NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

What three components form the coagulopathy of trauma (also known as the “deadly triad)? 
  1. Hypoxia, hypovolemia, hypothermia
  2. Sludging, acidosis, hyperthermia
  3. Hemodilution, acidosis, hypothermia
  4. Hypoxia, acidosis, hyperthermia
Explanation
Answer: C - The three underlying factors that culminate in coagulopathy of trauma are hemodilution, acidosis, and hypothermia. 

Coagulopathy is a bleeding disorder that occurs when the blood coagulation process is impaired. This can lead to excessive and prolonged bleeding and is a major contributor to trauma-related deaths. 

Hemodilution occurs when an increased volume of plasma dilutes the concentration of red blood cells. Acidosis can occur with excessive use of saline (unbalanced crystalloid solution) during resuscitation efforts. Hypothermia may occur in trauma patients for a multitude of reasons such as alcohol intoxication, brain injury, diabetes, burns, thyroid conditions, and extremes of age.
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