Transportation and Splinting

Question 1

Prone emergency log roll alone

Answer 1

Question 2

Prone emergency log roll 2 people

Answer 2

Question 3

Supine emergency log roll alone

Answer 3

Question 4

Supine emergency log roll 2 people

Answer 4

Question 5

trauma jaw thrust

Answer 5

Question 6

trauma chin lift

Answer 6

Question 7

oropharyngeal airway

Answer 7

Measurement:
– Earlobe to corner of mouth

– Better bigger than smaller

Methods of insertion
– Direct with tongue depressor

– 90° method (most common)
– 180° method
– Flange should rest on lower lip

• Remove as soon as person is gagging or vomiting

Question 8

nasopharyngeal airway

Answer 8

Measurement
– Earlobe to corner of nose
– Make sure diameter of tube not larger than nostril

Insertion

– Select largest nostril, least deviated and obstructed

(usually right)

– Lubricate with water soluble jelly

– Insert in A/P direction along floor of the nasal cavity

– Insert until the flange end is next to ant nares or if gag reflex

Question 9

global scan

Answer 9

1) Head
– Look through pt’s hair for soft tissue injury
– PEARRL: if abnormal possible TBI
– Palpation of bone of skull and face
– Eyes, ears, nose (look for CSF) with sterile gauze – Verify vision, audition, olfaction

2) Neck
– Visual examination – Palpation

3) Chest

– Visual examination: as usual + unequal chest

excursion, splinting and guarding, bulging, etc…

– (Auscultation, percussion)

– Palpation

4) Abdomen
– Visual examination
– Palpate the four quadrants: soft, rigid, guarding - No need to do more if T.O.P. present

– (Auscultation and percussion)

6) Pelvis
– Visual examination
– Palpation (look for pain and abnormal mvt)

• A/P on Pubis symphysis with heel of hand
• Compression & Distraction

7) Back

– Best done when log rolling the pt for boarding (Obs & palpation)

8) Extremities
– PMSC X 4 (if immobilisation needed re-do after) (P= pulse, M= motor, S= sensory, C= capillary refill) – Start at pelvis for LE (done 1st)
– Start at clavicle for UE

9) Take vitals

– Pulse: rate & quality

– Ventilatory rate: rate & quality

– BP

– Pulse oxymetry if available: Assessment is required for oxygen use

– If needed, repeat every 3-5 min or at time of any change in condition

Question 10

BP auscultation and pulse technique

Answer 10

Auscultation:

• Approximate systolic BP (SBP)
• Position cuff
• Locate brachial pulse
• Position stethoscope
• Inflate cuff 20mmHg beyond approximated SBP
• Deflate cuff slowly until pulse is heard (SBP)
• Continue deflating the cuff until pulse disappears (DBP)
• Quickly deflate the cuff

Pulse:

• Position cuff
• Locate radial pulse
• Inflate the cuff beyond pulse disappears
• Deflate cuff slowly until pulse return (approx SBP)

• Quickly deflate the cuff by opening the valve

If no cuff available:

Systolic BP is at least:
– 80 mm Hg if radial pulse

– 70 mm Hg if femoral pulse

– 60 mm Hg if carotid pulse

Question 11

square knot

Answer 11

Question 12

Tourniquet Application Technique

Answer 12

• Use a triangular bandage (make it approx 10cm wide)
• Wrap it twice around the extremity and tie one knot
• Place a pen or rod (needs to be solid) on knot and

tie another knot

• Twist the rod until hemorrhage ceases
• Secure the rod in place (wrap around pen+square knot)
• Write time of tourniquet application on piece of tape and stick it to the tourniquet
• Do not cover site, monitor
• Pt should be transported to hospital

Question 13

Amputation Bandaging

Answer 13

Question 14

Regular Shoulder Sling

Answer 14

Question 15

Elevation / Tubular / V-sling

Answer 15

Question 16

clavicular fracture splinting

Answer 16

Question 17

Open # Splinting

Answer 17

Question 18

General UE splinting

Answer 18

Question 19

General LE Splinting

Answer 19