TNCC 8th Edition With Complete Solution
The major cause of preventable death after injury Correct Ans:- Uncontrolled hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the outcome of
resuscitation Correct Ans:- Base deficit
Examples of primary blast injuries Correct Ans:- Blast lung, ruptured tympanic membrane,
TBI, abdominal hemorrhage
Examples of secondary blast injuries Correct Ans:- Wounds from debris and bomb fragments
Examples of tertiary blast injuries Correct Ans:- Blunt or penetrating trauma from the body
being thrown by the blast
Examples of quaternary blast injuries Correct Ans:- Injuries or illness related to explosion:
burns, toxic injury from chemicals
Examples of quinary blast injuries Correct Ans:- Injuries associated with exposure to
hazardous materials from the components of the blast
Questions to ask for airway assessment (need 4) Correct Ans:- Is the tongue obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
Is there blood, vomit, or secretions?
Questions to ask during breathing assessment. (Need 4) Correct Ans:- Is there symmetrical
chest rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
3 ways to assess ETT placement Correct Ans:- 1. Apply end tidal, assess CO2 after 5-6
breaths
2. Assess for symmetrical chest wall rise and fall
3. Auscultation over the epigastrium for gurgling and bilateral breath sounds.
What do you document after placing an ETT? Correct Ans:- ETT placement at teeth or gums
Situations that require a definitive airway Correct Ans:- GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
Anticipate decreased neuro status
Severe maxo fractures
Laryngeal/tracheal injury
The major cause of preventable death after injury Correct Ans:- Uncontrolled hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the outcome of
resuscitation Correct Ans:- Base deficit
Examples of primary blast injuries Correct Ans:- Blast lung, ruptured tympanic membrane,
TBI, abdominal hemorrhage
Examples of secondary blast injuries Correct Ans:- Wounds from debris and bomb fragments
Examples of tertiary blast injuries Correct Ans:- Blunt or penetrating trauma from the body
being thrown by the blast
Examples of quaternary blast injuries Correct Ans:- Injuries or illness related to explosion:
burns, toxic injury from chemicals
Examples of quinary blast injuries Correct Ans:- Injuries associated with exposure to
hazardous materials from the components of the blast
Questions to ask for airway assessment (need 4) Correct Ans:- Is the tongue obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
Is there blood, vomit, or secretions?
Questions to ask during breathing assessment. (Need 4) Correct Ans:- Is there symmetrical
chest rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
3 ways to assess ETT placement Correct Ans:- 1. Apply end tidal, assess CO2 after 5-6
breaths
2. Assess for symmetrical chest wall rise and fall
3. Auscultation over the epigastrium for gurgling and bilateral breath sounds.
What do you document after placing an ETT? Correct Ans:- ETT placement at teeth or gums
Situations that require a definitive airway Correct Ans:- GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
Anticipate decreased neuro status
Severe maxo fractures
Laryngeal/tracheal injury
