Based off Nancy Caroline's Emergency Care in the streets chapter 21 and 22
Malocclusion
Intraoral infection
Permanent tooth loss
Airway compromise
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Apply a cervical collar and perform intubation immediately
Ventilate the patient with an oxygen powered ventilation device
Give oxygen via nonrebreathing mask and apply a pulse oximeter
Secure manual in-line stabilization of the cspine, assist ventilations with a BVM, and prepare to intubate
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From progressive swelling
At the moment of impact
From penetrating mechanisms
Within 24 hours of the injury
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Slide the patient onto the backboard
Use the four person log roll technique
Log roll the patient away from you
Apply the KED first
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Tetanus
Meningitis
A viral infection
A staph infection
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Contact medical control to determine if spinal immobilization is needed
Assume that a spine injury exists, regardless of the neurologic findings
Apply a cervical collar and transport the patient in a position of comfort
Fully immobilize the spine only if gross neurological deficits are present
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Nasotracheal intubation
A needle or surgical cricothyrotomy
Pharmacologically assisted intubation
Digital intubation
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Immediately gain access to the patient
Apply gloves, a gown, and facial protection
Determine if air medical transport is available
Carefully assess the scene for safety hazards
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Apply firm manual pressure to the hematoma to reduce internal bleeding
Place him in a sitting position and apply a chemical heat pack to his head
Apply an icepack to the hematoma and monitor his level of consciousness
Start an IV of normal saline and administer 2 mg of morphine for the pain
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Vagus nerve, spinal cord
Spinal cord, foramen magnum
Brain stem, verebral foramen
Medullar, cauda equina
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Applying direct pressure to the globe
Irrigating the eye with sterile saline solution
Covering both eyes to minimize further injury
Applying a cold compress to the eyeball
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You have placed padding under the shoulders
His or her torso has been secured adequately
Both of the legs are secured to the board properly
A vest style immobilization device has been applied
Indicate a complete spinal cord injury
Require you to repeat the initial assessment
Should be documented and monitored
Must be reported to the hospital at once
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Subdural space, prevent infection
Cortex, protect the brain injury
Ventricles, cushion and protect the bain
Subarachnoid space, oxygenate the brain
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Flexion of the arms and extension of the legs
Inward flexion of the wrists and flexed knees
Extension of the arms and extension of the legs
Pulling in of the arms toward the core of the body
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Are less than 2 years of age
Have alcoholism
Are prone to hypoglycemia
Have high cholesterol
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Protect his spine, insert a nasal airway, assist ventilations with a BVM and 100% O2. keep him warm and elevate his legs, transport at once, and establish vascular access en route to a trauma center
Perform immediate endotracheal intubation, apply a cervical collar, establish two large bore IV lines and give a fluid bolus at the scene, apply warm blankets, and transport expeditiously to a trauma center
Apply high flow oxygen via nonrebreathing mask, apply blankets, elevate his lower extremities 12 inches, insert bilateral intraosseous catheters, deliver a 500mL fluid bolus, and begin transport to a trauma center
Insert an oral airway, hyperventilate him with a BVM at 24 breaths/min, keep him warm and elevate his legs, transport at once, and establish at least one large bore IV line of normal saline while en route to a trauma center
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Depressed fracture
Open fracture
Basilar fracture
Nondisplaced fracture
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Reflex bradycardia that occurs secondary to systemic hypertension
An increase in mean arterial pressure to maintain cerebral blood flow
The forcing of CSF into the spinal cord as intracranial pressure increases
A decrease in cerebral perfusion pressure that reduces intracranial pressure
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Initial GSC score
Blood pressure
Level of consciousness
Response to verbal stimuli
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C1-c2
C3-c4
T1-t4
T2-t5
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Gently palpate the maxilla, mandible, and zygoma to elicit creipitus
Protect the cervical spine and monitor the patient's neurologic status
Apply a cervical collar and determine if the patient has visual disturbances
Have the patient open his of her mouth and assess for dental malocclusion
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Apply supplemental oxygen and keep her warm
Elevate her extremity above the level of the heart
Apply direct pressure dressing and start a large bore IV
Locate and apply digital pressure to the brachial artery
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Most likely has a concomitant basilar skull fracture
Should have ice applied to the eyes to prevent blindness
Has discoordination between the movements of both eyes
Should be treated by irrigating both eyes for 20 minutes
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Cervical
Thoracic
Lumbar
Coccygeal
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Pressure lesion development
Compression of the vena cava
Increased intracranial pressure
Patient discomfort and frustration
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Apply high flow oxygen, attempt transcutaneous pacing to increase his heart rate, apply spinal motion restriction precautions, establish vascular access and administer a crystalloid bolus of 10-20 mL/kg, begin transport, and infuse dopamine at 2 mcg/kg/min en route
Consider immediate intubation to protect his airway, apply spinal motion restriction precautions, apply warm blankets, begin transport, establish IV or IO access en route, and administer up to 4 liters of normal saline or lactated Ringer's solution to increase his BP and improve perfusion
Assist ventilations as needed, apply spinal motion restriction precatutions, keep him warm, begin transport, establish vascular access en route, administer crystalloid boluses in 200 mL increments, consider atropine for his bradycardia, and infuse dopamine if his blood pressure is refractory to fluid boluses.
