Study Guide Latest Updated

Critical trauma Physiologic {Ans: GCS <= 13 SBP < 90 RR< 10 or >29 Geriatric SBP< 100 Infant RR <20}Trauma destination comorbidities {Ans: Geriatric >65 Pediatric Anti coagulation or anti platelet therapy Pregnancy >20 weeks MVC >40mph +LOC EMS provider judgement}MCI criteria {Ans: More than 5 patients requiring transport}Needle chest decompression {Ans: Anterior: 2nd or 3rd intercostal space at the midclavicular line Anterolateral: 4th and 5th intercostal space at anterior axillary line Lateral: 4th and 5th intercostal space at midaxillary line}START {Ans: Trauma triage Deceased: no ventilation even after repositioning Immediate: ventilation after airway repositioning, RR > 30, peripheral pulse absent and CR> 2 seconds, unable to follow commands Delayed: does not meet immediate criteria Minor: able to walk, minimal injury}Critical trauma anatomic criteria {Ans: Open or depressed skull fx Penetration of head/neck/torso/ extremities proximal to elbow or knee Chest wall instability or deformity Abdominal tenderness Suspected pelvic fx New onset paralysis 2 or more proximal long bone fx Crushed, devolved, mangled or pulse less extremity Trauma with burns Amputation proximal to wrist or ankle}