Tncc exam stuvia - Study guides, Class notes & Summaries

Expedite transfer to the closest trauma center - ANSWER-A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - ANSWER-Which of the following considerations is the most important when caring for a ger...

B - ANSWER -Breathing and Ventilation C - ANSWER -Circulation and Control of Hemorrhage D - ANSWER -Disability (neurologic status) E - ANSWER -Exposure and Environmental control F - ANSWER -Full set of Vital Signs, Family Presence, Focused adjuncts When is the KB test appropriate and what does it determine? - ANSWER -Pregnant patient. Detects fetal RBC in maternal circulation. What is the pH of amniotic fluid? - ANSWER -7.5 What is the pH of urine? - ANSWER -4.6 - 6 What ...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

Expedite transfer to the closest trauma center - ANSWER-A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - ANSWER-Which of the following considerations is the most important when caring for a ger...

Primary survey - ANSWER-ABCDE with resuscitation adjuncts FG What does ABCDE/FG stand for - ANSWER-A airway/alertness/w simultaneous cervical spinal stabilization B-breathing/ventilation C-circ/control of hemorrhage D-disability (neuro status) E-exposure/environment control F-full VS/family G-get resuscitation adjunct L-lab- ABG,TYPE N CROSS MATCH M-monitor heart rhythm,rate N-NGT/OG O-o2/vent analysis' pulse ox/ETCO2 P-pain/manage H-hx/head to toe I- inspect posterior surfac...

What roles are vital to a trauma team - ANSWER-The patient Team leader-organize team/empower members core team-technical skills- airway/vascular access contingency and support survices- RT 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...

What is kinetic energy (KE)? - ANSWER-KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? - ANSWER-A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental controls (remove clothing and keep the patient warm) What is the Mnemonic for the Secondary Assessment? - ANSWER-F = Full set of VS/Focused adjuncts (includes cardiac monitor, urinary ca...

Normal levels of intracranial pressure - ANSWER-0-15 What is CPP and what is the normal range? - ANSWER-Cerebral perfusion pressure- measure of how much blood is getting to the brain Range for brain to auto regulate: 50-160 Role of MAP in TBI - ANSWER-if CPP isn't in normal range than MAP provides profusion to brain If pt is hypotensive (<90 systolic) the MAP is not proficient then brain becomes ischemic If pt is hypertensive edema can result hypercarbia and perfusion in T...