Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Trauma Pt Assessment

Palomar College Medic Prep Guideline

QuestionAnswer
Scene Safety Self, team, victim.
Scene Survey General scene evaluation; MOI; Number of Pt's; Type of incident; Environmental clues
Situation What have you got? What is the expected outcome? What is your plan? What do you need to make it happen?
Patient Management Priorities Rapid assessment management; Rapid Transportation
Rapid Assessment Management Primary Survey; Initial Resuscitation; Secondary Survey; Definitive Field Care
Rapid Transportation Definitive hospital care
Primary Survey Airway (c-spine control); Breathing (ventilation); Circulation (hemorrhage control); Disability (mini-neurological exam); Expose, examine and environment (the Killer Survey).
Airway & C-Spine Early and Aggressive Airway: manual, mechanical, transtracheal. C-Spine.
Breathing and Ventilation Respiratory Rate: <12 = too slow; 12-20 normal; 20-30 = ?Anerobic Metabolism; >30 = hypoxia/acidosis. EARLY VENTILATION SUPPORT! Effective or Ineffective? Assess tidal volume, rise and fall, chest wall integrity, early assessment of breath sounds.
Circulation EARLY CONTROL OF EXTERNAL BLEEDING! PULSE: location (central versus peripheral), rate, rhythm, quality (central versus peripheral); CAPILLARY REFILL: location, time, limitation; SKINS: color, moisture, temperature.
Disability Direct measure of cerebral function; Indirect measure of cerebral oxygenation; AVPU; Pupils
Causes of ALOC AEIOUTIPS: Acidosis or Alcohol, Epilepsy, Infection, Overdose, Uremia, Trauma, Insulin, Psychosis, Stroke.
Expose, Examine, Environment (Three E's; the Killer Survey) Dont just look, listen and feel...; Recognize subtle signs and symptoms of apparent injuries to the HEAD, NECK, CHEST (back) or ABDOMEN.
Chief Complaint DO NOT GO ON WITHOUT IT! In many trauma Pt's much of the Primary Survey can be obtained with simple questions such as where they hurt (Head, back, neck, chest, or abdominal pain? Pain on deep inspiration? Trouble breathing? Loss of consciousness?
San Diego County Trauma Assessment BRIMCARB: Breathing, Response, Eyes (I), Movement/Muscle tone/Motor, Chest, Abdomen, Refill, BP
Vital Signs Prioritize for each Pt; Assess and Reassess (early recognition of subtle trends); DONT JUST GATHER DATA; PROBELLS.
PROBELLS Pulse, Respirations, O2 Saturation, BP, Eyes, Lungs, LOC, Skins
Initial Resuscitation Oxygenation, Ventilation, Circulatory Support! In many acute trauma Pt's further assessment will have to wait.
Secondary Survey (consider medical and trauma) Head, Neck, Chest, Abdomen, Pelvis, Extremities, Back, Neuro Exam.
Head VISUAL EXAM - contusions, abrasions, lacerations, penetrations, blunt trauma; Asymmetry; Eyes; Bleeding: ears, nose, mouth. PALPATION - deformity, depression, deviation.
Neck VISUAL EXAM - Soft Tissue Injury: with damage to underlying organs; Larynx & Trachea: contusions, lacerations, abrasions, deformity; JVD; Muscle Structures. PALPITATION - C-Spine; Deviation; Subcutaneous Emphysema.
Chest BARE CHEST EARLY! BILATERAL BREATH SOUNDS EARLY (prim. survey)! Deep/full sounds? Equal rise & fall? Contusions, lacerations, abrasions; Splinting/guarding; Paradox. Mov. (subtle); Access Musc (bulging/retrac.); Lateral/Anterior comp. SubQ Emphysema
Abdomen Guarding; Distension; Contusions/Abrasions/Lacerations (seatbelt sign 25%); Palpate all 4 Quads: start away from pain; tenderness; rigidity; guarding; time (compensatory mech.). Masses.
Pelvis Potential massive internal hemorrhage; VISUAL - abrasions/contusions/lacerations; fracture; distension; priamism. PALPATE - iliac crest mild pressure (lateral to medial); symphysis pubis. Suspect internal hemorrhage.
Extremities Deformity/Contusion/Abrasions/Lacerations; ROM; Neuro-Vascular Compromise (Six P's).
Six P's Pain, Pulselessness, Pallor, Paresthesias, Paresis, Paralysis.
Back Prior to placing on back board; Equal rise & fall; Contusions/Lacerations/Abrasions; Splinting/guarding; Paradoxical Movement (subtle); Intercostal Muscles (bulging/retracting); Lateral/Anterior Compression; Lumbar Spine; Flank Tenderness.
Neuro Exam Loss of consciousness (chief complaint?); LOC (GSC); Distal Sensory & Motor Function; Pupils
GSC Glasgow Coma Scale - EYES: spontaneous, verbal, pain, none; VERBAL: oriented, confused, inappropriate, incomprehensible, none. MOTOR: obedient, localizes pain, withdraws from pain, flexion/decorticate from pain, extension/decerabrate from pain, none.
History Medical Hx; Medications; Allergies; Last Meal; or (s)AMPLE
Packaging & Transporting Decisions made early in your assessment will impact patient outcome during packaging and transport; assessment determines type of transport for patient and condition/chief complaint.
Created by: leper
Popular Paramedic/EMT sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards