Trauma Introduction Flashcards
1
Q
what do you assess in “A” of ABCs
A
Airway and C-Spine protection
2
Q
How do we evaluate Airway?
A
Ask there name!
- Pt communication
- Inspecting for foreign bodies
- Examine for stridor, hoarseness, gurgling, blood ect.
3
Q
Assume C-Spine with poly trauma…
A
Clear clinically and radiographicly
4
Q
B-Breathing…Does a patent airway mean adequate ventilation?
A
NO
5
Q
How do we assess Breathing?
A
Inspect, palpate and auscultate!
6
Q
What do we look for in breathing assessment (Signs/symptoms?
A
- Trachea deviation
- Crepitius
- Flair Chest
- sucking chest wound
- Absent breath sounds
7
Q
What interventions can we do for breathing deficiency
A
- 100% o2
- Needle decompression
- chest tubes for hemopneumo thorax
- occlusive dressing for sucking chest wound
8
Q
C- Circulation…who do we assume is in hemoragic shock?
A
Any hypotensive trauma pts we assume hemoragic shock.
9
Q
Assessing Circulation
A
- level of conciseness/ mental status
- Skin color/cap refill
- pulses in all four limbs
- BP & pulse pressure after
10
Q
Circulation intervention
A
- Cardiac Monitor
- Stop bleeding (Tourniquets)
- IV Access (2 large bore) or Central line/ IO
- Cardiac Tampanote –> decompress
- VOLUME!!!!!
11
Q
Volume resuscitation
A
Blood, FFP, Saline
12
Q
Criteria for an ED Thoracotomy
A
- Witnessed loss of pulses
- Ideal pts is low velocity penetrating trauma
13
Q
D- Disability
A
Abbreviated neurological exam
