Describe the activities and associated factors related to low-energy trauma in the older adult. -
✔✔ANSWER✔✔-Falls most comon due to wet suraces, poor lighting, inadequate footwear,a nd
cluttered pathways
List common injuries from falls in the older adult population. - ✔✔ANSWER✔✔-Laceration
TBI
,TNCC study guide
Fractures (hips)
What condition is associated with a fall from which the older adult cannot rise? What complications
result from this condition? - ✔✔ANSWER✔✔-Rhabdomyolysis causing:
AKI
hyperkalemia
fluid shifting - hypovolemic shock
fat embolism
coagulopathies
sepsis and MODS
Review the age-related anatomic and physiologic change of the older adult in relation to the
components of the initial assessment. - ✔✔ANSWER✔✔-pg 262
Describe the fluid resuscitation of an older adult patient related to fluid overload, when to administer
red blood cells, and the use of anticoagulant medication. - ✔✔ANSWER✔✔--smaller fluid boluses w.
reassessment
-auscultate lung sounds
-early administartion of RBC to increase O2 carrying capacity
-use pressure dressings and vitamin K to control bleeding
Describe effects of common medications in relation to the older adult trauma patient. -
✔✔ANSWER✔✔-Beta-blocers can prevent increased herat rate
Anticoagulants = bleeds
Diabetes medss: alter LOC
,TNCC study guide
Analgesics: can alter balance and judgement
Describe common patterns and severity of injuries in the bariatric trauma patient. - ✔✔ANSWER✔✔-
Increased risk of complications once injured
Characterisitcs of an effective team - ✔✔ANSWER✔✔-dynamic
interdependent
adaptive
common goal
COMMUNICATION
COOPERATION
COORDINATION
Kinematics - ✔✔ANSWER✔✔-study of energy transfer as it applies to identifying actual or potential
injuries
Biomechanics - ✔✔ANSWER✔✔-general study of forces and their effects
mechanism of injury - ✔✔ANSWER✔✔-how external energy forces in the environment are transferred
to the body
Newtons 3 laws - ✔✔ANSWER✔✔-1. an object in motion will stay in motion
2. force = mass x acceleration
3. for every action there is an equal and opposite reaction
, TNCC study guide
5 forms of energy that exist - ✔✔ANSWER✔✔-1. Mechanical- energy transfer from one object to
another in form of motion
2. thermal-heat transfer from environment to host
3. chemical- heat energy trnsfer from active chemical substances such as chlorine, drain cleaner, acids
4. electrical- energy transfer from light socket
5. radiant- energy transfer from blast sound waves, nuclear, rays from the sn
eternal forces in trauma - ✔✔ANSWER✔✔-1. deceleartion- falls and collison = sudden stop
2. acceleration- sudden onset of motion- hit by a car
3. compression- hit stationary objects; bullets; blast forces
internal forces of energy in trauma - ✔✔ANSWER✔✔-stress- internal force that resists external force
solid organs good at pressure wave energy
air organs better at shear forces
4 main types of traumatic injury - ✔✔ANSWER✔✔-1. blunt trauma- falls; mvc; trauma
2. penetrating- stabing; GSW
3. Thermal
4. Blast Trauma- bomb
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