Basics Flashcards
What are three components to prehospital trauma care
Assessment of injury
Stabilization and monitoring of injuries
Safe and rapid transport
What is treated first in trauma care
Greatest threat to life
ABCDE approach
What is the golden hour
First hour of trauma management
What are the tree peaks of death
First peak: Instantly
Second peak: mins to hours (ABCDE)
Third: weeks
What is ABCDE
A: airway with c spine
B: breathing and ventilation
C: circulation and hemorrhage
D: Disability and neuro
E: Exposure and environment
What do you do for GCS <8
Intubate
What is needed for c-spine clearance
Radio graphic and clinical clearance
6 intubation criteria
Apnea
Inability to maintain airway
Inability to clear secretions
Impending compromised airway
GCS<8
Inadequate oxygenation
What are airway interventions
Oxygen
Suction
Spine precautions
Chin lift/jaw thrust
Oral/nasal airways
Cricothyrotomy
What are 6 assessments to determine breathing patency?
Deviated trachea
Flail chest
Chest wound
Respirations
Crepitus
Hyper resonance or dullness
What is the intervention needed in tension pneumothorax
Immediate thoracentesis
What is the treatment for rib fractures?
Plating, splinting, pulmonary toileting, IS
What is the treatment for tracheobronchial injuries
Surgical needs
What is the treatment for esophageal injuries
Esophageal/gastric swallow
OR
Five trauma thoracic diagnoses
Tension pneumothorax
Hemothorax
Flail chest
Open pneumo
Cardiac tamponade