Care of the Multi-system Trauma Patient Flashcards
triage
process of rapidly determining patient acuity
2 phases of triage
primary assessment
secondary assessment
pediatric assessment triangle
appearance
work of breathing
circulation
what does the primary assessment focus on (letters)
ABCDEFG
primary assessment A
airway with c spine stabilization and/or immobilization
primary assessment B
breathing
primary assessment C
circulation
primary assessment D
disability
primary assessment E
Exposure/environmental control
primary assessment F
facilitate adjuncts and family
primary assessment G
get resuscitation adjuncts
what does the secondary survey assess (2)
H and I
H in secondary assessment
history and head to toe assessment
I in secondary assessment
inspect the posterior surfaces
when is the medical examiner called
if patient dies in hospital or within 24 hours after discharge
why are elderly patients at high risk for injury X4
decreased visual acuity and peripheral vision
hearing loss
pre-existing disease and medication use
dementia and cognitive impairment
what should you assess before assuming dementia
hypoxia
what is heat exhaustion
prolonged exposure to heat and the body is unable to cool itself
s/s of heat exhaustion X5
VAGUE
fatigue N/V extreme thirst diaphoresis mild fever d/t dehydration
heat exhaustion tx X4
move to a cool area
remove constrictive clothing
decrease core temp
IV fluids if oral not tolerated
how can you lower core temperature X5
moist sheet covering
cool IV fluids
ice to groin and axilla
immerse in bath of cool water
fan
what is CI in heat exhaustion tx
no salt tablets d/t gastric irritation and hyperNa
who is likely to get heat exhaustion
anybody outside for extended time
what is heat stroke
failure of the hypothalamic thermoregulatory processes
sweat glands stop functioning and core temperature rises
