Prehospital Emergency Care: Trauma Overview

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Questions and Answers

Which scenario indicates a higher suspicion of injury in a vehicle collision?

  • The vehicle's airbag deployed
  • A loud noise from the engine
  • Death of another vehicle occupant (correct)
  • A minor dent on the vehicle

What mechanism of injury is most likely during a rear-end impact with an unrestrained occupant?

  • Neck injuries from forward motion (correct)
  • Injury exclusively to the lower spine
  • Chest injuries due to seatbelt tension
  • Immediate head injury from collision

What does a deformed steering wheel suggest in a vehicle collision?

  • Only cosmetic damage
  • Possible chest or abdominal injury (correct)
  • No injury is likely
  • Potential leg injuries

In a down-and-under pathway during a collision, which injuries should be anticipated?

<p>Injury to the knees and spine (B)</p> Signup and view all the answers

What is the purpose of a properly adjusted headrest and seat belt in a vehicle?

<p>To reduce potential injury in collisions (A)</p> Signup and view all the answers

What primarily determines how energy changes direction and form upon impact?

<p>Interference with the travel of kinetic energy (B)</p> Signup and view all the answers

What is considered the mechanism of injury (MOI) in the context of vehicle collisions?

<p>How a person is injured (B)</p> Signup and view all the answers

What happens during a body collision in a vehicle collision scenario?

<p>The occupant strikes the interior of the automobile (C)</p> Signup and view all the answers

Which of the following statements about organ collision is accurate?

<p>The occupant strikes the inside of the skull, chest, or abdomen (D)</p> Signup and view all the answers

Why is understanding the mechanism of injury (MOI) critical for prehospital personnel?

<p>To provide a suspicion of injury to guide further assessment (C)</p> Signup and view all the answers

What type of impact involves energy being absorbed as a vehicle strikes an object?

<p>Vehicle collision (D)</p> Signup and view all the answers

Which injuries should be suspected with an up-and-over pathway during a vehicle collision?

<p>Injuries to the abdomen, chest, face, head, and neck (B)</p> Signup and view all the answers

What critical piece of information can indicate a high risk of injury in vehicle collisions?

<p>Vehicle telemetry data (D)</p> Signup and view all the answers

What factor does NOT affect the extent of injury in a vehicle-pedestrian collision?

<p>The size of the vehicle (D)</p> Signup and view all the answers

Which statement about restraints is correct?

<p>The benefits of restraints outweigh the potential risks. (D)</p> Signup and view all the answers

What causes primary injuries in blast incidents?

<p>Pressure waves from air molecules (B)</p> Signup and view all the answers

Which of the following is a common characteristic of motorcycle collisions?

<p>They may result in severe abrasions and burns. (B)</p> Signup and view all the answers

Which factor is NOT important for EMTs when determining patient transport?

<p>Patient's preferred hospital (D)</p> Signup and view all the answers

In a lateral impact, which area might NOT be at risk for injury?

<p>Feet (A)</p> Signup and view all the answers

Which demographic group experiences different injury patterns in vehicle-pedestrian collisions?

<p>Children and adults (D)</p> Signup and view all the answers

What defines multisystem trauma in patients?

<p>Multiple injuries across different body systems (C)</p> Signup and view all the answers

Which type of injury results from projectiles in a blast?

<p>Secondary injury (C)</p> Signup and view all the answers

Which of the following is a consequence of improper positioning of lap belts and shoulder straps?

<p>Increased likelihood of spinal cord injury. (B)</p> Signup and view all the answers

What term describes the injury patterns during rollover crashes?

<p>Less predictable injury patterns (C)</p> Signup and view all the answers

What is the primary concern when managing traumatized patients?

<p>Managing immediate life threats (B)</p> Signup and view all the answers

What can occur even without injury to the vertebrae when considering head and neck positioning in children?

<p>Spinal cord injuries (D)</p> Signup and view all the answers

Which situation would classify a patient as having RED criteria?

<p>Patient showing signs of shock with suspected internal hemorrhage (A)</p> Signup and view all the answers

What is the first priority mentioned in the golden principles of prehospital trauma care?

<p>Personal safety (B)</p> Signup and view all the answers

In which of the following conditions should a trauma patient be transported to a trauma center?

<p>Patients meeting RED criteria (D)</p> Signup and view all the answers

Which penetraing trauma location qualifies as RED criteria?

<p>Penetrating trauma to the abdomen (D)</p> Signup and view all the answers

What symptom indicates a patient does not meet RED criteria but still requires trauma center transport?

<p>Significant external blood loss but controlled (C)</p> Signup and view all the answers

Which of the following scenarios indicates a need for airway management and adequate ventilation?

