AVPU
Alert, verbal, pain, unresponsive
Head to toe assessment for the head
Battle Signs
Raccoon Eyes
Look for CSF
Check the bones in face, check for broken teeth
Hold jaw & ask to open to listen for clicking
Symptoms of a superficial burn
Redness, no blisters
Excessive sweating
Nausea
Cramps
Decreased LOA
Length of time do you take vitals for in cold emergencies.
1 minute
TICS
Tenderness
Instability
Crepitus
Subcutaneous Emphysema
2 things you look for in the neck during a head to toe
Jugular vein distension
Tracheal deviation
Symptoms of a partial thickness burn
Redness and blisters
Main difference between heat exhaustion and heat stroke
Heat exhaustion=will still be sweating
Heat stroke=no more sweating
Cyanosis
Pale/cool skin
Shivering (or no shivering if advanced)
Decreased LOA
Decreased vital signs
TRAMPS
Time
Route
Amount/Dose
Medication
Person
Site
(also make sure it is not expired)
Head to toe assessment of the pelvis
Wiggle for pelvic stability
Check for incontinence and priapism
Symptoms of full thickness burns
Charred flesh, may not feel pain/sensation
Main areas you place ice packs/cool towels
Neck, armpit, groin
Cold emergency treatment
Warm slowly
Vital signs over one minute
Emergency blanket
CSSMM
Circulation
Sensation
Strength
Mobility
Medic Alerts
Demonstrate abdomen head to toe assessment
Press down on 4 quadrants, look for pain when pressing down and taking hands away.
Treatment for each level of burn
Superficial=Cool with burn gel
Partial Thickness=Cool with water (not burn gel) cover with moist non-adherent bandage
Full Thickness=Dry dressing
Heat exhaustion treatment
Cool them down
Small sips of water
Ice packs/cool towels
Get into cooler environment
What must you remember for gunshot wounds
There will be both an entrance and exit wound to treat
DCLAAPPS
Deformities
Contusions - bruises
Lacerations - cuts
Abrasions - scrapes
Avulsions – tears/flaps of skin
Punctures - holes
Protrusions
Swelling
Chest head to toe assessment
Check collarbones and sternal stability
Is breathing equal and even
SQ emphysema
2 reasons to call EMS for burns
3rd degree
On hands, groin, face
Elderly/infants
Electrical or chemical burn
Heat stroke treatment
Cool down
Wet lips with water
Ice packs/cool environment
What causes trachial deviation
Collapsed lung/tension pneumothorax