Trauma
What should you do when a Pt has been impaled by an object?
Secure penetrating objects w/bulky dressings, cover exposed injuries
What Blood Pressure range is considered Hypertension?
BP> 140/90mmHg
What mnemonic lists the steps to use in the initial assessment?
ABC-(Airway, Breathing, Circulation)
What signs are associated with an Inhalation injury?
Hypoxia, Hoarseness, Stridor, Voice change, Singeing of hair (eyebrows/eyelashes), Soot or ash near nose/mouth
What is the Resuscitation Record hand out form number?
DD Form 3019
How far of a fall is considered a significant mechanism of injury for an infant?
10 feet
What does yellow skin or jaundice indicate?
Liver Disfunction
What levels of consciousness are indicated by "AVPU"?
Alert, Verbal, Painful, Unresponsiveness
Why are thermal burn patients at risk of hypothermia?
The loss of skin leads directly to loss in thermoregulation of the body.
When should Resuscitation Records be completed?
Within 72 hours following an injury
What position should you put a Pt who has suffered a head injury?
Trendelenburg Position (30 degree angle)
What is the correct intervention for a PT with a Blood Glucose Level of <60mg/dL and PT can swallow?
Administer Oral Glucose 15g
(note: The normal range for blood sugar is 70-120mg/dL.)
What information makes up your General Impression?
(example: because of ____ & _____, my general impression is poor)
The Immediate assessment of the environment and chief complaint
How can you tell that a patient has a 2nd degree (partial thickness burn)?
Extends deeply into dermis
Decressed moistness
Skin is pale
Painful
Who's responsibility is it to ensure the Resuscitation Record Part 1 is complete?
The nurse team (nurse/tech/provider) assigned to the trauma bay/patient
What could be a potential complication for a Pt when they have a sucking chest wound?
Tension Pneumothorax
What should you do when you delivery a birth of a Pt with a breach presentation?
Support presenting part, place mother in knee-to-chest position or hyperflexion position
What is the purpose of an Initial Assessment?
To recognize and treat all immediate life threats
How do you immediately treat a White Phosphorus burn?
What items must be complete and accurate on the Trauma Resuscitation Record?
Patient name, patient ID/SSN, facility, nurse and provider
You are assessing a 33 year old male's Glasgow Coma Scale (GCS) score. The patient opens his eyes in response to pain, is speaking with incomprehensible words, and withdraws from pain by flexing his upper extremities. What is his GCS score?
7
When checking a pt's lung sounds, what does low pitched, dry, rubbing sounds caused by inflamed pleura indicate?
Pleural Friction Rub
What can also be done simultaneously with the Initial Assessment?
Resuscitation
You rescue a 25 y/o female from a smoke-filled room in a burning building. PT is coughing carbonaceous sputum but became unconscious after 5min. Her head and upper body appear to be extensively burned.
What are your priorities?
Stop the burning/ remove Pt from burning area
Establish and maintain airway
Consider Inhalation Injury
02 and ventilate
What is the goal of a Resuscitation Record or Joint Theater Trauma Registry (JTTR) Form?
Obtain complete trauma documentation on all trauma patients from role 2 and role 3 within the area of operations