TNCC
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? - ansAirway/Intubate
Lab evidence of cellular perfusion - ansBase Excess (Less than -6 is BAD)
Multiple people are in the ER of different ages who all go to the same church. They all have
the same symptoms. What is the most likely cause? - ansBiologic
Suspected shock type with a spinal cord injury - ansDistributive Shock (Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the
cause? - ansHerniation
Middle Meningeal Artery - ansEpidural Hematoma (results from collection of blood that
forms between dura mater and skull)
Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed.
What is the cause? - ans2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? - ansRuptured diaphragm
Symptoms of __________________: include muffled heart sounds and hypotension -
ansPericardiocentesis
How should you dress a severed limb? - ansSterile gauze with normal saline THEN put ice on
it
Amylase level looks at _____________ - ansPancreas
What should you do if your patient has hyphema (collection of blood inside the front part of
the eye?) - ansSit HOB up to 30 degrees
Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness - ansMitigation
What organ is most at risk following a gunshot - ansLiver
8 year old child with longitudinal thigh lacerations - ansSign of child abuse
Bleeding around belly button - ansCullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? -
ansCarboxyhemoglobin (increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body -
ansBiomechanics
, Study of energy transfer as it applies to identifying actual or potential injuries -
ansKinematics
Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the
effect is a crushing pressure wave which creates a temporary cavity, followed by a rapid and
violent closing of the cavity. - ansCavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue - ansCavitation
Used in OR; does not provide protection against aspiration and not recommended in patients
who have eaten recently. It is a supraglottic airway. - ansLaryngeal Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis opening
between an esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each
with a separate cuff. Does NOT provide protection against aspiration and is not indicated in
children. It is a retroglottic airway. - ansKing Tube
Types of Shock (4) - ansHypovolemic, Obstructive, Cardiogenic, Distributive
Hemorrhage is the leading cause. Can result from vomiting, diarrhea, and burn trauma.
Decreased circulating volume --> decreased preload. Therapy includes replacing the type of
volume that was lost. - ansHypovolemic Shock
Results from hypo perfusion of tissue due to an obstruction in either the vasculature or heart.
Therapy aimed at relieving the obstruction and improving perfusion. - ansObstructive Shock
Two classic examples of obstructive shock - ansCardiac tamponade and tension
pneumothorax
Results from pump failure in the presence of adequate intravascular volume. Lack of CO and
end-organ perfusion secondary to a decrease in myocardial contractility and/or valvular
insufficiency. Therapy includes inotropic support, antidysrhythmic medications, and
correction or treatment of underlying cause. - ansCardiogenic Shock
Results from the misdistribution of an adequate circulating blood volume with the loss of
vascular tone or increased permeability. Treatment is to provide volume replacement,
increase systemic vascular resistance with medications (pressors) and possible antibiotics. -
ansDistributive Shock
Examples that can cause distributive shock - ansAnaphylactic shock, septic shock,
neurogenic shock
___________________: Impairs thrombin production and platelet function
_____________ ______________: Impairs thrombin production
_______________________: Results in depletion of clotting factors through hemodilution
and the impaired ability to produce clotting factors. - ansTrauma Triad of Death
1. Hypothermia
2. Metabolic Acidosis
3. Coagulopathy
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? - ansAirway/Intubate
Lab evidence of cellular perfusion - ansBase Excess (Less than -6 is BAD)
Multiple people are in the ER of different ages who all go to the same church. They all have
the same symptoms. What is the most likely cause? - ansBiologic
Suspected shock type with a spinal cord injury - ansDistributive Shock (Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the
cause? - ansHerniation
Middle Meningeal Artery - ansEpidural Hematoma (results from collection of blood that
forms between dura mater and skull)
Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed.
What is the cause? - ans2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? - ansRuptured diaphragm
Symptoms of __________________: include muffled heart sounds and hypotension -
ansPericardiocentesis
How should you dress a severed limb? - ansSterile gauze with normal saline THEN put ice on
it
Amylase level looks at _____________ - ansPancreas
What should you do if your patient has hyphema (collection of blood inside the front part of
the eye?) - ansSit HOB up to 30 degrees
Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness - ansMitigation
What organ is most at risk following a gunshot - ansLiver
8 year old child with longitudinal thigh lacerations - ansSign of child abuse
Bleeding around belly button - ansCullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? -
ansCarboxyhemoglobin (increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body -
ansBiomechanics
, Study of energy transfer as it applies to identifying actual or potential injuries -
ansKinematics
Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the
effect is a crushing pressure wave which creates a temporary cavity, followed by a rapid and
violent closing of the cavity. - ansCavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue - ansCavitation
Used in OR; does not provide protection against aspiration and not recommended in patients
who have eaten recently. It is a supraglottic airway. - ansLaryngeal Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis opening
between an esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each
with a separate cuff. Does NOT provide protection against aspiration and is not indicated in
children. It is a retroglottic airway. - ansKing Tube
Types of Shock (4) - ansHypovolemic, Obstructive, Cardiogenic, Distributive
Hemorrhage is the leading cause. Can result from vomiting, diarrhea, and burn trauma.
Decreased circulating volume --> decreased preload. Therapy includes replacing the type of
volume that was lost. - ansHypovolemic Shock
Results from hypo perfusion of tissue due to an obstruction in either the vasculature or heart.
Therapy aimed at relieving the obstruction and improving perfusion. - ansObstructive Shock
Two classic examples of obstructive shock - ansCardiac tamponade and tension
pneumothorax
Results from pump failure in the presence of adequate intravascular volume. Lack of CO and
end-organ perfusion secondary to a decrease in myocardial contractility and/or valvular
insufficiency. Therapy includes inotropic support, antidysrhythmic medications, and
correction or treatment of underlying cause. - ansCardiogenic Shock
Results from the misdistribution of an adequate circulating blood volume with the loss of
vascular tone or increased permeability. Treatment is to provide volume replacement,
increase systemic vascular resistance with medications (pressors) and possible antibiotics. -
ansDistributive Shock
Examples that can cause distributive shock - ansAnaphylactic shock, septic shock,
neurogenic shock
___________________: Impairs thrombin production and platelet function
_____________ ______________: Impairs thrombin production
_______________________: Results in depletion of clotting factors through hemodilution
and the impaired ability to produce clotting factors. - ansTrauma Triad of Death
1. Hypothermia
2. Metabolic Acidosis
3. Coagulopathy
