scene size up stuff Flashcards
(32 cards)
when approaching scene
look for smoke, collision related power outages
when within sight of scene
look for clues indicating escaped hazardous materials, look for collision victims on scene or near road, look for smoke, look for broken utility poles or electrical wires
tips
hair in windsheild is sign of force
drunk ppl get less hurt
who is in charge?
fire chief in charge of most trauma scenes
as you reach scene
follow instructions of fire chief, establish danger zone
danger zone?
50 ft radius, if fuel has been spilled or wires down 100 ft
how to evaluate threat of violence
fighting or loud voices, , weapons visible or in use, signs of alcohol or other drug use, unusual silence, knowledge of prior violence
always?
take pill bottles!
motor vehicle collision
head on collisions-up and over or down and under, airbag burns, take picture rear end t-bone roll over rotational impact
falls
adult-more than 20 ft
children under 15- more than 10 ft or 2/3 times childs height
fences or bushes only remove impaled objects from cheek theu mouth
height, surface, first body part to hit ground, anything interrupted fall
penetrating trauma
velocity of item
low velocity: knife, damage limited to an area penetrated, may be multiple wounds
medium velocity: handgun/shotgun and high velocity: rifle injuries, anywhere in body, damage directly from projectile, pressure related damage ir cavitation,
always work patients until you have dnr in hand
blunt force traume
cause by blow that doesnt break skin
signs are subtle snd often overlooked
maintain index of suspicion based on moi
ABC
airway breathing circulation
abc if pt has signs of life
cab if pt appears lifeless
primary assessment
bsi scene safe general impression assess mental status assess airway assess breathing assess circulation
assess mental status
avpu, 3 questions
assess airway
patency, obstruction, maintaining it
assess breathing
adequacy, bag if under 8 or above 24, look listen and feel, cyanosis, nonrebreather
assess circulation
pulse, radial and corotid, skin color temp, ctc
good vs bad circulation
warm pink dry skin vs cool pale clammy skin
how often to check vitals
every 5 mins trauma
every 10-15 mins other
normal vitals
pulse- 60-100
bp- 120/80
rr- 12-20
blood glucose- 60/80
secondary assessment
scene safety general impression, add resources primary assessment -airway -breathing -circulation determine priority secondsry assessment -signs:something you see -symptoms-something pt tells you
sample
signs and symptoms allergies meds(prescription and recreational) past pertinent medical history last in last out events leading to
opqrst
onset provocation quality radiation severity time
