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A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath sounds - ANSWER reexamine the chest A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain in both heels and his lower back. Lower extremity p...

Definitive control of the airway is achieved by ____________ - ANSWER Endotracheal intubation How do you treat hypothermia in the ED? - ANSWER crystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) - ANSWER 1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? - ANSWER Size and le

What is the primary goal of treating TBI? How is this done? - ANSWER preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? - ANSWER mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which brain lobes do the following hold: 1. anterior fossa: 2. m...

A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next st...

22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next step...

Assessed first in trauma patient - ANSWER Airway (*)Degree of burn that is characterized by bone involvement - ANSWER Fourth Complications of head trauma - ANSWER Intracerebral hematoma Extradural hematoma Brain abscess Most common cause of laryngotracheal stenosis - ANSWER Trauma Intervention that can help prevent development of acute renal failure - ANSWER Infusion

True or false? Although the mechanism of injury may be similar to those for the younger population, data shows increased mortality with similar severity of injury in older adults. - ANSWER True In the elderly population, what is decreased physiological reserve? - ANSWER aging is characterized by impaired adaptive and homeostatic mechanisms that caused an increased susceptibility to the stress of injury. Insults tolerated by the younger population can lead to devastating results in elderly pat...

Do not delegate - ANSWER What you can EAT E-evaluate A-assess T-teach Better peripheral perfusion? - ANSWER EleVate Veins, DAngle Arteries APGAR - ANSWER Appearance (all pink, pink and blue, blue (pale) Pulse (>100, <100, absent)

Diabetic Ketoacidosis - ANSWER - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia - admin fast acting insulin that can be effective within 10 min, admin IV - kussmaul resp Beta blockers (Propanolol) - ANSWER - monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis, acute pancreatitis - notify provider: night cough Factors that affect wound healing - ANSWER - dehydration (UO) - infection

A nurse is preparing a change-of-shift report for a patient who had chest pain. Which information is critical for the nurse to include? - ANSWER Sharp pain of 8 on a scale of 1 to 10 A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using? - ANSWER Personal While teaching the client about management of his heart disease, a nurse might use a strategy that is implemented to promote learning in the affective domain such as: - ANSW...