Term
What are the 3 phases of a CRASH? |
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Definition
precrash, crash, postcrash |
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Term
(Which Crash??)
All the events that preced the incident, sich as the ingestion of alcohol or drugs. |
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Definition
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Term
(which crash??)
the time of impact between one moving object and a second object. |
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Definition
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Term
3 impacts normally occur in most vehicular crashes. What are they?? |
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Definition
1) impact of the 2 objects
2) impact of the occupant into the vehicle
3) impact of the vital organs inside the occupants |
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Term
(which crash??)
when the information is gathered about the crash |
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Definition
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Term
The process of surveying the scene to determine what injuries might have resulted from the forces and motion involved is called? |
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Definition
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Term
What is Newtons first law of motion? |
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Definition
a body at rest tends to stay at rest and a body in motion will stay in motion unless acted on by an outside force. |
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Term
What is the law of conservation of energy? |
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Definition
energy can not be created or destroyed but can change form. |
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Term
What has a greater effect on the amount of kinetic energy produced mass or velocity? |
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Definition
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Term
What is the formula for kinetic energy? |
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Definition
One-half the mass times the velocity squared |
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Term
The whole or cavity created when a solid object strikes the human body and those tissues are knocked out of there normal position is called? |
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Definition
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Term
What are the 2 types of cavities created? |
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Definition
A temporary cavity and a permanent cavity |
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Term
Which type of cavity is visible to first responders or in the hospital setting and why? |
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Definition
the permanent cavity because it does not rebound to its original shape |
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Term
What kinds of trauma are associated with blunt trauma and the human body? |
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Definition
shear tears and cavitation |
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Term
The result of one organ or structure changing speed faster then another organ or structure is called what? |
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Definition
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Term
the result of an organ or structure being directly squeezed between other organs or structures. |
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Definition
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Term
What is the most common form of blunt trauma? |
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Definition
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Term
What organs are subject to shear injuries? |
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Definition
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Term
A dislocated knee with torn ligaments, tendons, and other supporting structures are scene with what type of MVC? |
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Definition
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Term
Because the _________ __________ lies close to the knee joint, dislocation of the joint often is associated with injury to this vessel. |
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Definition
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Term
In what type of MVC does a restrained patient often sustain sheraing type injuries because of the significant force created? |
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Definition
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Term
In what MVC does the head of the femur get pushed through the acetabulum, splenic injuries occur, and the head hits impacts the frame on the door? |
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Definition
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Term
The proper use of restraints transfers the impact from where? |
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Definition
the patients body to the restraint system |
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Term
What types of injuries are scene with as a result of seatbelts and the abdominal cavity during a MVC? |
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Definition
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Term
What type of compression injuries occur to the organs between the abdominal wall and the seatbelt? |
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Definition
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Term
An airbag deploys and deflates within? |
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Definition
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Term
Failure to use helmets has been shown to increase head injuries in motorcyclists by more then ____ ? |
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Definition
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Term
What are the effects of a MCV on a child? Where does the car hit? Are they thrown clear? Do they run away? Etc. |
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Definition
Children are not usually thrown clear
Normally drug by the vehicle under the front end
Normally will turn towards the car out of curiosity.
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Term
The type of surface in which a person lands in a fall and it's _________ have an effect on stopping distance. |
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Definition
degree of compressibility = ablility to be deformed by the transfer of energy. |
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Term
The pattern of falls where you land feet first is called? |
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Definition
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Term
What kinds of injuries are associated with Don Juan syndrome? |
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Definition
bilateral fractures to the calcaneus, ankles, tib/fib, and femur. |
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Term
If a person falls forward with hands outstretched and lands on their hands what are the fractures of the wrist called? |
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Definition
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Term
Pulmonary bleeding, pneumothorax, air emboli, perforation of the GI organs are all ________ injuries of a Blast? |
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Definition
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Term
The classic sign of a blast injury and indicative of a pneumothorax is a....? |
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Definition
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Term
The most common cause of death due to a primary blast is? |
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Definition
Cardiac arrest and pulmoary injury aka "blast lung" |
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Term
When fragmentation occurs in a blast and a patient is struck by primary fragments is what phase? |
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Definition
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Term
When the victim is thrown against an object or hit with a large object propelled by a blast? |
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Definition
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Term
The injuries in a blast imposed by heat or fumes created by the explosion. |
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Definition
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Term
The myriad of health affects caused by additives to bombs such as bacteria, radiation, and chemicals. |
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Definition
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Term
When a patient takes a deep breath and holds it just before impact of a MVC. This closes the glottis sealing off the lungs, the lungs burst like a bag full of air. |
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Definition
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Term
The weakest of all the walls or structures surrounding the abdominal cavity is the |
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Definition
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Term
What happens if you rupture the diaphragm? |
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Definition
The "bellows" effect is lost
Abdominal organs can enter the thoracic cavity
blood can cause a hemothorax |
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Term
What term decribes an objects initial size and whether that size changes at the time of impact? |
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Definition
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Term
What term describes whether the object tumbles and assumes a different angle inside the body than the angle assumes as it entered the body? |
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Definition
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Term
What term describes whether or not the object breaks up after it enters the body? |
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Definition
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Term
Damage produced by a knife depends on what? |
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Definition
movement of the blade inside the victim |
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Term
The round or oval wound produced by a gunshot is called? |
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Definition
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Term
When the muzzle is touching the patient at the time the weapon is discharged what kind od wound? |
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Definition
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Term
What kind of wounds has a 85-90 % mortality rate? |
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Definition
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Term
What is the highest level of protection required by OSHA for workers on highways at night time? |
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Definition
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Term
What are the Violent Scene Safety Rules?
