As easy as 1-2-3
ABC misc
Betty White
What's the deal with the VAP?
100
True or false:
We record/tape class 1 traumas in the trauma bay
True
There is a camera installed in Blue 10 that can be activated on the wall to record class 1 traumas for QI
100
What is this called
Ambu Bag
100
What are 3 reasons the elderly fall?
Poor lighting, inadequate footwear, cluttered areas, medications, syncope r/t hypoxia/dysrhythmias
100
2 signs and symptoms of VAP
high HR, RR, BP
high airway pressure/pressrue limit alarms
infiltrates
SOB
Cough
Fever
low 02, high CO2
200
What is the trauma activation level?
18 yo M drove car off the highway into a nearby river. Pt is A&Ox2, GCS 14, +LOC, +airbags, self extricated. VSS.
Class 2
200
What is this device called
BiPap
200
What can be 2 causes of AMS in elderly?
low sugar, hypoxia, hyperthermia/hypothermia, anxiety, dementia, mental health
200
Assess, prevent and manage ________
Pain
Poor pain control is a risk for HAI and prolonged ventilation
300
What level of trauma would an unrestrained MVC at 90 mph with GCS 9 be?
Level 2
GCS 9-14
MVC, high speed >40 mph
300
What is this monitoring?
ETCO2
300
What happens to our cardiac output as we age?
Decreases
300
2 treatment methods for VAP?
most important: prevention
HOB to 30 degrees
ABX
Suction
Oral Hygiene
Mobilization
400
What is the trauma activation level?
30 year old male GSW to the L bicep, abrasion to the R cheek complaining of 10/10 pain. GCS 15. VS: HR 99, BP 110/80, RR 17, O2 97% RA.
Class 1: penetrating injury to the head, neck, torso, extremities proximal to the elbow and knee
400
A tourniquet has been applied to the bicep of a pt. Radial pulse is still present, what can you do?
Tighten the tourniquet or apply another.
It is OK to apply 2 tourniquets
400
In regards to home medications, what should we be looking for during our physical assessment of the patient?
Medication patches
400
Early mobilization prevents ______
Neuromuscular weakness associated with critical illness and ventilation
500
What is the trauma activation level?
67 yo female complaining of R hand pain and L foot pain s/p accident at work. Upon exam at triage desk R hand has loss of pulse and a tourniquet is found on the bicep. R first and second fingers are degloved. L foot is in a shoe which appears bloody. Upon assessment the L foot is removed from the shoe and blood is noted to shoot from where the great toe is and the toe is mangled. Pressure is applied and continues to have significant blood loss despite the pressure dressing.
Tourniquet is applied and blood shooting out of the foot. Uncontrolled bleeding.
Class 1
500
What can make intubation harder to do in the geriatric population?
Temporomandibular and cervical arthritis
False teeth
Decreased cough strength can lead to aspiration prior to intubation
500
3 most common injuries r/t falls in the elderly?
Laceration/contusions
TBI
Fractures (Specifically hip)
500
VAP is a preventable illness that costs
$50,000 per pt.