Initial Assessment Ch. 6

Question 1

In the skills scenario, state the first step after being notified of a patient’s pending arrival.

Answer 1

“State the need to activate the trauma or resuscitation team”

Question 2

Aside from notification of the trauma or resuscitation team, what else needs to be STATED?

Answer 2

The needs for “pediatric equipment, Broselow tape, pedi dosing calculations”

Question 3

When told by the proctor, “The patient has just arrived” what is your first action?

Answer 3

Conduct an across the room assessment using PAT

Question 4

Aside from the components of the PAT, what else would you asses for during the across the room assessment?

Answer 4

For uncontrolled hemorrhage and the need to reprioritize to C-ABC

Question 5

Describe the criteria for “sick, sicker, sickest”

Answer 5

0- disruptions in PAT= sick
1- disruption in PAT= sicker
2+ disruptions in PAT + sickest

Question 6

What is assessed under Primary Survey A?

Answer 6

ALERTNESS (LOC) and AIRWAY

Question 7

How is alertness assesses under Primary Survey A?

Answer 7

AVPU

Question 8

How is the airway opened in suspected trauma?

Answer 8

While maintaining cervical spine immobilization, use a jaw-thrust move.

Question 9

What three major types of inspection will be used to assess the airway?

Answer 9

“inspection, auscultation, palpation”, (look, listen and feel)

Question 10

When is an IV started if neccesary?

Answer 10

Under C, circulation intervention

Question 11

Under Primary Survey D, what assessment tools are used?

Answer 11

GCS or FOUR score if intubated

Question 12

What intervention should be done on all peds with an alteration in mental status or decreased LOC?

Answer 12

Glucose level

Question 13

What is assessed under Primary Survey B?

Answer 13

BREATHING and VENTILATION

Question 14

What is assessed under Primary Survey C?

Answer 14

Control of hemorrhage and circulation

Question 15

What is assessed under Primary Survey D?

Answer 15

Disability - Neuro status and possible glucose level if altered p. 50, pp.

Question 16

What is assessed under Primary Survey E?

Answer 16

Expose and Environmental controls

Question 17

What is assessed under Primary Survey F?

Answer 17

Full set of vitals and family presence

Question 18

What is assessed under Primary Survey G?

Answer 18

Get adjuncts - LMNOP

Question 19

What is assessed under Secondary Survey H?

Answer 19

Health History and Head to Toe Assessment

Question 20

What is assessed under Secondary Survey I?

Answer 20

Inspect posterior surfaces

Question 21

How do you assess the pelvis and perineum? (5)

Answer 21

1. Stability of pelvis downward and medial
2. Pubis symphysis
3. bleeding at urethral meatus
4. Priapism
5. rectal tone

Question 22

What is important to remember when assessing pulses?

Answer 22

Assess BOTH central and peripheral pulses

Question 23

Where do you palpate pulses in an infant?

Answer 23

Brachial

Question 24

Where do you palpate the pulse for a child older than 1 ? (2 places)

Answer 24

Carotid or femoral

Question 25

What might flash capillary refill (< 1 sec.) indicate?

Answer 25

Warm septic shock

Question 26

What is the recommended volume for pedi blood transfusion?

Answer 26

10ml/kg

Question 27

When does auscultation of lung sounds occur? (2 different times in the algorithm)

Answer 27

1. Under Primary Survey B and under Head to toe chest