(4) Trauma Instruction Pt. II

directly proximal to the initial TQ

What if a second TQ is needed? Where is it applied?

1.5

Width of improvised TQ should we how many inches minimum?

Junctional wounds

Where can we not apply a TQ?

• Base of the neck; armpits; groin

T

T or F?

Do not pack the abdomen/vagina.

junctional wounds

Use hemostatic guaze to pack:

First degree

Which type of burn?

• superficial

• redness

• pain

Second degree

Which type of burn?

• partial thickness

• pus-filled blisters

Third degree

Which type of burn?

• Full thickness

• Thick charred core with blisters and redness around it

Fourth degree

Which type of burn?

• Below subcutaneous

• You may see bone

second and third degree burns

Rule of Nines only applies to which type(s) of burn(s)?

1%

The size of the pt’s palm when utilizing the Palmer Method is about what %?

T

T or F?

Rule of Nines does NOT apply to first degree burns.

Rule of Nines

The picture shows what?

Moist gauze

If the severity of burns is under 10%, which gauze type should be used?

dry gauze

If the severity of burns is greater than 10%, use which gauze type?

hypothermia

Burn pts are at risk for:

Compartment syndrome

Due to internal hemorrhage, crush injuries, or etiologies causing swelling-like burns

Circumferential burns

burns around the circumference of limb or body part

• acts like a TQ

Pain, Pallor, Paralysis, Pressure, Paresthesia, Pulseless, Poikilothermia

What are the 7 P’s?

Primary

Which type of blast injury?

• Overpressurization of blast wave with organs

• Ruptured eardrum, blast lung, abdominal hemorrhage/perforation, concussion, globe (eye) rupture

Secondary

Which type of blast injury?

•  Flying debris, bomb fragments

• Penetrating ballistic fragmentation and blunt injuries.  Eye penetrations

Tertiary

Which type of blast injury?

• Body being thrown by blast wind

• Fractures, deformities

Quaternary

Which type of blast injury?

• Injuries and illnesses related to the explosion that were not included in primary, secondary, and, tertiary

• Exacerbation of existing complications

airway or our ability to perform compressions

We do NOT remove impaled objects unless they impede:

both

If there is a pt with an impaled eye, do we cover one or both eye(s)?

moist

If you obtain an amuptee pt’s limb or digit, then wrap in ______ gauze and place on ice or cold pack.

T

T or F?

If patient has missing tooth, attempt to replant it after rinsing debris. If unable, then place it in cup/bag of milk, patient’s saliva, or saline and transport. 

before and after

When splinting, at which time(s) do we assess PMS?

4

How many triangle bandages do we use for a joint splint (A splint)?

helmet

For motorcycle accidents, what do we bring with us to the hospital?

Kendrick Extrication Device (KED)

Stable extrication procedure (no threat within environment or to ABCs)

Mnemonic for order of straps: 

My Baby Looks Totally Hot [Middle, Bottom, Legs, Top, Head