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TNCC: Biomechanics, Kinematics, MOI, Exams of Nursing

TNCC: Biomechanics, Kinematics, MOI YEAR: 2025

Typology: Exams

2024/2025

Available from 07/05/2025

steve-munene
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TNCC: Biomechanics, Kinematics, MOI
"yaw" of a projectile - ANSability to move up and down
acceleration forces - ANSsudden and rapid onset of motion
ex: parked car hit by a high speed vehicle
another form of mechanical energy with compression forces - ANShanging,
strangulation, or compression asphyxia (chemical)
Biomechanics - ANSgeneral study of forces and their effects on living tissue & the
human body
cavitation - ANSseparation of tissue resulting from a sound and/or hydraulic wave force
can cause crushing/tearing/shearing forces
Chemical energy - ANSheat energy transfer from active chemical substances such as
chlorine, drain cleaner, acids, or plants
common mechanisms of blunt trauma - ANS1. Fall
2. MVC
3. Bike collisions
4. Peds struck
5. Assualts
compression forces - ANSexternal force applied at time of impact
ex:
stationary objects (dashboard or steering wheels that push into someone)
objects in motion (bullets/stabbing instruments/bats & balls/fits and feet)
blast forces
compression strength - ANStissue's ability to resist crush force
deceleration forces - ANSsudden stop in the body's motion
ex: falls/collisions
difference in pedestrian struck (adult vs peds) - ANSadults commonly have lateral or
posterior impacts as they try to turn away while peds usually turn toward the car causing
anterior impact
down & under injuries - ANSlower extremity & pelvis fractures
drowning is what kind of energy? - ANSmechanical energy forces are involved when
water enters the lungs and shearing force cause the lungs to expand and bleed
dry drowning - ANSresult of spasm of the larynx when water enters the throat, this
causes a mechanical airway obstruction and altered hemodynamics or blood flow
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"yaw" of a projectile - ANSability to move up and down acceleration forces - ANSsudden and rapid onset of motion ex: parked car hit by a high speed vehicle another form of mechanical energy with compression forces - ANShanging, strangulation, or compression asphyxia (chemical) Biomechanics - ANSgeneral study of forces and their effects on living tissue & the human body cavitation - ANSseparation of tissue resulting from a sound and/or hydraulic wave force can cause crushing/tearing/shearing forces Chemical energy - ANSheat energy transfer from active chemical substances such as chlorine, drain cleaner, acids, or plants common mechanisms of blunt trauma - ANS1. Fall

  1. MVC
  2. Bike collisions
  3. Peds struck
  4. Assualts compression forces - ANSexternal force applied at time of impact ex: stationary objects (dashboard or steering wheels that push into someone) objects in motion (bullets/stabbing instruments/bats & balls/fits and feet) blast forces compression strength - ANStissue's ability to resist crush force deceleration forces - ANSsudden stop in the body's motion ex: falls/collisions difference in pedestrian struck (adult vs peds) - ANSadults commonly have lateral or posterior impacts as they try to turn away while peds usually turn toward the car causing anterior impact down & under injuries - ANSlower extremity & pelvis fractures drowning is what kind of energy? - ANSmechanical energy forces are involved when water enters the lungs and shearing force cause the lungs to expand and bleed dry drowning - ANSresult of spasm of the larynx when water enters the throat, this causes a mechanical airway obstruction and altered hemodynamics or blood flow

dynamic pressure - ANSmuch like a gust of wind, this can carry with it fragments and debris Electrical energy - ANSlight socket/power lines/lightening energy transfers & injuries FALLS - ANS1. point of impact determines major point of energy transfer

