Handout Ch27-1 PDF - Chapter 27 Quiz

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trauma prehospital emergency care mechanism of injury emergency medicine

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This document includes a quiz on trauma, covering topics such as Newton's first law of motion, kinetic energy, and mechanisms of injury in motor vehicle collisions. It also includes real-case scenarios for applying concepts. The document is likely part of a prehospital emergency care curriculum.

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Handout 27-1 Student’s Name CHAPTER 27 QUIZ Write the letter of the best answer in the space provided. 1. Newton’s first law of motion states that a body at rest will remain at res...

Handout 27-1 Student’s Name CHAPTER 27 QUIZ Write the letter of the best answer in the space provided. 1. Newton’s first law of motion states that a body at rest will remain at rest and a body in motion will remain in motion unless acted upon by A. inertia. C. an outside force. B. condensation. D. convection. 2. The term for the energy that is contained in a moving body is A. kinetic. C. potential. B. thermal. D. chemical. 3. An increase in which one of the following causes the greatest increase in kinetic energy? A. Mass C. Size B. Velocity D. Width 4. Shearing or tearing forces are placed on the organs and their supportive tissues in the mechanism of injury called A. acceleration‒deceleration. C. rollover collisions. B. machine‒body collision. D. penetrating injuries. 5. A bullet traveling through a body part produces a temporary indentation around the bullet’s actual path. This process is known as A. penetration. C. cavitation. B. compression. D. levitation. 6. The chance of sustaining a fatal injury in a vehicle collision is increased by 300 percent when the occupant is A. unrestrained. C. an infant or a child. B. ejected. D. improperly restrained. 7. In every motor vehicle collision there are at least how many impacts? A. two C. four B. three D. five 8. A fall should be considered severe any time an adult patient has fallen A. 12 feet. C. 10 feet. B. 5 feet. D. 20 feet. 9. What does the “platinum ten minutes” refer to? A. How long a critical patient has to reach surgery after arrival in the ED B. The maximum amount of time it should take EMS to begin administering definitive care to a critical patient C. The amount of time it should take an EMS crew to return to service during a multiple- casualty incident D. The maximum amount of time EMS should devote to on-scene activities for a critically injured patient 10. Which level of trauma center can manage all types of trauma? A. Level I C. Level III B. Level II D. Level IV ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed. Handout 27-2 Student’s Name IN THE FIELD Review the following real-life situation. Then answer the questions that follow. Your EMS unit is dispatched to a one-vehicle automobile collision. On arrival, you find a 22-year-old female who reportedly tried to dodge an animal that was in the roadway. She ran off the road and hit a large cedar tree. After repeated questioning, the patient admits that she had just taken her seat belt off. You assess the car to find that the steering column is bent and a starburst pattern appears on the windshield in front of the driver’s seat. The driver, meanwhile, is very anxious and restless. You note a large bruise over her sternum. 1. Which injuries would you expect to find, considering the mechanism of injury? 2. How would you expect the injuries to be different if the patient had been wearing a seat belt? If the air bag had deployed? ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed. Handout 27-3 Student’s Name CHAPTER 27 REVIEW Write the word or words that best complete each sentence in the space provided. 1. Since the early 1970s, has been recognized as the leading cause of death for persons between the ages of 1 and 40 years. 2. The science of analyzing the mechanism of injury is sometimes called the. 3. The factors and forces that may have caused injury to a patient are the. 4. The amount of kinetic energy an object contains depends on two factors: the body’s and the body’s. 5. During the assessment of a patient who was involved in an MVC, the EMT must maintain a high based on the mechanism of injury. 6. Understanding the factor of is more important than understanding the factor of mass when evaluating the mechanism of injury in vehicle collisions. 7. travels in a straight line unless it meets and is deflected by some type of interference. 8. The rate at which a body in motion increases its speed is known as. 9. More than one-third of all deaths due to trauma occur from. 10. The up-and-over pathway causes impact to the , , , and. ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed. Handout 27-4 Student’s Name TRAUMA OVERVIEW: THE TRAUMA PATIENT AND THE TRAUMA SYSTEM: LISTING 1. List four major factors in determining the force of an impact. 2. In the typical vehicular collision, there are actually three impacts. List them. 3. List four common mechanisms of injury. 4. List five types of motor vehicle collisions. ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed.. Handout 27-5 Student’s Name RECOGNIZING INJURY PATTERNS For each of the three types of collisions pictured below, identify the type of collision and the type of injuries commonly associated with it. 1. collision 2. collision Type of injuries: Type of injuries: 3. collision Type of injuries: ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed. Handout 27-6 Student’s Name TRAUMA OVERVIEW: THE TRAUMA PATIENT AND THE TRAUMA SYSTEM: TRUE OR FALSE Indicate if the following statements are true or false by writing T or F in the space provided. 1. Children are initially struck higher in the body in pedestrian collisions than are adults. 2. Air bags are extremely effective in multiple collision incidents but are not effective in initial impact head-on collisions. 3. Spinal fractures are more common with rear collisions than with lateral collisions. 4. The EMT must not only recognize obvious injuries but must also maintain a high index of suspicion for hidden injuries. 5. The concept of cavitation deals primarily with blunt trauma injuries. 6. Trauma is nearly always the result of two or more objects colliding with each other. 7. A knife wound is potentially more traumatic than a bullet wound. 8. Falls are actually the most common mechanism of injury. 9. The “paper bag syndrome” results from compression of the chest against the steering column. 10. Injuries from rotational crashes or rollover crashes are not as easy to predict as injuries from other crashes. ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed. CHAPTER 27 ANSWER KEY HANDOUT 27-1: Chapter 27 Quiz HANDOUT 27-4: Trauma Overview: The Trauma 1. C 4. A 7. B 9. D Patient and the Trauma System: Listing 2. A 5. C 8. D 10. A 1. Mass, velocity, acceleration, deceleration. 3. B 6. B 2. Vehicle, body, organs. 3. Falls, vehicular collisions, penetrating gunshots or HANDOUT 27-2: In the Field stabbings, explosions, blast injuries. 4. Head-on, rear-end, side impact, rollover, rotational. 1. Closed and/or open head injuries, soft tissue and blunt force injuries to the chest, abdominal injuries. HANDOUT 27-5: Recognizing Injury Patterns 2. Seat belt: Head and neck injuries are still likely, as the seat belt does not hold these structures immobile. 1. Head-on collision. Types of injuries: up-and-over head, Deceleration injuries may be present without any outward neck, chest, abdominal injuries; down-and-under knee, signs of trauma. Air bag: Deceleration injuries are still hip, and leg injuries. likely. The air bag immediately deflates, allowing for 2. Rear-end collision. Types of injuries: neck (most secondary impact with the steering wheel and/or common), head, chest. windshield. Abrasions are likely on the arms and face 3. Lateral-impact collision. Types of injuries: head and neck, from contact with the rapidly deploying air bag. chest abdomen, pelvis, thighs. HANDOUT 27-3: Chapter 27 Review HANDOUT 27-6: The Trauma Overview: 1. trauma The Trauma Patient and the Trauma System: 2. kinetics of trauma True or False 3. mechanisms of injury 1. T 4. T 7. F 9. T 4. mass, velocity 2. F 5. F 8. T 10. T 5. index of suspicion 3. F 6. T 6. velocity 7. Energy 8. acceleration 9. vehicle collisions 10. head, neck, chest, abdomen ©2018 by Pearson Education, Inc. C H A P T E R 2 7 Trauma Overview: The Trauma Patient and the Trauma System Prehospital Emergency Care, 11th Ed.

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