ASSESSMENT/LABS
Primary survey components
What is airway, breathing, circulation, disposition: neuro status, and environmental control/exposure?
Signs of spleen trauma
What is LUQ tenderness, radiating left shoulder pain, hypotension, tachycardia, and Kehr's sign?
Pneumothorax
What is air in the pleural cavity?
Age range for pregnancy testing in trauma
What are women under 60?
Secondary survey components
What are allergies, medications currently used, past medical history/pregnancy, last meal eaten, and events related to the injury?
Signs of liver trauma
What is hypotension, tachycardia, anxiety, and severe abdominal pain that is worse on inspiration?
Supplies to have at the bedside for a chest tube
What are occlusive dressings, bottles of sterile water, and clamps?
DIC
What is an abnormal bleeding and clotting disorder?
Labs and test done during the resuscitation phase
What is a beta HCG, EKG, coags, CMP, CBC, ABG, amylase/lipase, toxicology, urinalysis, type and cross, and LFTs?
Interventions for spleen and liver trauma
What is strict bedrest, NPO, IV fluids, Q 6 hour H/H, and monitoring for complications?
Nursing intervention if a chest tube becomes displaced from the patient
What is applying an occlusive dressing and taping it on three sides?
Compartment syndrome treatment
What is a fasciotomy?
Trauma assessment
What is the primary survey, secondary survey, GCS, head to toe assessment, labs, and imaging studies?
Surgical treatment for spleen trauma
Bubbling in the water seal/air leak chamber
What is an abnormal finding indicating an air leak?
Treatment for DIC
What is IV heparin in the first phase and administering FFP and platelets?
Interventions during resuscitation phase
What is the placement of 2 large bore IVs, fluids (LR), O negative or type specific blood, foley catheter, central or IO line, and NGT/OGT?
Surgical treatment for liver trauma
What is packing the liver to control bleeding and allow clotting to occur?
Nursing intervention if the chest tube becomes displaced from the drainage system
What is placing the tube in sterile water to let air out but not allow air in?
Steps to determine a compartment syndrome diagnosis
What is checking for a distal pulse, using a doppler if one cannot be found, notifying the MD, and ruling out a clot?