QUESTIONS AND ANSWERS SURE A+
If you see a cracked windshield in a MVC... what will the pt represent with? - ✔✔Bruised
or lacerated head or face. Brain injury, *cervical spine injury (always until proven
otherwise), tracheal injury.
✔✔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.
✔✔How to assess a electrical injury...? - ✔✔The first thing is to protect yourself and
bystanders. If powerlines are down on a car, you tell your pt to remain in the car and do
not go near it.
✔✔Le Fort 1 Fracture - ✔✔From the bottom of the nose down. Involves the mandible
and the maxilla.