Assessment of the Trauma Patient

Question 1

Trauma Patient

Answer 1

patient suffering from one or more physical injuries

Question 2

History of the present illness (HPI)

Answer 2

information gathered regarding the symptoms and nature of the patients current concern

Question 3

Secondary Assessment- Trauma Patient

Answer 3

After Scene Size-Up: No significant Mechanism of Injury
Determine chief complaint and HPI
perform secondary assessment based on Chief Complain and mechanism of injury
assess baseline vital signs
obtain a past medical history

After Scene Size-Up and Primary Assessment: Significant Mechanism of Injury
DetermineChief Complaint and rapidly find HPI
continue manual stabilization of the head and neck
consider requesting ALS personnel
Perfome rapid trauma assessment
assess baseline vital signs
obtain a past medical history

Question 4

Past Medical History (PMH)

Answer 4

Information gathered regarding the patient’s health problems in the past

Question 5

SAMPLE

Answer 5

Signs and Symptoms
Allergies
Medications
Pertinent past History
Last oral intake
Events leading to the injury or illeness

Question 6

Crepitation

Answer 6

the grating sound or feeling of broken bones rubbing together

Question 7

Rapid Trauma Assessment

Answer 7

rapids assessment of the head, neck, chest abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury

Question 8

Jugular Vein Distention (JVD)

Answer 8

Bulging of the neck veins

Question 9

Tracheostomy

Answer 9

a surgical incision held ope by a metal or plastic tube

Question 10

Paradoxical motion

Answer 10

movement of a part of the chest in the opposite direction to the rest of the chest during respiration

Question 11

distention

Answer 11

a condition of being stretched inflated, or larger than normal

Question 12

Priapism

Answer 12

persistent erection of the penis that may result from spinal injury and some medical problems

Question 13

Detailed Physical Exam

Answer 13

an assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury. it differs from the rapid trauma assessment only in that it also includes examination of the face ears ,eyes, nose, and mouth during the examination of the head. it may be done less rapidly, and it may be done en route to the hospital after earlier on-scene assessments and interventions are complete