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Blood
Trauma Assessment
Chest tubes
Trauma Charting
Assessments
100

Start slow, a reaction usually occurs in first

  • 15min or 50ml
100
  • How would you triage a 65 yo male BIBA from nursing home. Fall from standing, lac to posterior head, brief LOC, on blood thinners. VSS. 

 ESI 3, Trauma level 2 and activate the trauma team

100

This is a collection of air within the pleural space

What is pneumothorax

100
  • There are 3 trauma levels, you activate the trauma team for which 2 levels

levl 1, level 2

100

This is the only thing that can be infused with Blood products

what is normal saline

200
  • How fast do you give PRBC transfusions

1.5-2 hours (max of 4 hours)

350ml volume for RBCS

200
  • What are the 4 components of the trauma primary assessment? 

Airway, breathing, circulation, disability

200

This is an excess of fluids within the pleural space

pleural effusion

200
  • How do you avoid double documenting when using the trauma narrator. 

In comments write “ see TN”(triage note and system review section.

200

Signs of a transfusion reaction include

Itching, fever/chills, dyspnea, hypotension

300
  • Universal donor 

O-

300

vitals for a stable trauma are required how often? A critical patient?

15 stable

5 critical

300

If the patient is alert and awake, obtain this before placement of a chest tube.

What is informed consent

300
  • Who might you need on standby for a trauma patient?  

CT, Xray, Respiratory, OR

300

What do you do if you suspect a transfusion reaction?

Stop the transfusion. notify Dr and Blood bank. Verify products, send remaining product to blood bank. Treat symptoms: Benadryl, Tylenol, steroids, and manage more serious symptoms

400

Universal recipient

AB+

400
  • E.F,G,H,I in the secondary trauma assessment stands for

expose and examine

full set of vitals

give comfort measures

history and head to toe

inspect posterior

400

This is the telltale sign of a tension pneumothorax.

What is tracheal deviation

400

When does a trauma patient need a GCS documented? Initial

  • and end. Hourly, and with any status change.
400

Name 2 ways to assess the patient's breathing effectiveness.

1) Spontaneous breathing
2) Rise and fall of chest
3) Rate and pattern of breathing
4) Use of accessory muscles and/or diaphragmatic breathing
5) Skin color
6) Integrity of the soft tissue and bony structures of the chest wall
7) Bilateral breath sounds

500

What is the lethal triad?

  • Acidosis, hypothermia and coagulopathies
500

H, history and assessment uses the mnemonic sample to obtain a health history and head to toe assessment. What does sample stand for?

  • Symptoms, allergies, medications, past medical hx, last oral intake and events
500

an air leak is indicated by

bubbling within the water seal chamber

500

Name 2 ways to activate the trauma team? 

Hold bed: Trauma Team activated note, use trauma narrator. Answer trauma team activation question.

500

How do you assess for disability (neurological)?

Determine the patient's level of consciousness?

Assess P.E.R.R.L.A.