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What injury prevention strategies are used in your community? - ANSWER -public
awareness campaigns
- educational programs fo specific demographics
- community initiatives to promote safe driving
Is your facility involved in injury prevention programs? - ANSWER no
what are the most common causes of injury related to death in your country? Your
Community? - ANSWER -unintentional poisoning (overdose)
-MVC
-falls
(In AL, overdoses, MVCs, firearm-related injuries)
When preparing to receive a seriously injured patient, what are some examples of
equipment you would anticipate needing? - ANSWER -IV supplies
-fluids
-intubation box
, Who responds to the arrival of trauma patient at your facility? What are their
roles? - ANSWER anyone who is not currently working with patients, no roles are
typically assigned lol
At your facility, are there clear predetermined responsibilities for each member of
the team that responds to the trauma patient? - ANSWER NOPE :)
When caring for a seriously ill patient what communication challenges between
team members have you experienced that for your facility? What steps are being
taped to address those challenges? - ANSWER -too many other people talkign
during the trauma
-too many people coming in to watch
-too many people stand in the way as opposed to help
Why is it important to understand bio mechanics as it relates to the types of energy
forces and mechanisms of injury? - ANSWER understanding the law of physics
and applying biomechanics, kinematics, and mechanism of injury principles, along
with knowledge of anatomy and physiology, can assist the trauma-care nurse in
anticipating the intervention and management needs of the patient
What are common mechanisms of injury That result in trauma? - ANSWER -
Blunt trauma
-penetrating trauma
- thermal trauma
-blast trauma
Do you have criteria for trauma activation at your facility? Do the criteria include
clear guidelines for identifying activations for in following conditions: false, motor
vehicle crash, crashes, and penetrating injuries? - ANSWER -uncontrolled bleed
- fall from greater than 20 feet
,-open fracture
-airway compromise
What is the best measure of the adequacy of cellular perfusion and helps predict
the outcome of resuscitation? - ANSWER Base deficit used in conjunction with
serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature? - ANSWER Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - ANSWER
Metabolic acidosis
What type of shock results in generalized vasodilation? - ANSWER Neurogenic
shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in
what? - ANSWER Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury?
- ANSWER Compartment Syndrome
What is a high risk of frostbite? - ANSWER Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite
injury along with rewarming? - ANSWER Tissue plasminogen activator or non
steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - ANSWER
Peripheral resistance
, What position will benefit the airway and work of breathing for the bariatric
patient? - ANSWER Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries? - ANSWER Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? - ANSWER
Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - ANSWER Tertiary Phase
What phase of a blast results from impact of the over and under pressurization
wave with body surfaces. Injuries include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild traumatic brain injury? -
ANSWER Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? - ANSWER
Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds,
jugular vein distention, or hypotension? - ANSWER Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - ANSWER Increased intracranial
pressure