Download for FREE today - special Mnemonics Cheatsheet - so you can be SURE that you have that Must Know information down: bit.ly/nursing-memory Outline TRAUMATIC T-Tissue Perfusion Problems R-Respiratory Problems A-Anxiety U-Unstable Clotting Factors M-Malnutrition A-Altered Body Image T-Thromboembolism / fat embolism I-Infection C-Coping Problems Description In trauma the patient needs to be quickly assessed for adequate perfusion as part of the trauma survey. Trauma can lead to overt or covert blood loss resulting in shock. If there is significant blood loss, the patient may develop disseminated intravascular coagulation as they begin to deplete their available clotting factors.