trauma exam study guide.docx - Complications of spinal injuries Impaired motor ability depending on location of injury Spinal cord injury indications

trauma exam study guide.docx - Complications of spinal...

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Complications of spinal injuries - Impaired motor ability depending on location of injury, Spinal cord injury indications MVA, MCA, Motor Vs Ped, Fall, Blunt/Penetrating Trauma to head/neck/back/torso, hangings, driving accidents, recreational injuries, Injury at C5, C6 Quadriplegia, T1 down Paraplegia, Pain/tenderness on palpation, pain along spinal column/extremities, produced pain independent of movement, altered sensation/numbness (distal)/tingling, Loss of bowel control, diaphragm contusion, loss of body heat control, priapism, A patient whose spinal cord is injured below the C5 level may lose the power to move the intercostal muscles, but the diaphragm still should be able to contract. The patient still will be able to breathe because the phrenic nerves remain intact, but the injury may cause belly breathing. Patients with spinal cord injuries at C3 or above can lose their ability to breathe entirely. Ecchymosis - Bruising, bleeding within/under the skin. Can be blue, purple, black, yellow, green; develops after any injury Indications for spinal immobilization Head trauma, falling from a significant height, significant MOI, Indications for tourniquet Do not apply directly over any joint; keep it as close to the injury as possible. Make sure it is tightened securely. Never use wire, rope, a belt, or any other narrow material; it could cut into skin. Use wide padding under the tourniquet if possible. Never cover a tourniquet with bandage. Do not loosen the tourniquet after you have applied it. Extreme life-threatening limb hemorrhage or limb mangled limb with multiple bleeding Beck Triad- a collection of three medical signs associated with acute cardiac tamponade, an emergency condition wherein fluid accumulates around the heart and impairs its ability to pump blood. The signs are low arterial blood pressure, distended neck veins, and distant, muffled heart sounds.
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Patho of cushings triad Cushing’s triad-irregular respiration, bradycardia, hypertension, Intercranial pressure that pushes the brainstem and midbrain through the foramen magnum, Hyperventilate PT via positive pressure ventilations. HEAD INJURY S&S of chest wall injuries= Tension Pneumo = Chest pain, Tachycardia, Marked respiratory distress, Absent or severely decreased lung sounds on the affected side, Signs of shock such as hypotension or altered mental status, The patient may exhibit jugular vein distention (JVD), cyanosis, or tracheal deviation, but these signs are not always present. The pain is sharp and may lead to feelings of tightness in the chest. Shortness of breath, rapid heart rate, rapid breathing, cough, and fatigue are other symptoms of pneumothorax. Open/sucking chest wound chest pain that usually has a sudden onset. Dyspnea, or difficulty breathing, Tachypnea, which is rapid and shallow breathing, Tachycardia, which is a fast heart rate, An absence of breathing sounds on affected side of the chest, Pain, Obvious evidence of trauma to the chest, The bubbling or 'spitting' of blood around the wound as a person breathes. Put plastic or something
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