Block4Studyguide6666

Block4Studyguide6666 - Volume 4 Chapter 10 Abdominal Trauma...

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Block #4 Study Guide Which of the following best explains the importance of determining the trauma patients level of consciousness and orientation in the initial assessment? --It serves as a baseline for determining improvement or deterioration in the patient’s condition Which of the following requires immediate transport to a trauma center? --47 year old involved in a MVC that resulted in the death of his passenger The increase in myocardial contraction as a result of increased blood return to the heart best describes: --Frank Starlings Law of the heart The purpose of determining the mechanism of injury and the index of suspicion for the trauma patient at the same time is to allow you to: --anticipate your patient’s injuries Which of the following means “the anticipation of injury to a body region or organ”? --Index of suspicion Your patient is a 23 yo male with a gunshot wound to the abdomen and an exit wound in the right flank. He responds to verbal stimuli; has pale, cool, diaphoretic skin; a heart rate of 128; resp. at 24; and a B/P of 82/60. These findings indicate which of the following kind of shock? --Decompensated Which of the following mechanisms would yield the greatest index of suspicion for injury? --50 miles per hour mtor vehicle crash with partial ejection Which of the following results from the Beta-1 actions of epi in response to shock. --Increased inotrophy, Increased chronotrophy, Increased dromotrophy Which of the following is more relevant to the assessment and history of the medical patient than to the trauma patient? --OPQRST Which of the following findings indicates a progression from compensated shock to decompensated shock? --Altered Mental Status A trauma system is based on the principle that serious trauma is a _______disease. --surgical Which of the following is important to the assessment of the trauma patient but not to the
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medical patient? --The need to identify the mechanism of injury Which of the following is an acceptable way of reducing prehospital time to maximize the use of the “Golden Hour” for trauma patients? --Call for air medical transport, if indicated In frontal impact collisions, which pathway of patient travel results in higher mortality? --Up and Over When inspecting the interior of a vehicle involved in a frontal collision, you note that the dash panel beneath the steering wheel is broken. Which of the following injuries does this indicate? -- All of the above (fracture of the acetabulum, femur fracture, knee injury) Your patient is a 45 yo male who has received several stab wounds to the chest and abdomen. Although bleeding was significant at first, the rate of bleeding had slowed PTA. The patient is agitated and cnfused, pale, diaphoretic, and cool to the touch. He lacks a radial pulse, and his carotid pulse is weak and rapid. Respirations are 28 and shallow. Which of the following is certain with this patient? --He is in decompensated shock
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This note was uploaded on 03/25/2010 for the course PAR 100 taught by Professor Alan during the Spring '10 term at Miramar College.

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Block4Studyguide6666 - Volume 4 Chapter 10 Abdominal Trauma...

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