TRAUMA STANDARDS Flashcards
(6 cards)
1
Q
Trauma in pregnant patients
A
- trauma is most associated with DV
- signs of shock may not be obvious until shock is well advanced
- hemorrhagic shock and associated fetal hypoxemia are the major causes of trauma related maternal death and fetal death
- enlarged uterus is more susceptible to injury and hemorrhage
- blunt trauma may result in premature labour, spontaneous abortion, placental abruption, ruptured diaphragm, liver, spleen or uterine rupture
- observe for Blunt trauma to the abdomen, and observe for abdominal/ uterine enlargement
2
Q
amputation life limb threats
A
- hemorrhagic shock
- loss of limb
- loss of function
3
Q
if pt has a partial amputation or avulsion
A
- assess the injury site for circulation, sensation and movement
- assess distal pulses, circulation, sensation and movement
4
Q
amputation injury site priorities
A
- controll hemorrhage
- cleanse wound of gross surface contamination
- if partial amputation or avulsion, place remaining tissue or skin bridge in as near- normal anatomical position as possible
- if complete amputation, cover the stump with a moist, sterile pressure dressing, followed by a dry dressing, while taking care not to constrict or twist remaining tissue
- immobilize
- elevate if possible
5
Q
if localized amputation part prior to transport
A
- preserve all amputated tissue
- gently rinse with saline
- wrap or cover the exposed end with moist , sterile dressing, and
- place the part in a suitable container/ plastic bag and immerse in cold water
6
Q
if amputation is not localized prior to transport
A
- attempt to engage others at the scene to look for the amputated or avulsed part and advise them to have it transported to receiving facility
- do not delay transport
