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1. Leading cause of death - ANSWER ✔ Trauma
2. Tri modal,death, who is our pt. - ANSWER ✔ Initial 50%, secondary 1-2
hourstertiary 1-2'hours death
3. Pericaridalmsac - ANSWER ✔ 10-15 ml can cause
4. Becky triad - ANSWER ✔ Distended neck veins, hypotension and muffled
heart tones
5. Positive Becky triad - ANSWER ✔ Try additional fluids if unable to
perform pericardial tamponade
6. ?What are 4 field guide levels - ANSWER ✔ Physiologic, a atomic, moi,
special comsiderations
7. ?what is lethal triad - ANSWER ✔ Hypothermia, acidosis, coagulopathy
8. What far parts do we hold - ANSWER ✔ far 91 general operating
guidelines, 135 on demand for hire.
Carts requires 135 minimums
9. .? What are the 12 dirty dozen - ANSWER ✔ Communication, knowledge,
teamwork, resources, assertiveness, awareness, complacency, distractions,
fatigue, pressure, stress, norms.
,10.What causes ards - ANSWER ✔ Trauma, burns, fx, aspiration, fat
embolism, drowning
11.What can be used to tx ards - ANSWER ✔ Nitric oxides
12.Are ards lungs considered small or large - ANSWER ✔ Small because on
patchy areas that are not functional
13.Is criminal law commonmlaw - ANSWER ✔ Yes
14.Is civil law a tort - ANSWER ✔ Yes. Contracts.. Breaking the contract
15.4'things that must happen for suit to win. - ANSWER ✔ Duty, breach,
actual injury caused by you, actually suffer
16.Off line - ANSWER ✔ Independent, pip, protocols, guidelines
17.Do some states allow companies to conceal qa reports - ANSWER ✔ Yes
18.Alpha cells start shunting t/f - ANSWER ✔ T. Alpha
- ANSWER ✔ Higher up more dangerous
19.Neuroshock - ANSWER ✔ Brady, hypotension, hypothermic
20.3rd spacing - ANSWER ✔ Causes by barometric pressure
21.Padding improves - ANSWER ✔ Vibration. Decrease stress from this.
22.What check central vs peripheral pulse. - ANSWER ✔ Check central and
peripheral, large differences may determine compensation and shock.
23.Why is exposure so important - ANSWER ✔ Look for greatest threat.
24.Where can blood third space - ANSWER ✔ Retro peritoneal abdomen,
thighs.
, 25.What type of pelvic fx is most concerning - ANSWER ✔ Open book pelvic
fx
26.How should we give it fluids - ANSWER ✔ Judiciously, controlled rate,
may be high, may be low.
27.When is permissive hypotension okay - ANSWER ✔ As long as there is
not a head injury. Allows body to keep remain hemostasis.
28.Is there a reversal for direct thrombin inhibitors - ANSWER ✔ No
29.When would you give protamine sulfate - ANSWER ✔ Heparin
coagulopathy
30.What is massive transfusion. - ANSWER ✔ 10'units min 24 hours, can
cause electrolyte and acidosis
31.Txa - ANSWER ✔ Proven to improve outcome
32.What pt would you have high index of suspicion with ams. - ANSWER ✔
Pediatric shock , aggressive fluid resuscitate
33.What is concern with barbaric trauma pt - ANSWER ✔ Increased 02
demand
34.Geriatric patient consideration. - ANSWER ✔ Decrease response to beta
stimulation
35.Pediatric patient need wbc count because vitals vary widely. - ANSWER ✔
T. Temperature helpful
36.What can a snakebite often lead to. - ANSWER ✔ Dic.
37.Shock index - ANSWER ✔ Hr /