ITLS Ch 2 Trauma Assessment And Management Flashcards
4 things that may cause an interruption in the primary assessment
Scene becomes unsafe
Alone and must treat a massive hemorrhage
Must treat an airway obstruction
Must treat a cardiac arrest
Timeline goal for primary survey and on-scene time
Primary survey: less than 2 minutes
Off scene time: less than 5 minutes
Airway interventions on primary survey
Snoring: position airway
Gurgling: suction airway
Stridor: prep to intubate
Silent: PPV, prep to intubate
ITLS recommendation on when to apply SMR
Spinal deformity, pn, tenderness
Blunt trauma and ALOC
High-energy MOI
AMS due to intoxication
Focal neuro deficit
Cannot be adequately assessed
Average adequate Vt for PPV in adult or child
Adequate chest rise
Approx 500mL for adult
6-10mL/kg for child
Priority patient findings
Dangerous MOI
High-risk group
AMS
Abnormal breathing
Abnormal circulation
Hx of LOC, difficulty breathing, severe pain of head, neck, or torso
Ten life threatening injuries
Massive hemorrhage
Airway obstruction
High C-spine injury
Traumatic aortic disruption
Flail chest
Open pneumo
Tension pneumo
Cardiac tamponade
Cardiac contusion
TBI
ITLS primary survey critical findings leading to load-and-go
AMS
Abnormal breathing
Abnormal circulation
Penetrating wound to torso
Abnormal chest exam
Tender/distended abdomen
Pelvic instability
Bilat femur fx
ITLS reassessment exam
Every 5 minutes for critical pt
Every 15 minutes for stable pt
Any time pt condition changes
Each time pt is moved
Each time an intervention is performed
ITLS reassessment steps in order
Controlled bleeds
SAMPLE/ask about changes
LOC and pupils
Vitals
ABCs
Neck
Chest
Abdomen
All identified injuries, PMS
MIST report for patient handover report
MOI or NOI
Injuries or illness identified (time of injury, head-to-toe)
Symptoms/vitals/PMHx
Treatments
