FALLS

Question 1

how do we divide the history for falls

Answer 1

pre
during
post

Question 2

pre questions

Answer 2

how were you feeling before the fall,

did you feel like you were going to fall

did you trip

any chest pain before you fell

did you feel dizzy, have a headache

Question 3

important qs to ask for fall

Answer 3

1. are you on any blood thinners
2. did you hit your head
3. how long were you on the floor for
4. 4. is this your first fall?
5. how many falls have you had in the past year?
6. any c spine tenderness
7. are you in any pain anywhere - e spfracture of femur/hip

Question 4

why are we concerned about long lie

Answer 4

due to rhabdomyolis

Question 5

focal neurological signs examples

Answer 5

loss of power
loss of sensation/paresthesia
abnormal reflexes
gait problems
cranial nerves problem

Question 6

what to do if you suspect long lie

Answer 6

ck level

Question 7

nice guidelines for head injury

Answer 7

LOC after event
GCS dropped <13
signs of basal skull fracture
seizures
vommitting
blood thinners?
amnesia - retograde or antigrade
focal neurolifcal signs

Question 8

what sort of documentation for no negative sigs would you do in a falls

Answer 8

no cervical spine tenderness
no visible bruising
no hemotympanium, battle sign, rhinorrhea
no LOC
NO blood thinners
no amnesai