture or purchase from supplier and point of sale

Assessing Customer Needs Assist customer with finding the right match Customer Service Learning about products and services, Assessing customer needs, Educating your customer about products, and Meeting customer needs and providing ongoing support SAM Suggest Additional Merchandise Shrinkage the loss of products between point of manufacture or purchase from supplier and point of sale