Term
| The acute physiologic & structural change that occurs in a patient's body when an external source of energy dissipates faster than the body's ability to sustain and dissipate it is called: |
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Definition
|
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Term
| The energy stored in an object, such as a bridge pillar, is called _____ energy, and the energy from motion is called ____ energy. |
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Definition
|
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Term
| knowledge of kinetics can help the paramedic: |
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Definition
| predict injury patterns found in a patient |
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Term
| The primary determinants of the extent of trauma a patient sustains are the: |
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Definition
| amount of energy in the object & the mechanism by which the object is delivered to the body |
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Term
| Which of the following general statements regarding trauma is correct? |
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Definition
| Blunt trauma is difficult to diagnose by paramedics in the filed and is often more lethal than penetrating trauma |
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Term
| which of the following will be of most benefit in helping the paramedic predict the type of injuries the patient experienced? |
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Definition
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Term
| According to the American College of Surgeons, an injured patient should be transported to a Level I trauma center if his or her : |
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Definition
| systolic blood pressure in less than 90 mmHg |
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Term
| Which of the following mechanisms of injury poses the least threat for significant injury? |
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Definition
| rear-end collision with restrained driver |
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Term
| Which of the following injuries would MOST likely require transport to a Level I trauma center? |
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Definition
| Two or more proximal long bone fractures |
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Term
| If the mechanism of injury does not appear to be significant, you should consider transporting an injured patient to a Level I trauma center if he or she: |
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Definition
| has a known bleeding disorder |
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Term
| A specific attribute of a Level I trauma center is that it: |
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Definition
| has a 24 hour in-house coverage by general surgeons |
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Term
| At a minimum, a Level II trauma center should: |
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Definition
| be able to initiate definitive care for all injured patients |
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Term
| If a Level I trauma center is 30 miles away, and a Level II trauma center is 10 miles away, it would be MOST appropriate to transport a patient with a severe traumatic brain injury: |
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Definition
| via air transport to the Level I trauma center |
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Term
| Which of the following is not a factor when considering transport of a trauma patient via helicopter? |
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Definition
| The need for definitive airway management |
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Term
| When summoning an air transport service to transport a critically injured patient, it is most important to : |
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Definition
| activate the service as soon as possible |
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Term
| The "platinum 10 minutes" refers to the: |
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Definition
| maximum time spent at a scene for a trauma patient. |
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Term
| An object increases its kinetic energy more by: |
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Definition
| increasing its velocity than by increasing its mass |
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Term
| the greatest amount of kinetic energy would be created if a ___ - pound driver struck a treat while traveling at ___ mph |
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Definition
|
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Term
| The law of conservation of energy states that: |
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Definition
| energy can be neither created nor destroyed: it can only change form |
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Term
| Sudden deceleration of a motor vehicle that is traveling at 60 mph |
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Definition
| dissipates tremendous forces and causes major injuries |
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Term
| Which of the following injury mechanisms would MOST likely result in blunt trauma? |
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Definition
| The pressure wave caused by a blast |
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Term
| Penetrating trauma occurs when: |
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Definition
| tissues are penetrated by single or multiple objects |
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Term
| During abrupt deceleration: |
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Definition
| shearing or rupturing of internal organs can occur |
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Term
| Unlike deceleration injuries, crush & compression injuries occur: |
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Definition
|
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Term
| The MOST common site of deceleration injury in the chest is the: |
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Definition
|
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Term
| The third phase of a motor vehicle accident involves: |
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Definition
| deceleration of internal organs |
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Term
| If the windshield of a wrecked vehicle is cracked or broken: |
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Definition
| the front seat occupant has a cervical spine injury until proven otherwise |
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Term
| The MOST reliable indicator that significant energy was dissipated by braking before a motor vehicle collision is: |
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Definition
| the presence of tire skid marks at the scene |
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Term
| The forces applied to the driver during a frontal vehicle collision will differ based on all of the following factors, EXCEPT: |
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Definition
| the physical size of the patient |
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Term
| The initial point of the bodily impact when an unrestrained passenger takes the "down and under" pathway during a frontal collision is the: |
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Definition
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Term
| When a patient takes the "up and over" pathway during a head-on collision: |
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Definition
| the anterior part of the neck may strike the steering wheel, resulting in a fractured larynx |
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Term
| During the frontal collision, MOST pneumothoraces occur when: |
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Definition
| the patient takes a deep breath just before impact and the lungs rapidly decompress at the time of impact |
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Term
| During a lateral impact collision: |