  1. type of surface that is hit (extent the surface can absorb energy)
  2. tissues ability to resist
  3. pushing increases acceleration example of compression injuries - ANSwhen the organs are crushed from surrounding internal organs or structures (seatbelts - > compress small bowel or lumbar spine) example of high/medium velocity - ANSfirearms medium - > handgun/shotgun large - > long gun (rifles) explosives example of low velocity injuries - ANSstab wounds example of shear strength - ANScoup/contrecoup (boxer being hit in the head) explosive related injuries - auditory - ANSTM Rupture Cochlear Damage Ossicular disruption Foreign Body explosive related injuries - circulatory - ANScardiac contusion MI from air embolism shock vasovagal hypotension peripheral vascular injury air embolism-induced injury explosive related injuries - CNS injury - ANSconcussion closed and open brain injury stroke SCI air embolism-induced injury explosive related injuries - digestive - ANSbowel perf hemorrhage rupture spleen or liver sepsis mesenteric ischemia from air embolism

head on impact injuries - ANSfemur/pelvic fractures head neck chest extremities high-side crash - ANSmotorcycle begins to crash to the low-side but then grabs traction and flips over catapulting the rider into the air injuries from penetrating mechanisms are dependent on two variables: - ANS1. point of impact

  1. velocity of impact KE= - ANS1/2 mass * velocity squared Kinematics - ANSstudy of energy transfer as it applies to identifying actual or potential injuries kinetic - ANSmotion Lateral impacts are associated with what kind of injuries? - ANSshear injuries to the aorta fracture of the side clavicle lateral pelvic & abdominal injury lateral head & neck injury lateral or angular impacts - ANSmay initially crush the lower extremities but will likely cause the motorcycle to rapidly impact the ground, resulting in upper extremity, lateral head, & neck injuries Law of conservation of energy - ANSenergy can neither be created nor destroyed, BUT it can change form low-side & high-side crash injuries - ANSabrasions shoulder & clavicle injuries lateral head lower extremity low-side crash - ANS"laying the bike down" witht eh tires leading in the direction of travel Mechanical energy - ANSfrom one object to another MOI - ANShow injuries occur as a result of how external energy forces in the environment are transferred to the body

MOI on motorcycle - ANS1. low-side crash

  1. high-side crash
  2. head-on impacts
  3. lateral or angular impacts MVC impact sequence - ANSfirst impact: vehicle hits object second impact: vehicle occupant collides with interior third impact: internal structures collide within body cavity Newton's 3rd Law - ANSfor every action, there is an equal & opposite reaction Newton's First Law - ANSa body at rest will remain at rest, a body in motion will stay in motion Newton's Second Law of Motion - ANSForce = Mass * Acceleration overpressure - ANSoccurs when the victim is enveloped on all sides with crush forces peds struck - ANScrush force to lower extremities potential - ANSrest predicting survivability of the collision - ANS1. velocity
  4. stopping distance primary blast injuries - ANSclosest to the denotation air filled organs are most susceptible to rupture quaternary blast injuries - ANSresult of heat, flame, gas, & smoke external & internal burns from inhaled hot gases quinary blast injuries - ANSexposure to hazardous materials (radioactive, biologic, or chemical) Radiant energy - ANSenergy transfer from blast sound waves, radioactivity, such as nuclear facility, or rays of the sun Rear impacts - ANSimmediate frontal acceleration of the vehicle while the occupant compresses into the seat. the person is than launched into steering wheel/dashboard rotational injuries - ANSoccur when a vehicle is struck on one corner, causing the rest of the vehicle to move laterally around the pivot point [resulting in frontal and lateral impacts] secondary blast injuries - ANSfragment injuries
  • puncture wounds
  1. thorax
  2. lower exremity what helps a tissue against compression/shear forces - ANSmuscle density surrounding bone what helps a tissue's tensile strength - ANSstrength of opposing msucles what increases the probability of fatal injury? - ANSejection from the vehicle what kind of organ tolerates pressure-wave energy better? - ANSsolid organs what kind of organ tolerates shear forces better? - ANSair-filled organs what kind of tissue have a greater propensity for wear & tears in high velocity cavitation
  • ANSsolid organs (liver) what kind of tissue tolerates high velocity cavitation - ANSair filled organs (lungs or stomach) what usually has more impact in a trauma? Speed or distance? - ANSDistance --> the greater the distance, the less impact when is a fall considered significant in the PEDS population - ANS>than 3x the height when mass is doubled, what happens to the energy? - ANSit also doubles when velocity is doubled, what happens to the energy? - ANSit quadruples where is the tissue in reference to the point of impact that is affected by the maximum amount of energy from the obect striking the tissue or maximal energy? - ANStissue most proximal