Multisystem trauma

Question 1

What is a primary survey

• Acronym and meaning

Answer 1

initial rapid assessment

AcBCDEF

 - catastrophic haemorrhage 
Ac - airway with restriction of c spine motion
B - breating 
C - circulation
D - disability 
E - exposure
F - farenheight

Question 2

management of

Answer 2

• tourniquet
• surgical intervention
• haemostatic agents
• external direct pressure

Question 3

management of Ac

Answer 3

• airway takes priority
• all unconscious pts suspected c spine injury
• have suction available if moving
• collar vs self splinting
• manual maeuvours

Question 4

what indcates possible airway obstruction

Answer 4

look, listen, feel

look - any foreign objects
listen - abnormal sounds

Question 5

management of b

Answer 5

• expose the chest
• work of breathing / chest movement

RIPPA
resp rate, inspect, palpate, percuss, auscultate

Question 6

management of c

Answer 6

observe BP, HR, colour, temperature, cap refil

?oliguria - MAP 70-80 mmHg needed for kidneys to produce urine

intervention:
fluid challenge