4301 Shock Due To Trauma

Question 1

Pertinent Environmental Findings

Answer 1

Traumatic MOI

Blood Loss

Question 2

Pertinent Hx

Answer 2

MOI
Time of event
Estimated blood loss
SAMPLE
Blood thinners

Question 3

Pertinent Physical Findings

Answer 3

AMS
Pale, ashen, cyanotic, cool, wet skins
Altered respirations
Tachycardia
Hypotension
Arrest

Question 4

Pertinent Differential Diagnoses

Answer 4

Cardiogenic shock (arrhythmia, infarct)
Distributive shock (anaphylaxis, neurogenic, sepsis)
Hypovolemic shock (hemorrhagic shock, blood loss, burns)
Obstructive shock (embolism, tamponade, tension pneumo)

Question 5

Emergency Stabilization A

Answer 5

Do not delay transport with non-essential treatment, scene time less than 10 minutes
Control bleeding- direct pressure, tourniquet
Position pt- no Trendelenburg
Warm pt
Make hospital contact
Start large bore bilateral IVs during transport
250 NS Bolus

Question 6

Emergency Stabilization B

Answer 6

IO access if necessary
Unilateral Needle T for S/S of tension pneumo with rapidly progressing respiratory distress unrelieved by less invasive means
Bilateral Needle T for traumatic arrest with suspected torso trauma

Question 7

Disposition

Answer 7

Blunt trauma arrest goes to closest facility
Penetrating trauma arrest goes to closest trauma center if no more then 10 mins farther than closest, otherwise go to closest