Trauma and Injuries Overview
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Questions and Answers

What type of injury is indicated by severe bleeding from the head with gray matter showing?

  • Closed skull fracture
  • Contusion
  • Open skull fracture (correct)
  • Concussion

Which of the following is the most critical associated injury from serious blunt or penetrating trauma to the face?

  • Nosebleed
  • Facial lacerations
  • Dislodged teeth stuck in the airway (correct)
  • Fractured jaw

What is the possible numerical range for the Glasgow Coma Scale?

3-15

Which manual airway maneuver should you always use to open the airway of a patient with a suspected neck injury?

<p>Jaw-thrust maneuver</p> Signup and view all the answers

When treating a patient with damage to the facial bones, what should you have a high index of suspicion for?

<p>Injury to the brain</p> Signup and view all the answers

What are the three sections of the Glasgow Coma Scale?

<p>Motor response</p> Signup and view all the answers

The spinal cord is the central pathway for messages to and from the brain.

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

You should leave a helmet in place if there are impending airway or breathing problems.

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

In managing an open wound to the neck, what should you do while waiting for occlusive dressings?

<p>Place your gloved hand over the wound to close it off from air entry.</p> Signup and view all the answers

What are the steps in immobilizing a supine patient to a long backboard?

<p>Securing the patient's torso to the board before securing the head.</p> Signup and view all the answers

Shock, or hypoperfusion, caused by a spinal cord injury is classified as?

<p>Neurogenic</p> Signup and view all the answers

Which condition is most likely to have an associated spinal injury?

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

What is abnormally high pressure within the skull known as?

<p>Increased intracranial pressure</p> Signup and view all the answers

The hole where the spinal cord exits the cranium is called?

<p>Foramen magnum</p> Signup and view all the answers

An injury to the cranium would directly affect?

<p>The bony structure making up the forehead, top, back, and upper sides of the skull</p> Signup and view all the answers

What is your primary concern when treating a car crash victim with swelling to the jaw and misaligned teeth?

<p>Removing debris from the airway</p> Signup and view all the answers

During your primary assessment, it is important to initiate immediate manual in-line spinal stabilization according to patient need.

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

When an individual sustains blunt-force trauma to the head without lasting effects, this is termed a?

<p>Concussion</p> Signup and view all the answers

What must a large puncture wound or laceration to the neck be sealed with?

<p>Occlusive dressing</p> Signup and view all the answers

Another term for a compression injury to the spine is?

<p>Axial loading</p> Signup and view all the answers

What does emergency medical care of a patient with suspected spinal injury include?

<p>Assessing neurological deficits by testing grip strength</p> Signup and view all the answers

What should you do with objects that are impaled into the head and interfere with transport?

<p>Stabilize and cut with minimal movement of the object</p> Signup and view all the answers

How should you manage a patient with a knife impaled in the left lobe of his skull near the temporal membrane?

<p>Stabilize the knife with bulky dressings</p> Signup and view all the answers

Flashcards

Open Skull Fracture

A fracture of the skull where the gray matter is exposed.

Dislodged Teeth (Airway)

Teeth that are loose or out of place obstructing the airway.

GCS

Glasgow Coma Scale; measures the level of consciousness.

Jaw-Thrust Maneuver

Airway opening technique for suspected neck injuries.

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Brain Injury Suspicion

High suspicion for brain damage with facial bone damage.

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Spinal Cord Function

Connects brain and body, carrying messages.

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Helmet Removal

Leave helmets on unless for airway or breathing concerns.

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Open Neck Wound Cover

Cover open neck wounds with gloved hand, awaiting dressing.

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Torso Immobilization

Secure torso to long backboard before head immobilization.

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Neurogenic Shock

Shock caused by spinal cord injury.

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Facial Trauma & Spinal Injuries

Facial injuries often occur with associated spine problems.

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Increased Intracranial Pressure

Raised pressure inside the skull.

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Foramen Magnum

Where the spinal cord exits the skull.

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Cranium Injuries

Affect the bony structure of the skull.

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Airway Debris Removal

Priority in assessment with jaw trauma.

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Manual In-Line Stabilization

Stabilize the spine during primary assessment, if needed.

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Concussion

Temporary neural disruption from blunt force, without lasting effects.

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Occlusive Dressing

A dressing to seal wounds, prevent air emboli.

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Axial Loading

Compression injury to the spine.

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Neurological Deficits

Evaluate grip strength in suspected spinal injuries.

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Impaled Objects (Stabilization)

Stabilize impaled objects in the head with minimal movement.

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Bulky Dressings (Stabilization)

Stabilize impaled objects in the skull with padding.

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Study Notes

Trauma and Injuries Overview

  • Severe bleeding with gray matter showing indicates an open skull fracture.
  • Dislodged teeth in the airway is the critical injury from serious facial trauma.
  • Glasgow Coma Scale (GCS) ranges from 3 to 15, evaluating consciousness level.
  • Use the jaw-thrust maneuver to open the airway in patients with suspected neck injuries.

Facial and Neck Trauma

  • High suspicion for brain injury when treating facial bone damage.
  • The spinal cord serves as the central conduit for messages between the brain and body.
  • Helmets should be left on if there are no airway or breathing issues.
  • Cover an open neck wound with a gloved hand while awaiting occlusive dressings.

Patient Immobilization and Response

  • Secure the patient’s torso to a long backboard before the head for immobilization.
  • Neurogenic shock occurs due to spinal cord injury.
  • Facial trauma is common with associated spinal injuries.

Intracranial and Spinal Injuries

  • Increased intracranial pressure can result from various brain injuries.
  • The foramen magnum is where the spinal cord exits the skull.
  • Injuries to the cranium affect the bony structure of the skull.

Emergency Assessment and Management

  • In an assessment with jaw trauma, prioritize removing airway debris.
  • Initiate manual in-line spinal stabilization during your primary assessment as needed.
  • Concussion denotes temporary neural disruption without lasting effects from blunt-force trauma.
  • Seal a large neck wound with an occlusive dressing to prevent an air embolus.

Specialized Terms and Techniques

  • Axial loading refers to a compression injury to the spine.
  • Evaluate neurological deficits by testing grip strength in suspected spinal injury cases.
  • Impaled objects in the head should be stabilized with minimal movement for safety.
  • For a patient with a knife wound to the skull, stabilize the object with bulky dressings.

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Description

Test your knowledge on trauma and injuries related to facial and neck trauma, including types of fractures and assessment scales. Learn about critical interventions like airway management and patient immobilization techniques. This quiz covers essential information for understanding various trauma scenarios.

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