Chapter 16 + Flashcards
mechanisms of injury how to examine
Radiography can help to identify any old injuries
Sexual assault exams
can be performed for up to 5 days after assault ; even if the person has changed clothes and showered
The RESPOND mnemonic - psychological trauma
Reassure
Establish rapport
Support the patient
Plan care manage pain
Offer hope
Never deliver news of death or disability alone to the patent or family
Determine the patients needs
Human Responses to Grief
Somatic response
- physical symptoms e.g. vomiting, not eating
Cognitive expression
- fear and loneliness, low self esteem, situations seem unreadl
Affective expression
- anxiety, guilt
Behavioural expression
- anxiety, fatigue, crying, social withdrawal
Responses to a traumatic event (4)
- cognitive
- emotional
- physical
- behavioural
Building resilience
- making connections
- avoid seeing crises as insurmountable problems
- accept that change is part of living
- move towards your goals
- take decisive actions
- look for opportunities for self-discovery
- nurture a positive view of yourself
- keep things in perspective
- maintain a hopeful outlook
- take care of yourself
Disaster life cycle
- mitigation
- preparedness
- response
- recovery
A START Adult Triage
Black - expectant; unlikely to survive. given pain relief and palliative care
Red; immediate; requires medical attention immediately for survival. ABC compromised
Yellow; delayed; victim transport can be delayed. serious and potentially life-threating injuries.
Green; minor. walking wounded. can assist with own care