Term
I'm not going to go into much detail on these prevalence slides, seeing as how Gayle usually doesn't ask this type of question, but I will do a few.
Trauma is the leading cause of death for what age groups?
For those between the ages of 45-75, what is the 2nd leading cause of injury?
Are most trauma victims insured? |
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Definition
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Term
More prevalence...
What is the 2nd leading cause of death for those ages 15-24? How does that statistic change if you are black?
Which kills more: suicide or homicide? |
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Definition
Gun homicide, but for blacks it's the number 1 cause for ages 15-24
Suicide accounts for 56%, homicide 40% |
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Term
What type of trauma is increasing?
How does this group differ from other trauma, like MVC? |
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Definition
Intentional trauma (suicide, homicide)
These people usually are not insured. |
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Term
| What usually plays a role in intentional trauma? |
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Definition
| Alcohol and/or drugs (present in 75% of MVC and firearm injuries!) |
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Term
When did trauma emerge as a speciality?
What type of disease is trauma? |
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Definition
Vietnam war
Surgical disease |
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Term
| What are the 3 areas of the tri-modal death distribution? |
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Definition
1. Seconds to minutes--dead at the scene
2. Minutes to hours--salvageable, treatable injuries
3. Days to weeks--infection, sepsis, organ failure |
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Term
| What are some reasons that the trauma system was developed? (or, why were salvageable people dying) |
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Definition
1. Excessive time spent on scene and at initial hospitals performing procedures and tests
2. Failure to recognize serious injuries
3. Lack of systematic approach to trauma patients
4. Emergency departments staffed with docs lacking training in trauma |
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Term
| What did ATLS courses provide to trauma response? |
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Definition
| A systematic approach to recognition of injuries and treatment of trauma pts, with the same priorities in infants, peds adults, old folks, and the preggers |
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Term
| Here we go... what are your trauma ABCs (DEs too) |
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Definition
A-C: Airway with cervical spine control
B: Breathing and ventilation
C: Circulation with hemorrhage control
D: Disability, neuro status
E: Exposure/Environment--strip em down and warm em up |
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Term
ATLS stresses the following, T or F:
1. The "golden day"
2. Rapid recognition of life-threatening injuries
3. Secondary survey prior to stabilization and resuscitation
4. Transport to Level 1 trauma center after the previous have been attended to. |
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Definition
1. Nope. Golden hour.
2. True
3. Um, no. Stabilization and resuscitation
4. No. Early transport to Level 1 hospitals. |
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Term
Look at the diagram of the trauma system. I'm not asking questions on that.
What does trauma scoring provide? (5 things) |
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Definition
1. Rates severity
2. Predicts outcomes
3. Consistent scoring
4. Common language
5. Standardization of care |
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Term
| If you find someone with a GCS < 8, according to ATLS, what are you going to do? |
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Definition
| Intubate them. Remember they have an unstable neck! |
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Term
What are the 4 categories of trauma?
Why do we care? |
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Definition
1. Blunt
2. Blast
3. Penetrating
4. Burn
Understanding the mechanism of injury helps the anesthetist anticipate injury patterns. |
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