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61 Cards in this Set
- Front
- Back
- 3rd side (hint)
___________ is/are the leading cause of death between the ages of 1 and 45 and the third leading cause of death in all age groups. |
Motorcycle accidents Motor vehicle accidents Trauma Boating accidents |
Trauma |
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During a true surgical emergency, more so than in any other scenario, ___________ is key to a successful outcome for the patient. |
counting preparation teamwork instruments |
teamwork |
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Although the ability to respond quickly to the demand of surgery is important, so is_______________. |
preparation accuracy teamwork instruments |
accuracy |
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Clear _____________ is the pivot point of team efforts in an emergency. |
preparation accuracy teamwork communication |
communication |
|
ATLS is |
Advance Trauma Limited System Advance Trauma Life System Advance Trauma Life Support Advance Trauma Limited Support |
Advance Trauma Life Support |
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____________ is/are treatment pathways in trauma surgery. |
Signs and symptoms Hemorrhagic shock None of the above Algorithms |
Algorithms |
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Subnormal core body temperature for an extended period of time is known as: |
metabolic acidosis coagulopathy hyperthermia hypothermia |
hypothermia |
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Lower-than-normal blood pH is what condition? |
hyperthermia metabolic acidosis coagulopathy hypothermia |
metabolic acidosis |
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Potentially lethal disorder of the normal blood clotting system in patients who survive the first hour after injury are at risk for which of the following of these conditions: |
hyperthermia coagulopathy hypothermia metabolic acidosis |
coagulopathy |
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A vascular failure, caused by prolonged, severe blood loss, is the most common cause of mortality in trauma and is called: |
metabolic acidosis hypothermia hemorrhagic shock coagulopathy |
hemorrhagic shock |
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The compensatory mechanisms in acute injury can lead to the condition called: |
compartment syndrome metabolic acidosis hemorrhagic shock hypothermia |
compartment syndrome |
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____________ is the process of restoring physiological balance in injury. |
Hyperthermia Resuscitation Metabolic acidosis Hypothermia |
Resuscitation |
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The secondary survey is also known as: |
emergency care clinical care occult injury hospital care |
hospital care |
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Consent for invasive procedures, including emergency surgery, is obtained from the patient if he or she is able, or from _____________________, according to hospital policy. |
another person responsible individuals the parents none of the above |
responsible individuals |
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The surgical technologist (ST) working in an urban trauma facility is likely to have some contact with ____________. |
all the above accidental stabbing trauma surgery forensic evidence |
forensic evidence |
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Death from ______ is the second leading cause of mortality in the United States, and approximately 115,000 cases of _______ injury are treated each year. |
stabbing, stabbing firearms, firearm trauma, trauma motor vehicle accident, motor vehicle accident |
firearms, firearm |
|
When passing any instrument that will come in contact with a bullet, fragments, shrapnel, or other ballistic item, ensure that the _______ of the instrument are protected with rubber shod or completely covered with a sponge. |
serrations ratchets tips finger hold |
tips |
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One goal of damage control surgery is to focus solely on lifesaving maneuvers, including all of the following EXCEPT: |
control of fecal spillage control of feeding control of hemorrhage relief of compartment syndrome |
control of feeding |
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If the patient is stabilized in 12 to 48 hours, he or she can then be returned to surgery for a ____________ procedure. |
schedule follow-up emergency definitive |
definitive |
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Hospitals should have basic setups for: |
bowel resection craniotomy |
craniotomy |
|
To avoid having instrument sets opened but not used, specialty instruments can be placed ___________ on a cart outside the operating room (OR) in the sterile core. |
outside inside |
outside |
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Copious amounts of _________ solution are often needed during trauma surgery. |
drug irrigation |
irrigation |
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____________-based tissue sealants are used only if there is no coagulopathy present because these depend on an intact coagulation response. |
Lidocaine Thrombin |
Thrombin |
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Postoperative serosanguinous pooling is controlled with wound _________. |
dressings drains |
drains |
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The real potential for extending the patient’s injuries exists during ___________ and _____________. |
moving, handling transferring, moving |
moving, handling |
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Normothermia is: |
maintaining normal body temperature as normal as possible maintaining normal body temperature at the absolute minimum |
maintaining normal body temperature as normal as possible |
|
You are called in on a motor vehicle accident, the patient is disoriented and scared. As a health care professional, it is important to provide some measure of _______ comfort for the patient. |
emotional understanding |
emotional |
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You are scrubbed in on an emergency case when the circulator tells you that all standardized ____________ procedures may be suspended in life-threatening situations. |
counts guidelines |
counts |
|
The term “up” means what during an emergency case? |
on the Mayo ready for use items are sterile and ready for use |
on the Mayo ready for use |
|
Blood loss |
Circulation |
|
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Artificial airway |
Airway |
|
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TBI |
Dysfunction |
|
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Thoracic injury |
Breathing |
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Vital functions |
Exposure of injuries |
|
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Pressure on the heart causing restriction and damage to the conduction system |
Cardiac Tamponade |
|
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Injury that results in air in the pleural space causing displacement or collapse of the respiratory structures |
Pheumothorax |
|
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Bruising |
Contusion |
|
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Trauma that results in deep tissue injury without rupture of the skin |
Blunt Injury |
|
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A protocol of ATLS in which ultrasound is used in a focus area to diagnose severe trauma |
FAST |
|
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An injury that is not detected in normal assessment procedures |
Penetrating Injury (may be corrected to Occult) |
|
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Condition in which the body’s normal blood clotting mechanism ceases to function; characteristic in severe multi trauma |
Coagulopathy |
|
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Tearing of the atria or ventricles as a result of trauma |
Cardiac Rupture |
|
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Bleeding into the pleural space |
Hemothorax |
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Evidence-based diagnosis of a medical problem using normal investigative procedures, such as imaging studies |
Definitive diagnosis |
|
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A type of shock characterized by vascular failure resulting from severe bleeding |
Hemorrhagic shock |
|
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Hemorrhage with the potential to deplete the patient’s total blood volume |
Exsanguinating |
|
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Surgery whose objective is to stop hemorrhage and prevent sepsis without attempting reconstruction or anatomical continuity |
Damage control surgery |
|
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Increased pressure in any compartment of the body |
Compartment syndrome |
|
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A potentially lethal physiological condition occurring in shock, characterized by abnormally low blood pH |
Metabolic acidosis |
|
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A planned surgical procedure, usually with specific objectives for reconstruction or restoring continuity of anatomical structures |
Definitive procedure |
|
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In blunt injury, the skin is unbroken, and the injuries are internal |
True False |
True |
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Hemorrhagic shock is vascular failure caused by prolonged, severe blood loss, the most common cause of mortality in trauma |
True
False |
True |
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The golden hour is the process of restoring physiological balance in injury |
True False |
False |
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Surgical treatment using a planned method and techniques intended to provide lasting repair is called a definitive procedure |
True False |
True |
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Physician certificate in trauma care is achieved through the American College of Surgeon's Advance Trauma Life Support course |
True False |
True |
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Compartment syndrome is most commonly seen in the chest |
True False |
False |
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The goal of damage control surgery is to focus solely on lifesaving maneuvers |
True False |
True |
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Approximately 90% of spinal injuries are caused by motor vehicle accidents |
True False |
False |
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The golden hour refers to the first hour following injury |
True False |
True |
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The lethal triangle includes all of the following conditions components except |
Hypothermia hemostasis metabolic acidosis coagulopathy |
Hemostasis |
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Dysfunction of the normal blood clotting process is called |
hypothermia coagulopathy metabolic acidosis shock |
Coagulopathy |