Tulloch

As ICP increases, what does systolic BP do? increases A burn is still hot to the touch. How should you treat it? Apply clean water for 5-10 minutes before bandaging Can hypovolemic (high-space) shock occur without any obvious trauma? YES! Internal bleeding is a big concern Does abdominal evisceration indicate a need for immediate transport? YES! Do everything during transport (IV, bandaging, etc.) Do you wanted to establish IV access for a burn patient on scene or during transport? On s...

18 y/o male involved in an MVC.you find him behind a bent steering wheel, unconscious, cool, pale and clammy, with laboured respirations of 30 and shallow, thready radial pulses of about 120, FLAT neck veins, traches midline, asymmetrical chest with absent lung sounds on the left. what does this patient have? - massive hemothorax 18 y/o/ male involved in an MVC. you find him behind the bent steering wheel, unconscious, cool, pale and clammy, blue around the lips with laboured respirations o...

1-2 days after a burn, what can occur to the tissue? - Further damage, increasing the burn depth due to decreased circulation to the area Are children able to increase their stroke volume? - No, the cardiac output is dependent on heart rate alone Are pt's with radiation burns, radioactive? - Not unless they are contaminated with radioactive material, which we are unable to decontaminate them in field Are the liver and spleen larger or smaller in pediatric pts compared to adults? - Larger ...

A 45-year-old female is found unconscious at the scene of motor vehicle collision. Her vital signs are BP 80/40, P 130, and R 30. Which of the following is the most likely cause for her vital signs? A. Fractured lower legs B. Intracranial hemorrhage C. Bleeding into the chest or abdomen D. Spinal cord injury with neurogenic shock - C. Bleeding into the chest or abdomen A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P 136 present only at the carotid, ...

A GCS of it or less in the TBI patient is considered evidence of what - Severe brain injury Anterior hip dislocation puts pressure on what - Femoral artery and vein Battle signs are evidence of what - Posterior Basilar skull fracture Blood volume increases how much during pregnancy - 45% Enter through hemorrhage is often caused by what Trumatic injuries - Blunt force trauma or penetrating injuries Factors determine severity of electrical injury - Type and amount of current path of the curr...

A 15 y/o male was stabbed and has an abdominal evisceration. The PT is A/O, BP 112/68, P 94, R18. You should? - Prepare PT for transport & establish vascular access during transport. A 16yo F is rescued from a burning house. She has 25% partial thickness burns, and the nursed areas are hot to the touch. What is the appropriate treatment? - Apply clean water to burned areas for up to 5-10 mins. a 16yoF receives 25% partial thickness thermal burns. You should: - Cool the burn and protect from...

For critical patients, the goal of the Primary Survey should be how long - < 2 and on scene time < 5 How much does the endotracheal tube move if the patient's head is flexed or extended - 2 to 2.5cm Max length of time to have a tourniquet on - 2 hours Minimum BP for perfusion - 50 to 60mmHg The 3 places that you do not use hemostatic agents - Head Abdomen Chest What are signs / symptoms of a cardiac tamponade - Normal breath sounds Distended neck veins Hypotension Narrow pulse p...

34 year old female was struck by a vehicle causing blunt force chest trauma she is unconscious with gasping respiration's almost no air movement a rapid thready carotid pulse and flat neck veins. You should ? - Provide positive pressure ventilation A 25 year old female was stabbed in the left arm she presents with an altered mental status and signs of shock bleeding is controlled by direct pressure and use of a tourniquet. Which intravenous fluid therapy in appropriate ? - Intravenous flui...

A brief neurological exam consists of what? - 1. pupils 2. GCS 3. BGL A patient who does not have a head injury, and is intubated, manage CO2 levels where? - CO2 at 35- 45 A patient with spinal precautions begins to vomit; how to treat? - 1. tilt backboard 2. suction A pregnant trauma patient with hypovolemia is treat how? - place her on her left lateral side in order to get the fetus off the vena cava A tension pneumothorax is considered what kind of shock? - mechanical Airway man...

1st action of initial assessment? - Scene safety 3 places you do you NOT use homeostatic agents? - head abdomen chest 3 things that stop your assessment right away. - scene hazard, airway obstruction, cardiac arrest 4 things to check with an altered patient - Pulse Pupils LOC Sugar Abnormal adult respiratory rate that needs intervention (airway, bag assist etc..) - <8 and >24 Absolute hypovolemia - Low Space shock Adequate respiratory rate for an adult? - 10-12 per minute e...