assessment Flashcards
reasons for trauma 1 centers
Carotid or vertebral artery injury. Torn thoracic aorta or great vessel
Cardiac rupture
Bilateral pulmonary contusions:
PaO2-FiO2 ratio < 200
Major abd vasc injury
Grade IV or V liver injury
>6 Unit PRBC (pack red blood units) transfused in 6 hrs
Unstable pelvic fx
>6 PRBC transfused in 6 hrs
Fx or dislocation w/ loss of pulse or sensation
reasons for trauma 2 centers
Pen injury or open fx of skull
GCS < 14 or lateralizing neurological signs
Spinal fx or spinal cord deficit
More than 2 unilateral rib fx or bilateral rib fx w/ pulmonary contusions
Open long bone fx
Significant torso injury with adv comorbid disease
1986 COBRA act states
Team has to be exp
Staff who are on the crew capable
Ability to demonstrate transport is beneficial
Optimal health and well-being goal of the transfer
IFT transport guidelines American College of Physicians guidelines for Transfer & Transport f/ emergency dept to another facility
Optimal health and well-being goal of the transfer
All pt should be provided stabilizing treatment priot to transfer
Pt advised of risks of transport
Best judgement, based on pt condition, which mode of transportation, lvl of care, and dest for best outcome
Acceptance has to be acquired prior to transport
Record are req to accompany pt
When transfer of pt is a regional plan, written agreements and protocol must be in place (UH system, CCF)
For a BMP what does sodium mean
neuro
For a BMP what does K
cardiac status highs and lows impact cardiac function
For a BMP what does chloride
Asmotic pressure of cell
For a BMP what does anion gap
Negative anions (bicarbonate and chloride add together minus sodium gap >16 acidodic state need abg
For a BMP what does hemolized
Blood factors
Infection prediction
For a BMP what does INR
Clotting disorders
For a BMP what does urine screening
Osmolarity
Presence of protein/metabolites
For a BMP what does arterial blood gas
Oxygenation (V/G)