Provide ventilatory assistance with a BVM device, establish immediate vascular access and infuse normal saline wide open, apply spinal motion restrictions, administer 1 mg of atropine to increase his heart rate above 60 beats/min, begin transport, and perform transcutaneous pacing en route if he remains bradycardic
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The anterior portion of the brain sustains stretching or tearing injuries and the posterior portion of the brain sustains compression injuries
The head falls back against the headrest or seat and the brain collides with the rear of the skull, resulting in direct injury to the occipital lobe
The brain initially strikes the rear of the skull, resulting in direct bruising, and then rebounds and strikes the front part of the skull
Compression injuries occur to the anterior portion of the brain and stretching or tearing injuries occur to the posterior portion of the brain
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Calcify and become more rigid
Enlarge and result in increased height
Are not able to protect the spinal cord
Lose water content and become thinner
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Remove his clothing, brush as much of the lime off him as possible, and flush the affected areas with copious amounts of water
Avoid brushing any of the lime from his skin as this may cause additional injury and flush his entire body with water for 30 minutes
Remove his clothing, carefully brush the lime away from his skin, but avoid flushing with water as this will likely increase burn severity
Remove all of his clothing, apply baking powder to neutralize the lime, and begin flushing his body with copious amounts of sterile saline
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Positive cardiac inotropy
Positive cardiac chronotropy
Vascular smooth muscle contraction
Relaxation of bronchiole smooth muscle
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While still standing position
After the board is placed on the stretcher
After a cervical collar has been applied
After he or she is lowered to the ground
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An epidural hematoma
Trauma to the brain
Airway compromise
Spinal cord transection
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10
15
20
30
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Is the major structural component of the axial skeleton
Is comprised of irregular bones that are all fused together
Consists of 23 bones articulating to form the spinal column
Provides support and strength for the appendicular skeleton
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A direct blow to the occipital region of the skull
Rapid acceleration following a motor vehicle crash
Axial loading after a patient falls and lands feet first
A significant fall in which the patient lands head first
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Applying ice to the burn to provide immediate pain relief
Applying cool, wet dressings to the burn and elevate his arm
Starting an IV of normal saline and administering 2 mg of morphine
Administering oxygen and applying an anesthetic cream to the burn
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It may be slightly deviated to one side or the other
The nasal septum is comprised mainly of cartilage
Inflammation of the nasal septum is common during infection
The nasal septum separates the oropharynx and nasopharynx
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Commonly results in permanent hearing loss
Is characterized by CSF leakage from the ears
Commonly leads to an infection of the middle ear
Is extremely painful but typically heals spontaneously
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Results in quadriplegia but the patient usually retains his or her ability to breathe spontaneously
Is not compatible with life and results in immediate death due to cardiopulmonary failure
Will result in permanent loss of all cord mediated functions below the level of the injury
Results in neurologic dysfunction that is considered to be permanent if it lasts longer than 24 hours
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Bradycardia
Flushed skin
Diaphoresis
Hypothermia
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Skull
Cerebrum
Cranial vault
Cribiform plate
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Rapid transportation to a trauma center
Public education and prevention strategies
Minimizing scene time to 10 minutes or less
Routine use of spinal motion restriction precautions
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Diaphragm
Pelvis
Umbilicus
Clavicles
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A cricothyrotomy may be required to establish a patent airway
It should be removed in case the airway becomes compromised
You should stabilize the object in place, regardless of its location
It should be shortened to facilitate proper airway management
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Rapidly increasing ICP
An underlying skull fracture
A fluctuating level of consciousness
Unilateral hemiparesis or slurred speech
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Apply an appropriately size cervical collar
Perform a rapid assessment to detect life threats
Assess distal pulse and sensory and motor function
Carefully place the vest device behind the patient
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You should assist the child's ventilations and prepare to intubate his trachea
An IV should be established and you should administer a 20 mL/kg bolus of D5W
The child may be hypoglycemic and require assessment of his blood glucose level
It is likely that this child's burn was intentionally inflicted and you should report it
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Quiz Review Timeline (Updated): Mar 21, 2023 +
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