Anesthesia Principles 3 Exam 2: Trauma Questions with Correct Answers
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Course
Anesthesia
Institution
Anesthesia
Anesthesia Principles 3 Exam 2: Trauma Questions with Correct Answers
________________ is a result of an external force that disrupts normal structure and function of the body - Correct Answer trauma
trauma is a disease of ___________________ - Correct Answer human behavior
trauma is the lea...
Anesthesia Principles 3 Exam 2: Trauma Questions
with Correct Answers
________________ is a result of an external force that disrupts normal structure and function of the
body - Correct Answer trauma
trauma is a disease of ___________________ - Correct Answer human behavior
trauma is the leading cause of death for americans under the age of _____________ - Correct
Answer 40
WHO estimates there are _________________ injury related deaths per year; which is
___________x greater than HIV/AIDs, TB, and malaria combined - Correct Answer 5 million; 1.7
who is the typical trauma patient? - Correct Answer 1. male
2. aged 20-30
3. urban setting
4. southern US
unique challenges with acute trauma - Correct Answer 1. need for immediate surgical intervention
2. unknown pt medical hx
3. acute intoxication
4. MOA & multisystem injury
Level I trauma center - Correct Answer tertiary care facility. can provide the total spectrum of trauma
care immediately
Level II trauma center - Correct Answer 1. 24 hour in-house general surgeon
2. specialty access available to support
3. able to initiate definitive care
Level III trauma center - Correct Answer 1. 24 hour in house ER physician
2. specialty access (general surgery/anesthesia) available to support
,3. transfer agreements to higher level
4. provides stabilizing care
Level IV trauma center - Correct Answer basic emergency dept with the ability to provide ATLS
support and transfer to higher level trauma center
_____________________ is who developed standards to which all trauma systems must adhere to
become accredited - Correct Answer American College of Surgeons Comittee on Trauma
Trauma follows a ________________ death distribution - Correct Answer trimodal
what are the peaks of the trimodal death distribution - Correct Answer 1. 1st peak (immediate)
2. 2nd peak (early)
3. 3rd peak (late)
__________________ can reduce the 1st peak of deaths - Correct Answer prevention ONLY
trimodal death distribution 1st peak occurs from _____________ to ____________ - Correct Answer
time of injury seconds; minutes
which peak in the trimodal death distrubtion has overwhelming injury to major organs, high
spinal/brain injury & catastrophic hemorrhage - Correct Answer 1st peak
2nd peak in the trimodal death distribution occurs ______________ to ___________ post injury -
Correct Answer minutes; hours
3rd peak of the trimodal death distrubtion occurs ___________ to ____________ post injury -
Correct Answer days; weeks
ATLS care can target patients in the ______________ peak of trimodal death distribution - Correct
Answer 2nd
which peak in the trimodal death distribution will patients have inadequate tissue perfusion from
secondary injury (hypoxia, hemorrhage) - Correct Answer 2nd peak (early)
, which peak of the trimodal death distribution is from sepsis/Multiple organ failure - Correct Answer
3rd peak (late)
what can reduce morbidity and prevent mortality in those at risk of 3rd peak trimodal death
distribution - Correct Answer improvements on early mangement
"Golden Hour" - Correct Answer the 60-minute period after a severe injury in which selected patients
will likely survive hemorrhagic shock if perfusion is restored
80% of trauma deaths occur in the ___________________ - Correct Answer golden hour (1st hour
after injury)
what are the phases of Advanced trauma life support (ATLS) - Correct Answer 1. prehospital
2. hemorrhage
3. primary survey
4. secondary survey
what is the flow algorithm for ATLS - Correct Answer 1. rapid overview: stable or unstable
2. primary survey: ABCDEs with essential lab and radiologic exams
3. secondary survey: detailed head to toe systematic approach
4. disposition: OR for emergency surgery, radiology suite (IR), observe in ER, admit to ICU
T/F: all trauma patients should arrive to the hospital with supplemental O2 - Correct Answer true
immediate causes of trauma related death - Correct Answer 1. brain injury
2. hemorrhage
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