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• If you see a deformed steering column in a MVC... what will the pt
represent with? -✓✓Bruised neck, bruised chest. Sternal or rib fracture,
flail chest, myocardial contusion, *pericardial tamponade,
pneumo/hemothorax, aortic tear.
• If you see a deformed dashboard in a MVC... what will the pt represent
with? -✓✓Bruised abdomen, bruised knee, misplaced kneecap. Ruptured
spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee,
*femoral fracture, dislocated hip.
• Phases of Deceleration -✓✓1) Deceleration of the vehicle, occurs
when the vehicle strikes another object & comes to a stop. 2)
Deceleration of occupant, which starts during sudden braking &
continues through the whole crash. 3) Deceleration of internal organs,
that consist of internal organs that continue forward momentum until
they're stopped by anatomical restraints. 4) Secondary collisions, which
occur when a vehicle occupant is hit by objects moving within the
vehicle (loose objects). 5) Additional impacts, that the vehicle may
receive when it is hit by a second vehicle or is deflected into another.
• Seat Belt Use -✓✓All arguments against seat belt use are unfounded.
• Primary Blast Injury -✓✓Injuries due to the wave blast itself, usually
causing damage to the lungs, eardrums and other compressible organs
(air filled cavities). Burns also may occur.
, • Secondary Blast Injury -✓✓Injuries due to missiles being propelled by
blast force (struck by flying debris).
• Tertiary Blast Injury -✓✓Injuries due to body impact with another
object (when a person is hurled by the force against stationary objects).
• Perfusion -✓✓Circulation of blood within an organ or tissue in
adequate amounts to meet the cells needs.
• Autonomic Nervous System -✓✓Monitors the body's needs from
moment to moment, adjusting the blood flow as required. Maintains
homeostasis & is divided into the parasympathetic & sympathetic
components that oppose each other and keep vital functions in balance.
• Compensated Shock (Phase 1) -✓✓Tachycardia, NORMAL BP, thirst,
anxiety, clammy/cool skin.
• Decompensated Shock (Phase 2) -✓✓AMS, DROP IN BP,
thready/absent peripheral pulse, labored or irregular breathing.
• Wet Dressing -✓✓Used for small, superficial burns.
• Rhabdomyolysis -✓✓The destruction of muscle tissue leading to a
release of potassium and myoglobin.
• Chemical Burns -✓✓Flush the area off with water, remove pt's
clothing & jewelry.
• Hydrofluoric Acid (HF) -✓✓Is found in drain cleaner, and for etching
glass, and in industrial settings. Pt will complain of burning, and will not
stop with copious amounts of flushing. Calcium chloride will work to
relieve the pain/burning.