EMT - Chapter 36
abruption placentae - Answer-separation of the placenta from the uterine wall
multisystem trauma - Answer-trauma in which more than one major body system is involved
1. Traumatic forces are more widely distributed in children than adults and makes them more prone to multis...
EMT - Chapter 36
abruption placentae - Answer-separation of the placenta from the uterine wall
multisystem trauma - Answer-trauma in which more than one major body system is
involved
1. Traumatic forces are more widely distributed in children than adults and makes
them more prone to multisystem trauma
2. Body surface area is greater and they can lose heat faster
3. Heavy heads and weak neck muscles increase risk of head and c-spine injuries
4. Internal organ placement makes them more susceptible to spleen and liver injuries
5. Greater chest wall flexibility than adults allowing for injuries with fewer external
signs of trauma
6. Growth plates not fully developed so trauma can severely impact normal growth
7. Higher energy requirements and fatigue faster than adults - Answer-Summarize
anatomical and physiological changes in children that create special considerations
in assessing and managing, and transporting pediatric trauma patients
1-3; higher; nine times; uterine contractions that progress into labor - Answer-In
regards to the relationship of maternal injuries to fetal distress and death: ____% of
minor traumas involving pregnant women result in fetal loss; the more severe the
injury to the mother, the _____ the chances of fetal injury; fetal death rates are
__________ higher than maternal death rates following trauma; and the most
common problem caused by maternal trauma is _____________________.
1. Primary goal is to identify and manage life-threatening injuries
2. Scene size-up
2a. ook for possible MOI and maintain high index of suspicion that more than one
major body system is affected
2b. if patient belongs to a special population, use your knowledge about that
throughout your assessment
3. primary assessment
3a. suspect c-spine injury
3b. assess mental status using the AVPU, Glasgow Coma Scale and pediatric
assessment triangle to provide additional info
3c. establish airway
3d. maintain airway and assess breathing rate and quality and provide O2 and
ventilation as necessary
3e. assess circulatory status and check pulse; look for major bleeding and control it
with direct pressure; use pad in a pregnant patient
4. rapid secondary assessment
4a. rapid physical exam
4b. vital signs
4c. history
4d. signs and symptoms
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