Trauma assessment
What does DCAP BLS TIC?
Deformities, Contusion, Abrasion, Punctures, Burns, Laceration, Swelling, Tenderness, Instability, Crepitus
what are 4 of the indications to do a needle T?
Air hunger, chest pain, compromised cardiac output, elevated hemithorax without respiratory movement, neck vein distention, respiratory distress, unilateral absence of breath sounds, cyanosis, tracheal deviation
what criteria? A patient that you have to place a tourniquet?
red criteria
level 2
Is tracheal deviation an early or late sign of a tension pneumothorax?
late sign
What is the order of priority on a trauma assessment?
XABC
What is on the indications for TXA?
signs and symptoms of hemorrhagic shock with systolic BP less than 90mmHg, significanot hemorrhage with heart rate greater than or equal to 120, uncontrolled hemorrhage despite tourniquet application
A 65 year old with a ground level fall on blood thinners
yellow criteria
what level trauma center is RCH?
level 1
What is the dose of TXA and how is it given?
1gm in 10ml IVPB
What should you limit your on scene time too?
10 minutes
a patient in cardiac arrest following a traumatic incident what do you do?
load and go cpr en route
New onset paralysis
red criteria
How many level 1 trauma centers are there in riverside county?
3 level 1 trauma centers
What is the hour limit for TXA?
3 hours
How many Le Fort fractures are there?
3
A patient with traumatic injuries meeting the red criteria on 5301 when should consider calling for air transport?
if the closet trauma center is greater than 30 minutes ground transport
Suspected child abuse
yellow
how many trauma centers in riverside county?
6 trauma centers
What is 4 criteria to pronounce a patient in traumatic arrest?
decapitation, separation of brain, heart, or lungs from the body, complete transection of torso, incineration
What is a blown pupil indicative of?
increased ICP
If a patient is in cardiac arrest with known or suspected torso trauma suggesting signs and symptoms suggesting a spontaneous pneumothorax what do you do?
bilateral chest decompression
red criteria
How many pediatric trauma centers are there in riverside county? double points if you know what hospital it is?
1 And RUHS
a burn patient in freeway speed car accident with 2nd degree burns greater than 30% BSA have to go to a burn center or trauma center?
trauma center