Emergency Triage
Initial identification of treatment and life threatening injury
What is primary survey
Umbrella term used to describe NSTEMI and STEMI
What is acute coronary syndrome
Most common spinal cord injury; due to hyperextension or hyperflexion with resultant edema at the center of the spinal cord results in this loss
What are loss of motor and sensory greater in the upper extremities than lower.
This condition symptoms may last for minutes or hours, then resolve
What is TIA or Transient Ischemic Attack
General marker for cellular injury, released when skeletal muscle, brain, or cardiac tissue is damaged
What is CK or creatine Kinase
Critical time between when injury occurse and when treatment is initiated
What is "Golden Hour"
Partial blockage without heart muscle death, no evidence of cardiac markers, transient st changes
What is unstable angina
Penetrating injury to the spinal cord, hyperextension or disc herniation
What is Brown- Sequard Syndrome
Sudden blockage of cerebral blood vessel causes reduction of supply of oxygenated blood to the region of the brain fed by the involved artery
What is an Ischemic Stroke
The nurse understands PCI stands for
What is Percutaneous Coronary Intervention
The RN understands that these 5 assessments are involved in the primary survey upon triage of an emergent patient condition
What are:
"airway, breathing, circulation, disability, and exposure"
Partial blockage of a major vessel OR complete blockage of a minor vessel; causing partial heart muscle damage.
NSTEMI
injury or ischemia to the posterior spinal cord due to cervical hyperextension
What is Posterior Cord Syndrome
Stroke symptoms related to this artery include: dizziness, ataxia, n/v, difficulty swallowing and managing secretions
What is Basilar Artery
JVD, hypotension, brady, n/v ( mimics right hear failure)
What is RCA or Right Coronary Artery
This rigid object is used in an unconsious patient only, to relieve tongue obstruction prior to placement of Endotracheal Tube
What is an oropharyngeal airway
Cardiac specific lab test, may stay elevated for this many days post cardiac event
What is Troponin; 10 days
Immediately after injury; loss of reflex, sensory, motor below level of injury, hypotension results, last 24 hrs to 6 weeks
What is spinal shock
Door to puncture time for endovascular intervention
What is 90 minutes
Comprehensive re-examination of patient, usually within 24 hours after admission, to identify any injuries that may have been missed.
What is Tertiary Survey
A nurse is performing primary survey on a patient who presents with no eye response, incoherent verbal response, and flexion to pain ( decorticate). The nurse documents the GCS score of ......
What is 5
Door to balloon time if interventional cardiac services are available
What is 90 minutes
What is Neurogenic Shock
4 risk factors for Hemorrhagic Stroke
Smoking, heavy alcohol use, HTN, sympathetic nervous system stimulants
This level of spinal cord injury is highest risk for respiratory compromise
What is Cervical
The lethal combination of hypothermia, metabolic acidosis, and hypothermia
What is Trauma Triad of Death
5 medications for administration during an acute cardiac event
What are Morphine, Nitro, Heparin, Beta blocker, Aspirin.
Strong sensory input ( distended bladder, constipation, pain) can cause this condition
What is Autonomic Dysreflexia
The acronym BEFAST
Damage to Sclera after blunt or penetrating trauma. Leading cause of trauma related blindness
What is Globe Rupture