Trauma
The number of trauma levels at BVRMC.
What is one. All traumas are level 1.
Where does the CODE documentation occur?
What is CODE/RR narrator.
Musical sound caused by airway restriction?
What is Wheezing.
Where does the documentation for sedation occur?
What is the sedation narrator.
"I picked up a bug overseas," reports a 34-y.o. male who presented to ED c/o watery stools and abdominal cramping. VS: 98/112/22; 120/80; 100%. What is the patient's acuity?
What is level 2 given the tachycardia and tachypnea.
Those with the authority to activate a trauma alert.
Who are doctor, paramedic, ER RN, and House Supervisor.
What is 3-5 minutes.
Widening of the nostrils to get in more air?
What is nasal flaring.
The 3 certifications a RN needs before administering conscious sedation.
What are BLS, PALS, ACLS.
"I don't know what's wrong with my baby girl," cries a young mother. Her 2-week-old baby is not acting right and is not interested in eating. As you begin to undress the baby, you notice she is listless and her skin is mottled. What is the acuity?
What is level 2, at the minimum, given the general impression is concerning and the circulation is poor.
Who is the ER doctor.
Have you heard of the new band? The Shockable Rhythms! What are their member's names?
What are V. Fib and V. Tach.
Seated position to help facilitate breathing.
What is tri-pod positioning.
When is the sedated patient left alone?
NEVER!
EMS arrives with a 28 y.o. male who was stabbed in the left side of the neck during an altercation. You notice a large hematoma around the wound, and the patient is moaning he can't breathe. VS: HR 110, RR 36, 88/Jesus, 89%. What is the acuity?
What is level 1-trauma alert.
The 4 types of shock.
What are hypovolemic, cardiogenic, obstruction, and distributive.
Concerning H&T, what are the H's? There are 5.
What are Hypoxemia, Hypothermia, Hypovolemia, Hypo/hyperkalemia, Hydrogen ion (acidosis)
Sucking in of the skin and soft tissues around the ribs.
What are retractions.
The Ramsey score is assessed when?
What is before each dose of medication.
"I woke up this morning, and there was a bat flying around my bedroom. I'm worried about rabies," reports 48 y.o female with no bite marks and VS WDL. What is the acuity?
What is level 5. Vaccines and immunizations are not resources.
The first line treatment for hypotension in trauma patients.
Concerning H&T, what are the T's? There are 5.
What are Toxins, Tension pneumothorax, Tamponade, cardiac, Thrombosis, pulmonary, Thrombosis, cardiac.
The general impression of a peds patient consist of?
Airway, Breathing, Circulation.
The 5 criteria that must be met for the patient to be discharged after sedation.
What are Modified Aldrete score of >9 or a return to baseline, protective reflexes are intact, and the patient exhibits no signs of respiratory distress, patient is able to consume oral intake, minimum of 30 minutes has elapsed since the end of the procedure, patient is accompanied by a responsible adult.
What is level 2. VS WDL with new onset confusion equates to that level.