Clinical Prac 4 Flashcards
What are Trauma Triage immediate life threats (2)
Airway compromise
Severe external bleeding
That can’t be fixed
Trauma Triage vital signs to escalate care
SpO2 <90
BP <90
RR <10 >30
HR <60 >120
GCS <13
Transport and actions for trauma pt with immediate life threat
Transport-
closest trauma service
Actions-
- escalate care to Mica
- notify ARV if not MTS
- signal 1, w/ notification
Transport and actions for major trauma pt with vital signs criteria
Transport -
Highest level trauma service
Alfred/ RMH
Actions -
-Escalate care to MICA
-Notify ARV (if MTS na)
-Consider HEMS if transfer >60mins
-signal 1 w notification to hospital
Soft cervical collar Indiction and purpose (2)
Potential injury to spinal column.
To support neutral alignment of the spinal Column
Reduced and distribute forces on the spinal column
Contras’ for soft cervical collar
(3)
Penetrating neck trauma
Surgical airway
Unable to achieve neutral position due to
- pt size
- pt anatomical deformity
- pt pain
- pt resistance to movement
Twisted neck w/o ROM
Trauma cardiac arrest. Order of treatment
M
A
R
C
H
Define Acidosis
Respiratory acidosis - body can’t blow off enough CO2= ^ hydrogen ions = increased acidity
Metabolic acidosis- is excess hydrogen ion = ^ acidity
When does acute compartment syndrome occurs
When pressure within a compartment of a muscle group increases.
Leading to swelling and decreased circulation and function in that area
Tourniquet indication
Limb haemorrhage unable to be controlled by direct pressure
Tourniquet indication
Limb haemorrhage unable to be controlled by direct pressure
Tourniquet contra
Bleeding can be controlled using basic first aid.
Where to position tourniquet
5-7cm above injury/ bleeding site
