The major cause of preventable death after injury - Uncontrolled hemorrhage
2. The best measure of the adequacy of cellular perfusion and helps to predict the outcome of
resuscitation - Base deficit
3. Examples of primary blast injuries - Blast lung, ruptured tympanic membrane, TBI,
abdominal h...
4. Examples of secondary blast injuries - ✔✔Wounds from debris and bomb fragments
5. Examples of tertiary blast injuries - ✔✔Blunt or penetrating trauma from the body being thrown
by the blast
6. Examples of quaternary blast injuries - ✔✔Injuries or illness related to explosion: burns, toxic
injury from chemicals
7. Examples of quinary blast injuries - ✔✔Injuries associated with exposure to hazardous materials
from the components of the blast
8. 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?
9. 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?
10. 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.
11. What do you document after placing an ETT? - ✔✔ETT placement at teeth or gums
12. Situations that require a definitive airway - ✔✔GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
Anticipate decreased neuro status
Severe maxo fractures
Laryngeal/tracheal injury
13. Where do you listen for breath sounds? - ✔✔2nd intercostal space at midclavicular line and
5th intercostal space at anterior axillary line
14. King airway - ✔✔A multidimensional esophageal airway that traps the glottis opening between
an esophageal cuff and an oropharyngeal cuff
15. 3 things to assess for circulation - ✔✔Palpate central pulse
Assess (again) for external hemorrhage
Inspect and palpate skin for color, temp, and moisture.
16. When do you establish IV access? - ✔✔Right after the circulatory assessment
17. At what point to you evaluate need for transfer or definitive care? - ✔✔After the primary survey
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