<p>Patient experiencing altered mental status (D)</p> Signup and view all the answers

What finding would classify a patient as potentially having RED criteria?

<p>Patient exhibiting seizure activity (B)</p> Signup and view all the answers

Which of the following accurately describes RED criteria related to external injuries?

<p>Penetrating trauma to the head (C)</p> Signup and view all the answers

What is the primary reason for rapid transport of severely injured patients?

<p>It is essential to survival. (C)</p> Signup and view all the answers

What role does a backboard serve for unstable trauma patients?

<p>It aids in the splinting of fractures. (D)</p> Signup and view all the answers

When assessing a trauma patient, what is a common pitfall that should be avoided?

<p>Becoming overly concerned with dramatic injuries. (A)</p> Signup and view all the answers

In Nina's scenario, what influenced the decision to transport the patient to the community trauma center?

<p>The proximity of the community trauma center. (D)</p> Signup and view all the answers

Which statement best describes the importance of assessing the mechanism of injury (MOI)?

<p>It can provide clues about potential injuries. (C)</p> Signup and view all the answers

How do mass and velocity relate to trauma assessment?

<p>They influence kinetic energy and potential injury severity. (D)</p> Signup and view all the answers

What is one expected outcome for patients after initial stabilization at a community trauma center?

<p>They are likely to be transferred to a regional trauma center. (D)</p> Signup and view all the answers

What aspect of trauma systems is crucial for severely injured patients?

<p>They allow for rapid surgical intervention. (C)</p> Signup and view all the answers

Flashcards

Mechanism of Injury (MOI)

How a person is injured; the way an injury occurs.

Vehicle Collision

When a vehicle strikes an object.

Body Collision

When a person inside a vehicle strikes the interior.

Organ Collision

When a person's organs hit the inside of the body.

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Priorities in Trauma Management

Important considerations when treating someone with trauma.

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Trauma Patient Assessment

Evaluating the extent of injuries in a trauma patient.

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MOI and Injury Correlation

MOI shows possibility of injury, not certainty.

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Kinetic Energy Interference

Changes in energy direction and form due to obstacles; collisions.

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Vehicle Collision Injury Suspicion

High suspicion of injuries exists in vehicle collisions involving fatalities, altered mental status, intrusions over 12 inches (for occupants),deformed steering wheels, and ejection from the vehicle.

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Rear-End Impact Injury Pathway

Initial whiplash injuries to head and neck; subsequent injuries can follow an 'up-and-over' or 'down-and-under' pathway, affecting knees, femurs, hips, and spine.

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Unrestrained Occupant in Rear Impact

In a rear-end collision with an unrestrained occupant, initial motion is back, then forward, causing head, neck, and chest injury.

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Steering Wheel Deformation

A deformed steering wheel indicates a possible chest or abdominal injury.

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Headrest and Seatbelt Importance

Properly adjusted headrests and seatbelts reduce injuries in rear-end collisions by minimizing whiplash.

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Blast Injuries

Injuries caused by an explosion.

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Primary Blast Injury

Pressure wave injury from an explosion.

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Secondary Blast Injury

Injuries from flying debris in an explosion.

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Multisystem Trauma

Trauma involving multiple body systems.

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Trauma Patient Transport Considerations

EMTs must consider factors like the patient's injuries and condition when deciding on transport location for optimal treatment.

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Lateral impact vehicle-pedestrian collision injuries

Injuries in a side impact collision can affect various parts of the body, including the head, neck, chest, abdomen, pelvis, and extremities, with injury severity dependent on the force of impact and the body parts involved.

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Vehicle-pedestrian crash injury factors

Factors affecting pedestrian injuries in vehicle collisions include vehicle speed, body part hit, distance thrown and landing surface.

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Hidden injuries in crashes: restraints

Properly fastened seat belts/restraints offer protection; however, improper use or lack of restraint can still cause significant hidden injuries, more common in children and infants.

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Motorcycle crash types

Motorcycle collisions can involve rotational or rollover crashes. These feature multiple impacts and changes in direction, and often affect the head, neck, limbs, and internal organs.

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Motorcycle crash injury patterns

Motorcycle crash injury patterns can range from head-on or angular impacts to ejection, making injuries less predictable.

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Motorcycle crash severity: helmet use

Helmet use significantly reduces harm and death risk in motorcycle crashes. Injuries vary widely, but head injuries are common.

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Rollover crash injuries

Rollover crashes generally cause multiple injuries due to the various impacts and changes in direction. Ejection, and crushing injuries are common and the body may be hit multiple times.

