multiply injured patient Flashcards
who is in the MDT for a multiply injured patient ?
ED
anaesthetics
radiology
surgical
what information is given in a paramedic handover ?
time of injury mechanism of injury suspected serious injury vital signs IV carried out
what are the parts of an ATLS primary surgery ?
Airway with C spine control Breathing with O2 Circulation with bleeding control Disability Exposure and environment
what are the different features of airway control ?
assessment - noises, visual (swelling, vomit, blood)
airway management - manoeuvres, suction, adjuncts
when should you assume C spine injury ?
dangerous mechanism
reduced consciousness level
injury above clavicles
neurological signs
what are principles of breathing and O2 ?
expose chest (look, feel, listen) analgesia drain
what are the common sites for blood loss ?
floor chest abdomen pelvis long bones
how do you monitor volume replacement ?
vital signs
urine output
lactate
what is the lethal triad in circulation ?
coagulopathy
acidosis
hypothermia
how do you assess disability in euro exam ?
AVPU GCS pupils tone and reflexes log roll
what are the investigations and secondary survey for multiply injured patient ?
USS, CT
minimal handling