(There are 4) |
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Definition
1) Dont be there
2) Retreat
3) Diffuse
4) Defend |
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Term
The incubation period of HBV is usually? |
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Definition
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Term
What is the incubation period for HCV? |
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Definition
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Term
Hepatitis C is primarily transmitted by? |
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Definition
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Term
Hepatitis B is usually transmitted by? |
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Definition
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Term
Most IV drug users have what form of Hepatitis? |
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Definition
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Term
Regarding HIV, unless obvious blood is present..
tears, urine, sweat, feces, and saliva are all ___? |
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Definition
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Term
What is the difference between Incident Command and Unified Command? |
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Definition
Unified Command takes into account the needs of coordinating agencies. |
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Term
Who is solely responsible for incident management? |
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Definition
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Term
Regarded as the state of generalized HYPOperfusion? |
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Definition
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Term
What type of shock?
primarily hemorrhagic, related to the loss of circulating blood volume |
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Definition
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Term
What type of shock?
Related to the abnormaility in vascular tone arising from several different causes |
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Definition
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Term
What type of shock?
related to the interferrence with the pump action of the heart |
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Definition
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Term
What is the most common form of Shock? |
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Definition
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Term
The difference between the systolic blood pressure and the diastolic is called? |
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Definition
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Term
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Definition
Mean arterial pressure and it is the average pressure in the vascular system. |
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Term
What marks the switch from compensated shock to decompensated shock? |
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Definition
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Term
What defines CLASS 1 shock?? |
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Definition
Amount of blood loss <750ml
Heart rate usually normal
Ventilatory rate usually normal |
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Term
What defines Class 2 Shock?? |
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Definition
Blood loss 750-1500ml
Heart Rate > 100
Ventilatory rate 20-30 |
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Term
What defines Class 3 shock?? |
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Definition
Amount of blood loss 1500-200 ml
Heart Rate > 120
Respiratory Rate 30-40 |
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Term
What defines Class 4 Shock?? |
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Definition
Blood loss > 2000 ml
Heart Rate > 140
Respiratory Rate > 35 |
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Term
What is the main diffrence between Neurogenic shock signs and all other forms of shock? |
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Definition
Skin signs are warm, dry and pink
Lucid interval |
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Term
Heart muscle damage and dysrhymias are what type of cause for Cardiogenic shock? |
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Definition
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Term
A cardiac tamponade and tension pneumothorax are what type of cause for cardiogenic shock? |
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Definition
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Term
If a patient presents tachycardic, white cool and moist, with a normal BP and LOC are they in compensated or decompensated shock? |
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Definition
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Term
If a patient presents with tachycardia, white cold and waxy skin and a decreased BP and Altered LOC are they in Compensated or Decompnsated shock? |
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Definition
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Term
Who has the most ability to compensate for blood loss? |
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Definition
children and young adults |
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Term
A broken rib can create how much blood loss? |
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Definition
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Term
A broken radius or ulna can create how much blood loss? |
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Definition
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Term
A broken Humerus can create how much blood loss? |
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Definition
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Term
A broken Tib/Fib can create how much blood loss? |
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Definition
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Term
A broken femur can create how much blood loss? |
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Definition
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Term
A broken pelvis can create how much blood loss? |
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Definition
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Term
What are contraindications to the use of MASG pantalones? |
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Definition
penetrating thoracic trauma
splinitng of a lower extremity
evisceration of abodominal organs
impaled objects in the abdomen
pregnancy
traumatic cardiopulmonary arrest. |
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Term
When the velcro straps between to crackle on MASG pants the pressure is usually between? |
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Definition
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Term
What is the isotonic solution of choice for management of shock? |
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Definition
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Term
Any IV fluid given to a shock patient should be warm, ideally around what? |
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Definition
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