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A mid- facial fracture may appear as what with a complaint of
what? - ANSWER-Face may appear asymmetrical or flattened,
casualty may not be able to open/close mouth.
What analgesic effects pupil response? - ANSWER-Morphine
Ketamine and fentanyl may worsen a TBI but if the patient is
complaining of pain can you give it to them? - ANSWER-Yes, if
a casualty can coherently complain about pain their TBI is not
too severe to give pain meds.
What is a major pupil abnormality a medic may look for? -
ANSWER-A pupil
difference greater than
1mm
What are some other reasons besides a TBI that might effect
pupil response? - ANSWER-hypothermia, anoxia, lightening
strike, optic nerve injury, trauma to the eye and drugs
,What degree do you not want to elevate the casualty with a
TBI's head? - ANSWER-Greater than 30 degrees, because it
could limit the blood flow to the brain
What causes cushing's triad? - ANSWER-Increased Intracranial
pressure
signs and symptoms of cushing's triad? - ANSWER-
hypertensive, bradycardic,
and irregular
respiration
T or F you should not hyperventilate casualty with TBI? -
ANSWER-True
At what rate should you vetilate the casualty with a TBI? -
ANSWER-20 breaths
per
min
What position do you transport a casualty with a TBI in? -
ANSWER-supine
What is the first step to an Ocular injury? - ANSWER-Flush eye
for at least 20
min or until supplies
run out
, Your casualty has an ocular injury, what other injury might
you be worried
about? - ANSWER-Assess for head
trauma
What are the two visual acuity test and in what setting do
you use each? -
ANSWER-A snellen chart in a
clinic setting
gross vision examination in
field setting
What is the general treatment for eye injuries? - ANSWER-1.
Antibiotics:
moxifiloxicin 2.flush the eye for at least 20 min or until supplies
last, 3. fox eye shield
Should you ever cover both eyes? - ANSWER-NO, its takes
soldier out of fight.
Explain the gross vision examination - ANSWER-!. read
something, 2. count
fingers, 3. motion, light sensitivity
document.
Define TBI (Traumatic Brain Injury) - ANSWER-An injury to the
brain resulting