Multiply injured patient Flashcards
What are the processes of trauma care?
Prevention Pre-hospital care acute trauma care Specialist care Rehabillitation
Who are the pre-alert team who prepare for an incoming trauma
ED, anaesthetics, radiology and surgcial specialties
What are the key points involved in a paramedic
Time of injruy Mechanism of injury Suspected serious injuries Vital signs Interventions carried out
What is involved in a primary assessment of trauma
What is involved in a secondary assessment of trauma?
ABC, detects and treats immediate threats to life
Secondary survery- indentifies all injuries and takes a more detailed history
What is the approach of a primary survery
ABC
Airway and C spine control Breathing Circulatio with heamorrage control Disability Exposure and environment
What is the most important step and should be carried out first
Catastrophic heamorrhage control
Delays in treating lead to deterioration
Raise affected limb above heart and tounrneuque injury can greatly increase survival rates
What is involced in the airway and c-spine control
Assessment- noise, speech, gurgling, stridor Visual- swelling, deformity Vomit/blood/debris Airway management- maneuvres Suction Adjuncts Advanced procedures
When should a C-spine injury be assumed
Dangerous mechanisms
Reduced conciou levels
Injury above clavicles
Neurological signs
What are the signs to be assesed during breathing?
Visible injuries, resppiratory rate Effort/expansion Feel- palpate and percuss Listen, auscultate OXyegn, analesia, drain
What are the signs to be assessed during circulation
Heart rate palpable radial pulse BP Pulse pressure urine output COnfusion HB, lactate levels
What are the 5 sites of blood loss?
Floor Chest Abdomen Pelvis Long bones
How is volume replaced?
IV access IO access Type of fluid Amount of fluid Massive transfusion protocols
What do you look for during disability
AVPU- trauma version of GCS GCS pupils Tone and reflexes Log roll
What do you look for during exposure and environement
Expose to allow full examination
Cover and keep warm
DEFG?
DONT EVER FORGET GLUCOSE
