Paramedic Trauma Final Exam
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2024
head-on impacts - ✔✔Passengers decelerate at the same rate as the vehicle
Down and Under Pathway - ✔✔Occupant slides under the steering wheel or
the dash. The knees hit the dashboard, and transmit energy up the leg, to the
femur/pelvis. If the feet are locked in place, it can cause femur fractures
Up and Over Pathway - ✔✔Chest hits the steering wheel, head hits the
windshield and anterior portion of the throat hits the top of the steering wheel.
Can cause significant head and neck injuries.
,Lateral impact injuries - ✔✔the body is pushed in one direction, while the
head moves toward the impacting object
rear impact injuries - ✔✔sudden forward accelerating force causes the body
to move forward but not the head-whiplash
energy is imparted to the front vehicle
rotational impact - ✔✔lateral crash is off center
vehicles forward motion stops, but the side continues in rotational motion
greatest damage occurs at point of vehicle's greatest loss of speed
away - ✔✔adults turn _____ from oncoming vehicle
towards - ✔✔children turn ______ oncoming vehicle
,first impact - ✔✔car strikes body with its bumpers
second impact - ✔✔adult is thrown on hood/grille of vehicle
third impact - ✔✔body strikes the ground or some other object
Waddell triad - ✔✔Pattern of injuries in children and people of short stature
-Bumper hits pelvis and femur.
-Chest and abdomen hit grille.
-Head strikes vehicle and ground.
possibly run over by vehicle
falls from height - ✔✔depends on height, position (don juan syndrome or
lovers leap), area, surface, physical condition
adults tend to land on their heels
, significant fall for an adult is >20ft
peds >10ft
Low velocity penetrating trauma - ✔✔Knives, etc.
Injury usually limited to area that was penetrated
high velocity penetrating trauma - ✔✔usually a bullet
elastic - ✔✔bowels, muscle, and lungs are relatively _________, resulting in fewer
permanent cavitation effects
inelastic - ✔✔liver, spleen, and brain are relatively __________, resulting in more
permanent cavitation effects
dissipation of energy - ✔✔the way energy is transferred to the human body
by the forces acting upon it
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