Test #2 Trauma in the OR-Josh Flashcards Preview

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Flashcards in Test #2 Trauma in the OR-Josh Deck (114)
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1

Trauma is a severe blunt or penetrating injury primarily caused by what?

  • Automobile Crashes
  • Gunshots
  • Knife wounds
  • Falls
  • Battery
  • Burns

2

B/t the ages of ____ to ____ trauma kills more people than any other diesease

birth to 30 y.o.

3

Trauma Scoring:

What are the 3 categories the scoring system is based off?

  • BP
  • GCS
  • RR

4

Trauma Scoring:

what is the points range?

  • 4
  • 3
  • 2
  • 1
  • 0

5

Trauma Scoring:

Give the correct Values for BP

  • 4
  • 3
  • 2
  • 1

 

  • >90
  • 76-89
  • 50-75
  • 1-49
  • 0

(0-50-25-15-10)

6

Trauma Scoring:

Give values for GCS

  • 4
  • 3
  • 2
  • 1
  • 0

  • 13-15
  • 9-12
  • 6-8
  • 4-5
  • 3

7

Trauma Scoring:

Givw the values for RR

  • 4
  • 3
  • 2
  • 1
  • 0

  • 10-29
  • >29
  • 6-9
  • 1-5
  • 0

8

Trauma Scoring:

what are the chances of survival based on thre following trauma scores

  • 8
  • 6
  • 4
  • 2
  • 1
  • 0

  • 98
  • 92
  • 60
  • 17
  • 7
  • 3

9

put trauma table here

10

put other trauma table here

11

War and the advancement of trauma resuscitation:

when were blood transfusions developed

WWI

12

War and the advancement of trauma resuscitation:

what was created in WWII (2 things)

 

  • Antibiotic use
  • reduce transport time to 4 hours

13

War and the advancement of trauma resuscitation:

what was created in the Korean war (2 things)

  • Air ambulances
  • early vascular repair

14

War and the advancement of trauma resuscitation:

what was the advancement made in the vietnam war? (2 things)

  • helicopter use (reduced time of injury to surgery to 1 hour)
  • More regulated guidlines for resuscitation tech

15

War and the advancement of trauma resuscitation:

what was the advancement made in fluid resuscitation in the vietnam war

  • Aimed at avoiding renal failure and other consequences of hypotension
  • However the asanguinous resuscitational fluids further diluted remaining plateletes and coag factors

16

True or False

The majority of deaths on the modern battlefield are non-survivable?

true

17

The improved methods of __ or _____-_____, noncompressible hemostasis combined w/ rapid evacuation to surgery may increase survival

IV

Intra-cavitary

18

What was 4 of the Major findings from the 2003 research on fluid rescusitation in Modern combat causualty care:

  • Stop bleeding w/ tourniquets and better dressings
  • Most casualties do not require resuscitation (use hextand)
  • Titrate to radial pulse and mental status
  • Use no more than 1000mLs of colloid

19

what are 3 PREVENTABLE causes of combat death

  • Hemorrhage from extrmity wounds
  • tension Pneumothorax
  • Airway obstruction (facial trauma)

20

what is a CAT

not a thing that is all nibbly bibbly and meows in a damn tree

  • It's a combat Application Tourniquet

21

What are some examples of hemostatis agents (5)

  • hemCon bandage
  • HemCon Chitoflex tape
  • QuikClot Powder
  • QuickClot ACS
  • Celox

22

what are the 3 Blood prodects to give for trauma

FFP

Platelets

Cryo

23

what does Cryo have that others dont?

  • Factor VIII and I
  • vWf and Fibrinogen

24

what are 2 machines that can assist you in getting blood into pt fast

Belmont

Rapid infuser

25

what is the trauma Triad of death

Hyperthermia

Acidosis

Coagulopathy

26

why does Hypothermia happen:

what are teh 4 ways we lose heat

  • Evaporation
  • Radiation
  • Convection
  • Conduction

27

Hypothermia:

Hypothermia causes increased what? (3 complications)

  • Mortality
  • Bloodloss
  • Blood transfusion

28

Hypothermia:

what 2 physiological clotting complications can occur

  • Platelet dysfunction
  • Coagulopathy (biggest complication)

29

Hypothermia:

<___ degress c on admission="100%" mortality>

  • <32 degrees C

30

Hypothermia-Cardiac effects

what occur at 33-36 C

  • Increased HR, BP, CO