Podcast
Questions and Answers
What injury mechanism is MOST likely responsible for the back pain of a 12-year-old male who jumped from a tree?
What injury mechanism is MOST likely responsible for the back pain of a 12-year-old male who jumped from a tree?
Energy transmission to the spine
In addition to managing problems associated with airway, breathing, and circulation for a 15-year-old female struck by a car, what is most important for you to do?
In addition to managing problems associated with airway, breathing, and circulation for a 15-year-old female struck by a car, what is most important for you to do?
Stabilize her entire spine
After controlling the obvious bleeding of a young male with a gunshot wound to the abdomen, what should you assess for next?
After controlling the obvious bleeding of a young male with a gunshot wound to the abdomen, what should you assess for next?
Assess for an exit wound
According to the ACS-COT, when should an adult trauma patient be transported to the highest level of trauma center?
According to the ACS-COT, when should an adult trauma patient be transported to the highest level of trauma center?
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When should air medical transport of a trauma patient be considered according to the Association of Air Medical Services?
When should air medical transport of a trauma patient be considered according to the Association of Air Medical Services?
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Approximately what percentage of severe injuries to the aorta occur during lateral collisions?
Approximately what percentage of severe injuries to the aorta occur during lateral collisions?
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Following a blunt injury to the head, what should you be most concerned about in a confused 22-year-old female complaining of severe headache and nausea?
Following a blunt injury to the head, what should you be most concerned about in a confused 22-year-old female complaining of severe headache and nausea?
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What is defined as force acting over a distance?
What is defined as force acting over a distance?
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The index of suspicion is most accurately defined as what?
The index of suspicion is most accurately defined as what?
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When assessing a patient who experienced a blast injury, what should be remembered?
When assessing a patient who experienced a blast injury, what should be remembered?
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What is important to remember when assessing an elderly patient who fell?
What is important to remember when assessing an elderly patient who fell?
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What happens to the amount of kinetic energy when the speed of a motor vehicle doubles?
What happens to the amount of kinetic energy when the speed of a motor vehicle doubles?
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Which destination is most appropriate for a 41-year-old male patient who is unconscious after a rollover motor vehicle collision?
Which destination is most appropriate for a 41-year-old male patient who is unconscious after a rollover motor vehicle collision?
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Which finding would be least suggestive of the presence of high-energy trauma?
Which finding would be least suggestive of the presence of high-energy trauma?
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What injury is most likely to occur as a direct result of the third collision in a motor vehicle crash?
What injury is most likely to occur as a direct result of the third collision in a motor vehicle crash?
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Which intervention is most critical to the outcome of a patient with multisystem trauma?
Which intervention is most critical to the outcome of a patient with multisystem trauma?
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According to gunshot wound assessments, what has the greatest impact on producing injury?
According to gunshot wound assessments, what has the greatest impact on producing injury?
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Which types of motor vehicle collisions present the greatest potential for multiple impacts?
Which types of motor vehicle collisions present the greatest potential for multiple impacts?
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What injuries should you be most suspicious of in a 6-year-old male involved in a crash while only wearing a lap belt?
What injuries should you be most suspicious of in a 6-year-old male involved in a crash while only wearing a lap belt?
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What is the Glasgow Coma Scale (GCS) score of a patient with a score of 13, systolic blood pressure of 80 mm Hg, and respiratory rate of 8 breaths/min?
What is the Glasgow Coma Scale (GCS) score of a patient with a score of 13, systolic blood pressure of 80 mm Hg, and respiratory rate of 8 breaths/min?
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What is blunt trauma?
What is blunt trauma?
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What is kinetic energy?
What is kinetic energy?
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What does MOI stand for?
What does MOI stand for?
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How is work defined in physics?
How is work defined in physics?
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What is potential energy?
What is potential energy?
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What is cavitation?
What is cavitation?
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What type of trauma does multisystem trauma refer to?
What type of trauma does multisystem trauma refer to?
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What is penetrating trauma?
What is penetrating trauma?
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A fall from more than __ times the patient's height is considered to be significant.
A fall from more than __ times the patient's height is considered to be significant.
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A patient showing chest tightness, coughing up blood, and subcutaneous emphysema following an explosion may be suffering from what?
A patient showing chest tightness, coughing up blood, and subcutaneous emphysema following an explosion may be suffering from what?
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In a bicycle accident, after hitting a parked car, what was the second collision for the young boy?
In a bicycle accident, after hitting a parked car, what was the second collision for the young boy?
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What is the index of suspicion?
What is the index of suspicion?
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What significant clues indicate the possibility of severe injuries in motor vehicle collisions?
What significant clues indicate the possibility of severe injuries in motor vehicle collisions?
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Which of the following is considered a type of motor vehicle collision?
Which of the following is considered a type of motor vehicle collision?
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What is the term for the injury resulting in a compression injury to the anterior portion of the brain and stretching of the posterior portion?
What is the term for the injury resulting in a compression injury to the anterior portion of the brain and stretching of the posterior portion?
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Study Notes
Mechanisms of Injury
- Energy transmission to the spine is likely the cause of back pain after a 12-foot jump.
- Control of obvious bleeding in a gunshot abdomen wound is crucial, followed by assessing for an exit wound.
- Blunt trauma refers to injuries caused without penetrating soft tissue or organs.
Pediatric Considerations
- Spinal stabilization is vital for a 15-year-old struck by a vehicle, regardless of helmet use.
- Concerns for neck and facial injuries arise in child passengers involved in car accidents, especially with improper seatbelt use.
Trauma Transport Guidelines
- Adults with a Glasgow Coma Scale (GCS) score of 13 or less should be transported to the highest level trauma center.
- Air medical transport should be considered when ground transport is delayed due to traffic, affecting patient outcomes.
Energy and Trauma
- When vehicle speed doubles, the kinetic energy quadruples, increasing injury risk.
- Potential energy is calculated as mass, gravity, and height, relevant in fall-related injuries.
Types of Injuries
- Intracranial bleeding is a primary concern in patients displaying confusion and severe headache post head injury.
- Aortic ruptures are commonly associated with the third collision in motor vehicle accidents.
- Cavitation from penetrating injuries involves pressure waves damaging nearby structures.
Patient Assessment
- The index of suspicion represents awareness of potential serious injuries during assessment.
- Rollover and rotational collisions pose heightened risks for multiple impacts in vehicle accidents.
Blast Injuries
- Primary blast injuries in explosions are easily overlooked but may lead to significant complications.
- Symptoms of pulmonary blast injury include chest tightness and coughing blood.
Trauma Statistics
- A fall from over three times a patient's height is deemed significant, with the risk of severe injury increasing.
Brain Injury Types
- A coup-contrecoup brain injury describes a compression injury to the brain's anterior portion alongside stretching in the posterior part.
Critical Interventions
- Rapid transport to a trauma center is essential for patients with multisystem trauma to improve outcomes.
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Description
This quiz covers the mechanisms of injury, pediatric considerations in trauma care, and transport guidelines for trauma patients. It explores the critical factors to consider in assessing and managing various traumatic injuries, including energy transmission and medical transport protocols.
