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34 Cards in this Set

  • Front
  • Back
Rhabdomyolisis
Break down of muscle fiber that ends up in the blood stream.
Different types of burns
1st: Damage the outer layer of the skin (superficial)
red, non blistered skin
2nd: Partial burn of the dermis tissue.
Blisters, and thickening of the skin.
3rd: Complete burn of the dermal and subdermal.
Widespread thickness with a white, leathery substance.
Le Fort's Fractures
1: The palate is separated from the maxilla.
2: The maxilla separates from the face
3: Craniofacial dysjunction is present.
What is a complication of a long bone fracture?
Clot
Signs and symptoms of a retinal detachment.
Floaters
Light flashes in the eye
Curtain over the field of vision.
Different types of shock pg1905
Compensated
Decompensated
Neurogenic
Cardiogenic
Obstructive
Septic
Anaphylactic
Psychogenic
Hypovolemic
Distributive
Hemorrhagic
Epidural Hematoma
An accumulation of blood between the skull and dura mater.
Signs and Symptoms of Epidural Hematoma
Loses Consciousness
Sudden IICP
Fixed and dilated pupil

Subdural Hematoma
Accumulation of blood beneath the dura mater but outside the brain.
Signs and Symptoms of Subdural Hematoma
Venous Bleeds
Develops more gradually IICP
Kinetic energy
(M/2)xVxV
Speed kills
Anaerobic Metabolism
Cellular processes occurring without the presences of oxygen.
Signs and Symptoms of Anaerobic Metabolism
Decreased Cardiac Function
Increase in Catecholamines (more susceptible to dysrhythmias)
Dusky skin color
oliguria
impaired mentation
Epinephrine and Norepinephrine will be released to improve circulation and hopefully improve perfusion.
DIC
Disseminated Intravascular Coagulation
A serious disorder effecting the ability for the blood to clot.
Hypothermic Injuries
Fatigue
Dehydration
Lethal Coagulation problems
Pg 1820
How do you transport a patient with an evisceration?
Supine with knees flexed, helps relieve pressure to the abdomen.
What should you suspect in a patient who has severe pain in his left upper quadrant.
Ruptured Spleen, it has two arteries and is life threatening.
A patient was a bruise on the midclavicular of her chest, but with normal vital signs, what should you suspect?
Simple Pneumothorax.
A hypotensive patient should receive what for fluids?
A bolus of 20ml/kg.
Attempt to restore a systolic of 90mmHg
This should ensure perfusion of the vital organs.
Prevent clots from washing away.
What chemical do muscle cells release after being damaged?
Potassium
Predominated intercellular ion
Released when a cell dies.
May lead to Rhabdomyolisis.
What should you be most concerned about with a Le Fort 2 fracture.
Patent airway.
What has signs and symptoms of Shortness of breath, chest pain, and cardiac dysrhythmias?
Myocardial contusion
The best way to splint an isolated femur fracture?
Traction splint
What is an indication of a Femur Fracture?
Midshaft deformity.
What is the first step in bleeding and shock management?
Direct Pressure
What are some key indicators for cardiac tamponade?
Diminished heart tones and narrow pulses. The pulse pressure narrows from the ability to expand and contract properly.
Heart tones become diminished because blood muffles heart sounds.
What is the first thing that happens after a hemorrhage?
Vasoconstriction
What can assisting ventilations do in a brain injury?
Reduce brain swelling.
What is the initial treatment for a flail chest?
PPV: Positive presssure ventilations.
chest wall has been compromised and needs help breathing.
Burn percentage in both anterior arms.
9
Burn percentage for both legs on a pediatric
27
Which classification method should you use for percentage of body area burned that is not much surface or a unique pattern of injury?
Rule of the Palm
burn percentage of superior chest
9 percent
How does a full thickness burn present?
White, Waxy, and Painless