AND 100% VERIFIED CORRECT DETAILED ANSWERS /GRADED
A+/
a - ---Answer---During a mass casualty situation which
patients will you treat in surgery first?
A. Red tagged patients
B. Only patient who require surgical procedures
C. Orthopedic trauma patients
D. Black tagged patients
b - ---Answer---The trauma patient needs emergency
released uncrossmatched blood. What blood type will the
patient receive?
A. AB Positive
B. O Negative
C. A Negative
D. O Positive
triage - ---Answer---The trauma __________ order is:
1. Cervical spine
2. Airway obstruction
,3. Hemorrhage
4. Cardiac tamponade
5. Pneumothorax (tension)
6. Increased ICP
7. Massive burns
8. Spinal cord injury
9. Extremity injury
tracheostomy - ---Answer---For an airway obstruction (#2
trauma), you should anticipate a __________ for a facial injury or
upper airway edema (have a trach tray ready)
rapid - ---Answer---__________ sequence intubation (assuming
pt has full stomach) consists of:
Pre-oxygenation -> paralysis with induction -> placement with
proof
-Don't bag too much because pt may throw up
-2nd pre-oxygenation is skipped
-Cricoid pressure PREVENTS ASPIRATION (don't let go until ET
cuff is inflated)
staged - ---Answer---A __________ procedure is a large
procedure divided into smaller surgeries (so we don't
destabilize the pt)
,ex. For a hemorrhage pt, the purpose of the surgery is to STOP
the bleeding, won't even close skin, pt leaves with a wound vac
and comes back later for washout/ORIF/etc
acidosis - ---Answer---Hemorrhage (#3 trauma) leads to
__________, which promotes hemorrhaging (it is a vicious cycle
so we must stop BOTH)
clotting - ---Answer---*Hypothermia* and *acidosis*
interrupts the __________ cascade!
acidosis - ---Answer---__________ is bad for you because it
leads to:
-vasodilation (this is why it's hard to maintain a BP even if they
aren't hemorrhaging
-myocardial depression
-hyperkalemia
-shift of oxyhemoglovin dissociation curve to the right (this is
why it is hard to oxygenate an acidotic pt)
-confusion, stupor (bc of hypoxia)
true - ---Answer---True or false?
In metabolic acidosis, bicarb should not be used to treat
severe metabolic acidosis unless the *ventilation is adequate*
to remove the increased CO2 that is formed (if you can't
, breathe off the CO2, bicarb wont help -> it will just cause
respiratory acidosis)
true - ---Answer---True or false?
The trauma room should be very warm because we want the
pt to be able to clot (warm fluids too!!)
false - ---Answer---True or false?
If you hear the ER is doing a pericardiocentesis (*need 60 mL
syringe and SPINAL NEEDLE*) on a pt, the pt probably does
not have to come to the OR since the emergency is being
handled in the ER
third - ---Answer---For a tension pneumothorax, to
decompress the chest, you need a needle at the
MIDCLAVICULAR LINE, __________ RIB DOWN (insert the needle
here and it hisses like a tire, now insert a chest tube)
chest tube - ---Answer---For a pneumothorax from a sucking
chest wound (ex. gunshot/stab wound), just take care of the
VASCULAR portion. When the surgeon calls for closing suture,
it is important to make sure you get a __________ up there with
it!
cushing's - ---Answer---__________ triad: