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TCAR TNCC QUESTIONS AND
ANSWERS ( A+ GRADED 100%
VERIFIED).
Question : 3 questions to ask in trauma
CORRECT ANSWER : -what was the dose of energy?
-where did it go?-what injuries are likely?
Question : 2 q's to ask in GSW
CORRECT ANSWER : caliber
type of gun
of entrance/exit wounds
high/low velocity
Question : 1st question to ask in any traumatic injury?
CORRECT ANSWER : what was the dose of energy
involved?
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(was it high or low?)
Question : what is the caliber of a bullet?
CORRECT ANSWER : diameter
Question : aka diameter of a bullet
CORRECT ANSWER : caliber
Question : what happens to projectiles when they enter
the body
CORRECT ANSWER : projectiles don't travel in a
straight line consider temporary cavity wound
Question : what should you consider about tissue a
projectile enounters
CORRECT ANSWER : temporary cavitation
Question : primary goal of GSW surgery
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CORRECT ANSWER : usually damage repair & not
bullet removal -if superficial, it may migrate the surface with time
Question : important thing to remember about retained
projectiles
CORRECT ANSWER : they may migrate over time.
bullett migration might explain unexplained clinical findings (VP Cheney accidentally shot his friend while hunting in
- ICU and did great. moved to an inpatient unit. had a
silent MI bc a shot gun pellets migrated into a canary artery causing an infract. so had a MI but fibrinolytic not the answer in this case b/c it was a "projectile embolus"
Question : aka brestbone
CORRECT ANSWER : sternum
Question : what attaches the ribs to the sternum
CORRECT ANSWER : cartliage
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Question : what breaks thoracic bones
CORRECT ANSWER : significant force
-1-2nd ribs, posterior ribs, sternum, scapulae, T2-10 gives us info about the force aka "dose" of energy received consider injury to internal structures b/c force
Question : ribs that are the most frequently broken
CORRECT ANSWER : ribs 4-9 b/c long, thin, and
poorly protecte it is harder to break a short pencil (T1-2) and easier to break a longer one *ask how many and where to understand the force involved
Question : what is the significance of posterior rib
fractures
CORRECT ANSWER : unusual direction of injury
shorter stubby ribs