Haemorrhage (Paed) Flashcards
(36 cards)
What are the care objectives for Haemorrhage?
Immediate control of major haemorrhage
Ensure:
* Airway patency
* Breathing (adequate oxygenation and ventilation)
* Circulation (adequate perfusion)
Recite the Haemorrhage CPG (first line)
Recite the major haemorrhage section of the trauma CPG
Circulation notes
Blood components notes
What are the indications for NaCl?
What are the contraindications for NaCl?
What are the precautions for NaCl?
What are the side effects of NaCl?
Why do we use Normal Saline?
Increases the volume of the intravascular compartment
O2 therapy guideline - does it apply to this presentation?
? major trauma
Trauma triage guideline - does it apply to this presentation?
- Specific injuries
IF - Limb amputation or limb threatening injury
- Major compound fracture or open dislocation
- Fracture to 2 or more of femur/tibia/humerus
*
What are 3 differential diagnoses?
- Major haemorrhage
- Laceration
- abbrasion
What are some care pathways/treatment options?
- Reassurance
- Control bleeding with least invasive measures first
- E.g. direct pressure and elevation
- Appropriate CWI’s
- NaCl if inadequate perfusion
- Pain relief
- dressings
- Reassessment
As per Major Trauma CPG, list 2 care objectives
Immediate control of major haemorrhage
Ensure
* Airway patency
* Breathing (adequate oxygenation and ventilation)
* Circulation (adequate perfusion for the patients presentation)
Prioritise transport
Supportive care as required
When assessing a wound, list 4 things that you need to assess in relation to the wound
- Cause
- Contamination
- Type
- size/shape/depth
- Location
- NV/motor function
- Pain
- Risk factors for impaired healing
As per Pelvic Splint CWI - what are the contraindications that must be considered
- Impaled object preventing application
- Isolated NOF #
What are some secondary assessments for this patient?
- DOLOR
- AEIOUTIPS if unconc
What are the indications for Direct pressure (Haemorrhage control)
What are the contraindications for Direct pressure (Haemorrhage control)
What are the precautions for Direct pressure (Haemorrhage control)
What are the indications for Quikclot Hemostatic Dressing
(Haemorrhage control)
What are the contraindications for Quikclot Hemostatic Dressing
(Haemorrhage control)
What are the precautions for Quikclot Hemostatic Dressing
(Haemorrhage control)
