Patient Assessment/Management- Trauma

Card Set Information

Patient Assessment/Management- Trauma
2014-02-11 13:01:46

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  1. BSI Scene Safety
    Takes appropriate BSI precautions
  2. Scene Size-Up
    Determines the scene/situation is safe
  3. Scene Size-Up
    Determines the mechanism of injury
  4. Scene Size-Up
    Determines the number of patients
  5. Scene Size-Up
    Request additional resources as needed
  6. Scene Size-Up
    Considers stabilization of the spine (implied it will be performed if stated by candidate)
  7. Primary Assessment/Resuscitation
    Verbalizes general impression of the patient
  8. Primary Assessment/Resuscitation
    Determines level of responsiveness (AVPU)/level of consciousness (orientation questions)
  9. Primary Assessment/Resuscitation
    Determines chief complaint/apparent life-threats
  10. Primary Assessment/Resuscitation

    Opens and assesses airway- inserts adjunct as indicated (verbalize)
  11. Primary Assessment/Resuscitation

    • Assures adequate ventilation
    • Initiates appropriate oxygen therapy
    • Manages any injury which may compromise breathing/ventilation
  12. Primary Assessment/Resuscitation

    • Checks pulse (radial, brachial then carotid as needed, not exact rate)
    • Assesses skin (color, temperature, moisture)
    • Assesses/controls major bleeding at appropriate time (if present)
    • Initiates shock management as needed (positions patient, conserves body heat)
  13. Primary Assessment/Resuscitation
    Identifies patient priority and makes treatment/transport decision
  14. Secondary Assessment
    Physical Exam- Rapid or Focused (whichever is appropriate based on C/C, LOC, MOI)

    A rapid trauma exam includes visualization and palpation of the head, neck, chest, abdomen, pelvis, femurs and posterior to identify and manage life threatening injuries
  15. Secondary Assessment
    Vital Signs- Obtains baseline vital signs using PROBELLS (verbalize)
  16. Secondary Assessment
    History Taking- Attempts to obtain SAMPLE history
  17. Secondary Assessment
    Additional Interventions- Manages secondary injuries and wounds appropriately
  18. Detailed Physical Exam

    • Inspects mouth, nose and assesses facial area
    • Inspects and palpates scalp and ears
    • Assesses eyes
  19. Detailed Physical Exam
    Neck (must be done prior to placing C-collar)

    • Checks position of trachea
    • Checks jugular veins
    • Palpates cervical spine
  20. Detailed Physical Exam

    • Inspects chest
    • Palpates chest
    • Auscultates chest
  21. Detailed Physical Exam

    • Inspects and palpates abdomen
    • Assesses pelvis
    • Verbalizes assessment of genitalia/perineum as needed
  22. Detailed Physical Exam
    Lower Extremities

    Inspects, palpates and assesses distal pulse, motor and sensory functions
  23. Detailed Physical Exam
    Upper Extremities

    Inspects, palpates and assesses distal pulse, motor and sensory functions
  24. Detailed Physical Exam
    Posterior Thorax, Lumbar, Buttocks (Must be done prior to securing to backboard)

    • Inspects and palpates posterior thorax
    • Inspects and palpates lumbar and buttocks area
  25. Reassessment
    Reassess the patient- C/C, ABCs, Vital Signs, Interventions, Turnover report