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TCRN "Key Points" Sample 2022

Updated: Oct 17, 2022

  1. Avoid succinylcholine (Anectine) in patients with hyperkalemia and crush injury.

  2. Advocating for speed bumps is an example of primary injury prevention.

  3. Pad the upper back to horizontally align the external meatus with the shoulders to prevent occlusion of the pediatric patient’s airway.

  4. Cool molten tar with cold water until completely cooled. Apply ointment if ordered by the burn experts.

  5. A resuscitative thoracotomy is most effective in penetrating chest trauma.

  6. Bariatric patients have an increased risk of abdominal compartment syndrome and ARDS.

  7. Suspect TRALI with acute onset of respiratory distress and hypoxemia during or within six hours of blood transfusion.

  8. If cranial nerve IX is injured in head trauma, the patient will experience dysphagia.

  9. Creatine kinase (CK) and potassium are elevated in rhabdomyolysis.

  10. Abdominal compartment syndrome is an example of obstructive shock.

  11. In disaster (START) triage, the walking wounded are classified as green. Patients classified as red are the highest priority.

  12. Fundal height reaches the umbilicus at 20 weeks. Height may be elevated in intrauterine bleeding from placental abruption.

  13. A hazardous vulnerability assessment is completed in the mitigation phase of disaster management.

  14. Blood products are administered as a bolus of 10 mL/kg in pediatric patients.

  15. Normal ankle-brachial index (ABI) is 0.9-1.2, lower may be an indication of arterial occlusion.

  16. Brush off lime powder, then irrigate to reduce chemical burn.

  17. Over-ventilating the trauma patient with a bag-mask device increases the risk of aspiration.

  18. If the patient complains of pain due to an intraosseous needle, inject 2% plain xylocaine into the IO needle. (Ref: Teleflex)

  19. Lap restraint injuries include hollow organ injury and Chance fractures.

  20. Fat emboli occur most often within 24 to 72 hours after a long-bone fracture.

TCRN Resources

  1. Emergency Nurses Association. Trauma Nurse Core Curriculum, 8th ed., 2019.

  2. Emergency Nurses Association. Emergency Nurses Core Curriculum, 7th edition, 2018.

  3. Emergency Nurses Association. Sheehy’s Emergency Nursing Principles and Practice, 7th ed. Elsevier, 2020.

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