Question

emergnecy trauma surgery

36 Emergency Trauma Surgery Student's Name MATCHING Match the terms with their definition. 1 Detailed assessment of the patient's injuries and physiological a Physiological compensation status b. Secondary survey 2. Dysfanction of the body's clotting system c. Disseminated intravascular coagu- Jation A diagnosis confirmed by assessment or investigation 3. 4. Establishing physiologic balance in trauma d. Compartment syndrome 5. e. Occult injury The body's general reaction to disruption in normal homeo- stasis f. Definitive diagnosis Exaggerated tissue swelling in a closed compartment of the body 6. Metabolic acidosis 7 First rapid assessment during the prehospital phase of care h. Coagulopathy A specific condition in which the depletion of thrombin leads to microhemormhage and is often fatal 8. i. Primary survey j Resuscitation Injury which is not recognized at the time of assessment Abnormally low blood pH and buildup of lactic acid 10. MULTIPLE CHOICE Select the best answer to the question. 14. When putting together a case cart for emergency surgery, the ST should a. Build upon items needed for a specific system of the body b. Pull instrument sets for several body systems c. Provide approximately 10 times the usual amount of sponges d. Not try to put a case cart together until he or she has spoken with the surgeon 11. Damage control surgery is: a. A procedure that protects the surgeon from law suit b. A technique in which tissues and organs are reconstructed immediately following trauma c. Performing surgery in the prehospital stage d. Life-saving surgical techniques in which recon- struction is not attempted 12. Damage control surgery may include: a. Packing the wound b. Control of fecal spillage c. Reducing fractures and splinting d. Control of hemorrhage e. All of the above 15. Irrigation solutions used during trauma surgery should be: a. Cold to promote hemostasis b. Measured to determine blood loss c. Kept to a minimum to prevent DIC d. All of the above 13. A definitive procedure is one that is performed: a. During damage control surgery b. To secure bemostasis c. After the patient has been stabilized d. In the first 8 to 10 hours after the trauma 16. The "lethal triangle" of physiological events includes a. Hyperthermia, coagulopathy, dehydration b. Hematuria, coagulopathy, metabolic acidosis c. Coagulopathy, metabolic acidosis, hypothermia d. Shock, hypothermia, hemorrhage 149 Copyright 2018, Esmer inc. All Rights Reserved Chpter 35 Emergency Trauma Surgery

Answer 1

Ans)1) Primary survey

Explaination:

The Primary survey is a crucial element in the “Initial Assessment” of a seriously injured patient. Patients are assessed and treatment priorities are established based on their injuries, the stability of their vitals, and the injury mechanism. The patient's vital functions must be assessed quickly and efficiently.

Ans2) Coagulopathy

Explaination:

Coagulopathy (also called a bleeding disorder) is a condition in which the blood's ability to coagulate (form clots) is impaired. This condition can cause a tendency toward prolonged or excessive bleeding (bleeding diathesis), which may occur spontaneously or following an injury or medical and dental procedures.

3) Definitive diagnosis

Explaination:

Definitive diagnosis: A final diagnosis that is made after getting the results of tests, such as blood tests and biopsies, that are done to find out if a certain disease or condition is present.

4) Physiological compensation

Explaination:

Physiological Compensation is establishing physiologic balance in trauma.