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Definition
| trauma to the upper extremities depends on the spatial orientation of the arms upon impact |
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Term
| The severity of hypertension injuries to the neck following a rear-end collision depends MOSTLY on: |
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Definition
| the position of the headrest |
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Term
| Following a rotational impact, the MOST severely injured patients will likely be found at the point of: |
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Definition
|
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Term
| Which of the following statements regarding rollover motor vehicle crashes is correct? |
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Definition
| Unrestrained passengers are struck with each change in the direction the car makes |
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Term
| Which of the following is not a benefit of a properly worn seat belt? |
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Definition
| minimal risk of whiplash injuries after a rear-end collision |
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Term
| What type of injuries will MOST likely occur if a passenger is wearing his or her lap belt above the pelvic bone during a frontal impact? |
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Definition
| Abdominal and lumbar spine |
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Term
| All of the following statements regarding front air bags are correct, EXCEPT: |
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Definition
| Air bags will provide protection from both initial and secondary impacts |
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Term
| Common air bag- related injuries include: |
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Definition
|
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Term
| Lap belts that are worn alone and too high by a pregnant woman: |
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Definition
| allow enough forward flexion and subsequent compression to rupture the uterus |
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Term
| Structural protection afforded to a motorcycle rider during a crash comes from |
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Definition
| protective gear worn by the rider |
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Term
| A properly worn motorcycle helmet will |
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Definition
| not protect the cervical spine |
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Term
| Following a head-on collision of a motorcycle and a truck, the motorcyclist would MOST likely experience initial injury to the |
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Definition
|
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Term
| After a motorcyclist is ejected from his or her motorcycle, secondary collisions: |
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Definition
| cause an unpredictable combination of blunt injuries |
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Term
| When an adult pedestrian is struck by a motor vehicle, lateral and posterior injuries are most common because |
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Definition
| adults tend to turn to the side or away from the impact |
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Term
| The second impact that occurs when an adult pedestrian is struck by a motor vehicle would MOST likely result in injuries to the |
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Definition
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Term
| Unlike adults, children who are struck by a motor vehicle are MORE likely to |
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Definition
| be run over by the vehicle as they are propelled to the ground |
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Term
| According to the Waddell triad, the second impact from a motor vehicle occurs when the |
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Definition
| chest and abdomen strike the grille or low on the hood of the car. |
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Term
| When a person falls from a significant height and lands on his or her feet, axial loading results in |
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Definition
| compression or burst fractures to the lumbar spine. |
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Term
| The MOST significant fall occurs from a height greater than: |
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Definition
|
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Term
| Unlike blunt trauma, penetrating trauma |
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Definition
| involves a disruption of the skin and underlying tissues in a small, focused area. |
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Term
| Which of the following factors is the LEAST influential in the severity of a stab wound? |
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Definition
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Term
| Compared to stab wounds to the posterior part of the body, stab wounds to the anterior part of the body are generally: |
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Definition
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Term
| If a person survives the initial trauma from a shotgun wound at close range: |
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Definition
| contaminants that were driven into the wound can cause a severe infection |
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Term
| Compared to a handgun, a rifle: |
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Definition
| fires at a higher velocity |
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Term
| Which of the following general statements regarding gunshot wounds is correct? |
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Definition
| The most important factor for the seriousness of a gunshot wound is the type of tissue through which the projectile passes |
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Term
| Which of the following characteristics of an entry wound indicates that the weapon was fired at close range? |
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Definition
| Tattoo marks from powder burns |
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Term
| Which of the following statements regarding exit wounds is correct? |
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Definition
| Exit wounds occur when the projectile's energy is not entirely dissipated along its trajectory through the body. |
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Term
| During an explosion, secondary blast injuries occur when: |
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Definition
| the patient is struck by flying debris, such as shrapnel. |
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Term
| Which of the following statements regarding primary blast injuries is correct? |
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Definition
| Primary blast injuries are the most easily overlooked. |
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Term
| The peak magnitude of the pressure wave experienced by a person: |
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Definition
| lessens as the person is farther away from the center of the explosion |
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Term
| The shock wave velocity from an explosion is slower and its duration is longer if a person is: |
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Definition
| farther from the explosion |
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Term
| Which of the following organs is LEAST susceptible to pressure changes caused by an explosion |
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Definition
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Term
| A vagus nerve-mediated form of cardiogenic shock without compensatory vasoconstriction that may be seen following a blast injury would MOST likely present with: |
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Definition
| bradycardia and hypotension. |
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