TNCC 8th edition exam with complete solution
The major cause of preventable death after injury
Uncontrolled hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the
outcome of resuscitation
Base deficit
Examples of primary blast injuries
Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage
Examples of secondary blast injuries
Wounds from debris and bomb fragments
Examples of tertiary blast injuries
Blunt or penetrating trauma from the body being thrown by the blast
Examples of quaternary blast injuries
Injuries or illness related to explosion: burns, toxic injury from chemicals
Examples of quinary blast injuries
Injuries associated with exposure to hazardous materials from the components of the
blast
Questions to ask for airway assessment (need 4)
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)
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
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?
ETT placement at teeth or gums
Situations that require a definitive airway
GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
The major cause of preventable death after injury
Uncontrolled hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the
outcome of resuscitation
Base deficit
Examples of primary blast injuries
Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage
Examples of secondary blast injuries
Wounds from debris and bomb fragments
Examples of tertiary blast injuries
Blunt or penetrating trauma from the body being thrown by the blast
Examples of quaternary blast injuries
Injuries or illness related to explosion: burns, toxic injury from chemicals
Examples of quinary blast injuries
Injuries associated with exposure to hazardous materials from the components of the
blast
Questions to ask for airway assessment (need 4)
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)
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
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?
ETT placement at teeth or gums
Situations that require a definitive airway
GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