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Laying down a bike injury

Laying the bike down after a crash can lead to severe abrasions and burns due to friction and impact with the ground.

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Red Criteria

A set of severe injury signs indicating the need for immediate transport to a trauma center.

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Suspected Internal Hemorrhage

Bleeding inside the body, often indicated by shock symptoms.

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Altered Mental Status

Changes in consciousness, awareness, or thinking abilities.

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Penetrating Trauma

Injury caused by an object piercing the skin and entering the body.

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Amputation

Loss of a body part, typically limb or extremity.

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Yellow Criteria

Criteria indicating potential serious injuries, requiring transport to a trauma center if other factors are present.

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Golden Principles

Essential guidelines for prehospital trauma care, emphasizing safety, airway management, bleeding control, and oxygenation.

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Personal Safety

The highest priority in trauma care, ensuring rescuer safety before approaching the patient.

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Rapid Transport

Essential for survival of seriously injured patients. Get them to a trauma center quickly.

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Backboard Use

Splints fractures in unstable trauma patients, immobilizing the spine.

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Tunnel Vision

Avoid focusing solely on dramatic injuries, consider the full picture.

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Kinetic Energy

The force behind injury, determined by mass and velocity.

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Trauma Systems

Networks for rapid surgical intervention for severely injured patients.

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High-Velocity Weapons

Can cause massive bodily injury, exceeding the body's ability to repair.

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Study Notes

Prehospital Emergency Care: Trauma Overview

  • Kinetics is the branch of mechanics dealing with the movements of bodies. Understanding kinetics helps understand mechanisms of injury (MOI) and trauma.
  • Analyzing the mechanism of injury is crucial in deciding if a patient needs immediate transport.
  • Kinetic energy is calculated by mass multiplied by velocity. Velocity is the more important factor in determining kinetic energy.

Kinetics of Trauma

  • The mechanism of injury (MOI) describes how a person is injured.
  • Analyzing MOI is crucial for understanding injury.
  • Examples of MOI include vehicle collisions, body collisions, and organ collisions.
  • Vehicle collisions involve a vehicle hitting an object. A frontal collision involves the occupant continuing forward at the same speed the vehicle is traveling. In a rear collision, the head and neck are whipped back, possibly requiring an airbag deployment.
  • Body collisions involve occupants hitting parts of the vehicle, such as the steering wheel or dashboard.
  • Organ collisions involve organs hitting the inside of the skull, chest, or abdomen.

Case Study

  • EMTs responded to a hunting accident where a 27-year-old man was accidentally shot.
  • A police officer immediately applied direct pressure to the patient's thigh.
  • The patient was combative and confused.
  • Key priorities in managing such trauma patient include ensuring an open airway and breathing, stabilizing any injuries to the patient's body.

Trauma Patient Priorities

  • Recognizing the extent of injuries in a trauma patient is critical when determining the appropriate course of action.
  • Trauma makes up a significant percentage of prehospital calls.

Types of Impacts

  • Three main types of impacts in vehicle collisions: vehicle collision, body collision, and organ collision.
  • Impacts can have differing severities and lead to various types of injuries.

Mechanism of Injury

  • Mechanism of Injury (MOI) is a suspicion, not an accurate assessment, of the extent of injury.
  • Assessing a trauma patient for possible injuries is essential.
  • Clues to the extent of injury involve: death of another vehicle occupant, altered mental status, intrusions over 12 inches, ejection from the vehicle.
  • Injuries can involve the head, neck, chest, abdomen, pelvis, extremities.

Energy Changes and Interference

  • Energy travels in straight lines unless it meets interference or change in direction.
  • Interference with kinetic energy can cause changes in direction and form.
  • Changes in acceleration and deceleration cause force changes.

Types of Blast Injuries

  • Primary (pressure wave): air molecules slam into each other creating outward pressure wave; pressure injury
  • Secondary (blast wave): superheated gases cause pressure waves, causing projectile injuries
  • Tertiary: The blast wind causes the patient to be dislodged, leading to injuries.
  • Quaternary/Quinary: exposure to hazardous chemicals or collapse of structures.

Fall Injuries

  • Fall severity depends on distance, surface, and body part impacted first.
  • A high fall can lead to head or spinal injuries.
  • Feet-first falls can lead to lower-extremity injuries.

Penetrating Injuries

  • Kinetic energy dictates the amount of injury(low, medium, or high).
  • Low velocity examples include knives and defensive slash wounds.
  • Medium/High velocity examples include firearms.

Trauma Triage

  • Trauma triage criteria are used to determine the severity of injuries and determine whether transportation to a trauma center is necessary.

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