3. PJ patient Assessment & Treatments

Question 1

What are you looking for when you establish situational awareness?

Answer 1

• Scene Safety
• Security
• BSI/PPE
• MOI
• # of patients
• Do I need additional resources?
• TTPs takes precedence over medicine in combat or dangerous situations

Question 2

Mass Hemorrhage

Answer 2

Visualize and feel(sweep)

• All 4 extremities
• Junctional sites(neck, axillae, groins)
• Torso including back
• Pelvic stability
• Treatment; Apply TQ, hemostatic gauze, pressure dressing, pelvic binder, suture/staple, clamp, direct pressure, junctional hemorrhage device, elevate limb.

Question 3

Airway

Answer 3

Look; mouth and neck
Treatments: clear airway, chin lift/jaw thrust , recovery position, sit up
and lean forward position, NPA, supra‐glottic device, ET tube,
cricothyroidotomy

Question 4

Respirations

Answer 4

Place pulse oximeter
Look: chest rise and fall, paradoxical motion, chest wall injuries.
 Listen: if possible w/ stethoscope, each side at anterior axillary line.
 Feel: chest wall: ribs and sternum for fractures or tenderness, subcutaneous air, holes or defects
- Treatment- Apply chest seal, needle decompression, BVM, O2, finger or tube horacostomy

Question 5

Circulation

Answer 5

Diagnose shock (declining AVPU, radial/carotid pulse, assess skin, cap refill)
Reassess bleeding control interventions
Treatment: Hemorrhagic shock: 2x IV/IO; blood or blood products & TXA.
Other types of shock: NS, other drugs. See shock section.
LR for burn resuscitation

Question 6

Head

Answer 6

Rule out sever intracranial pressure(TBI) by identifying mental status, pupils, posturing or snoring respirations(document gsc on TBI pt)

1. Keep BP >100,
2. Keep O2 sat >90%
3. 3% saline

Question 7

Hypothermia

Answer 7

Dry patient, insulate from ground, place hat, utilize blankets