Paramedic Trauma FISDAP Exam |A+ Graded
If you see a cracked windshield in a MVC... what will the pt represent with?
Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until proven otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what ...
Paramedic Trauma FISDAP Exam |A+ Graded
If you see a cracked windshield in a MVC... what will the pt represent with?
Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until
proven otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt represent with?
Bruised neck, bruised chest. Sternal or rib fracture, flail chest, myocardial contusion,
*pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with?
Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bowel,
diaphragm. Fractured patella, dislocated knee, *femoral fracture, dislocated hip.
Phases of Deceleration
1) Deceleration of the vehicle, occurs when the vehicle strikes another object & comes
to a stop. 2) Deceleration of occupant, which starts during sudden braking & continues
through the whole crash. 3) Deceleration of internal organs, that consist of internal
organs that continue forward momentum until they're stopped by anatomical restraints.
4) Secondary collisions, which occur when a vehicle occupant is hit by objects moving
within the vehicle (loose objects). 5) Additional impacts, that the vehicle may receive
when it is hit by a second vehicle or is deflected into another.
Seat Belt Use
All arguments against seat belt use are unfounded.
Primary Blast Injury
Injuries due to the wave blast itself, usually causing damage to the lungs, eardrums and
other compressible organs (air filled cavities). Burns also may occur.
Secondary Blast Injury
Injuries due to missiles being propelled by blast force (struck by flying debris).
Tertiary Blast Injury
Injuries due to body impact with another object (when a person is hurled by the force
against stationary objects).
Perfusion
Circulation of blood within an organ or tissue in adequate amounts to meet the cells
needs.
Autonomic Nervous System
Monitors the body's needs from moment to moment, adjusting the blood flow as
required. Maintains homeostasis & is divided into the parasympathetic & sympathetic
components that oppose each other and keep vital functions in balance.
Compensated Shock (Phase 1)
Tachycardia, NORMAL BP, thirst, anxiety, clammy/cool skin.
Decompensated Shock (Phase 2)
AMS, DROP IN BP, thready/absent peripheral pulse, labored or irregular breathing.
Wet Dressing
Used for small, superficial burns.
Rhabdomyolysis
The destruction of muscle tissue leading to a release of potassium and myoglobin.
Chemical Burns
Flush the area off with water, remove pt's clothing & jewelry.
, Hydrofluoric Acid (HF)
Is found in drain cleaner, and for etching glass, and in industrial settings. Pt will
complain of burning, and will not stop with copious amounts of flushing. Calcium
chloride will work to relieve the pain/burning.
How to assess a electrical injury...?
The first thing is to protect yourself and bystanders. If powerlines are down on a car,
you tell your pt to remain in the car and do not go near it.
Le Fort 1 Fracture
From the bottom of the nose down. Involves the mandible and the maxilla.
Le Fort 2 Fracture
Involving the nasal bone and the maxilla.
Le Fort 3 Fracture
A fracture of all midfacial bones, seperating the entire midface from the cranium.
Includes the eyes.
Foreign Body in the Eye
Shards of metal, wood, etc. can become embedded into the globe of they eye. It can
cause irritation and conjunctivitis. When this happens, attempt to flush out the eye from
inside (tear duct) to out (outer corner).
Dysconjugate Gaze
For paralysis of gaze or discoordination between the movements of the two eyes.
When a foreign body is impaled in the globe... you should?
DO NOT remove it! Stabilize it, cover the eye with a moist, sterile dressing, place a cup
or other protective barrier over the object & secure it in place with a bulky dressing.
Cover the unaffected eye to prevent movement.
When an impaled object is in the neck... you should?
Not remove the object, but try to stabilize it and control the bleeding from it. The ONLY
exception for removing the object is if it interferes with your ability to manage the airway.
In some cases, an emergency cric may be necessary.
Frontal Lobe
(Forehead) Important for voluntary motor action and personality traits. Injury to the
frontal lobe may result in seizures or placid reactions (flat affect).
Parietal Lobe
Controls the somatic or voluntary sensory and motor functions for the opposite side of
the body, as well as memory and emotions.
Occipital Lobe
(Back of the head) Responsible for processing visual information.
Temporal Lobe
(Side of the head) Speech area, hearing, taste and smell.
Treating a pt with Head Trauma
Lidocaine to reduce ICP, maintain O2 sats above 95%, administer high flow O2 if pt is
breathing on their own, avoid hyperventilation, restrict your use of IV fluids (unless
hypotensive, then give fluid to keep systolic above 110 or 120), and do not give
dextrose.
Diaphragm
Phrenic nerve (C3-C5). Injury occurring at or above C3-C4 may cause diaphragmatic
paralysis, that is seen with abdominal breathing and accessory muscle use.
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