Trauma and Trauma Systems
Terms
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- Trauma is the number ____ killer of persons under the age of 44 in the US.
- 1
- Define trauma
- A physical injury or wound caused by external force or violence
- Define penetrating trauma
- Injury caused by an object breaking the skin and entering the body
- Define blunt trauma
- Injury caused by the collision of an object with the body in which the object does not enter the body
- Auto accidents account for how many deaths each year?
- 44,000
- True or false: Although trauma poses a serious threat to life, its presentation often masks the pts true condition.
- True
- ____% of all trauma pts do not have serious, life-endangering injuries.
- 90
- True or false: Pay close attention to the obvious injuries because they will indicate the seriousness of the pts condition.
- False. When assessing a trauma pt, look beyond obvious injuries for evidence that suggests a life-threatening condition
- The trauma system is predicated on the principal that serious trauma is a _______________ _______________.
- surgical disease
- Define trauma center
- A hospital that has the capability of caring for acutely injured pts; trauma centers must meet strict criteria to use this designation
- What level trauma center commits resources to address all types of specific trauma 24/7?
- Level I
- A regional trauma center is what level center?
- Level I
- What level trauma center is an area center?
- Level II
- What level trauma center commits resources to address the most common trauma emergencies w/surgical capability 24/7; will stabilize and transport specialty cases to the regoinal trauma center?
- Level II
- What level trauma center is a community center?
- Level III
- What level trauma center commits to special emergency department training and has some surgical capability, but will usually stabilize and transfer seriously injured trauma pts to a higher level trauma center as needed?
- Level III
- What level trauma center is a trauma facility?
- Level IV
- What level trauma center can be a small community hospital or medical care facility that will stabilize and prepare trauma pts w/moderate to serious injuries for transport to a higher level facility?
- Level IV
- Define trauma triage criteria
- Guidelines to aid prehospital personnel in determining which trauma pts require urgent transportation to a trauma facility
- Define MOI
- Mechanism of injury - the processes and forces that cause trauma
- When does the consideration of the MOI begin?
- During scene size-up and then should be reconsidered as the first step of the focused history and physical exam
- Define index of suspicion
- The anticipation of injury to a body region, organ or structure based on analysis of the mechanism of injury
- What is a general rule for determining if a pt should be entered into the trauma system or not?
- If you have any reason to suspect that the pt has sustained serious internal injuries, they should be entered
- Define the golden hour
- The 60 minute period after a severe injury; it is the maximum acceptable time between the injury and initiation of surgery for the seriously injured trauma pt
- How long should the initial pt assessmet, emergency stabilization, pt packaging, and initiation of transport?
- Less than 10 minutes
- In applying the trauma triage criteria, it is best to err on the side of __________________.
- precaution
- The trauma triage criteria is designed to "___________ _______________" trauma pts.
- over triage
- Define relative speed
- If 2 cars hit each other, each going 20 MPH, the relative speed is 40 MPH
- What is one of the best and most cost effective ways of reducing mortality and morbitity?
- Trauma prevention
- Define trauma registry
- A data retrieval system for trauma pt information, used to evaluate and improve the trauma system
- True or false: Quality improvement is a significant method of assessing system quality and providing for its improvement.
- True