Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Navy > Patient Assessment/Management - Trauma > Flashcards

Patient Assessment/Management - Trauma Flashcards

1
Q

What are the major categories in patient assessment/management?

A

Scene Size-Up

Primary Assessment

MARCH
M-Massive Hemorrhage
A-Airway
R-Respiration
C-Circulation
H-Hyperthermia/ Hypothermia/ Head Injuries

Transport Decision

Secondary Assessment (Head to Toe)

Patient Movement
Patient Turnover

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the major categories in Secondary Assessment?

A

Head
Neck
Clavicle/Chest
Abdomen/Pelvis
Lower Extremities
Upper Extremities
Posterior thorax, lumbar, and buttocks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the first step in scene size up? (1*)

A

Determines the scene/situation is safe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the second step in scene size up? (2*)

A

Determines the number of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the third step in scene size up? (3*)

A

Requests additional assistance if necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the three steps in scene size up?

A
  1. Determines the scene/situation is safe
  2. Determines the number of patients
  3. Requests additional assistance if necessary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the first step in the Primary Assessment? (4*)

A

Verbalizes general impression of patients to include:

-Mechanism of injury/nature of injury
-Spinal consideration
-Level of consciousness (AVPU)
-Chief complaint/apparent life threats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does AVPU stand for

A

A-Awake
V-Verbal
P-Pain
U-Unresponsive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the second step in primary assessment? (5*)

A

Dons appropriate BSI prior to contact with patient(s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the steps in Primary Assessment?

A

Verbalizes general impression of patients to include:

-Mechanism of injury/nature of injury
-Spinal consideration
-Level of consciousness (AVPU)
-Chief complaint/apparent life threats

Dons appropriate BSI prior to contact with patient(s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does MARCH stand for?

A

M - Massive Hemorrhage
A - Airway
R- Respiration
C- Circulation
H- Hyperthermia/ Hypothermia/ Head Injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the first step in Massive Hemorrhage? (6*)

A

Assesses for massive hemorrhage (blood sweep)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the second step in Massive Hemorrhage? (7*)

A

Applies direct pressure within 10 seconds of noticing hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the third step in Massive Hemorrhage? (8*)

A

Uses proper intervention within 45 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the fourth step in Massive Hemorrhage? (9*)

A

Check pelvis for stabilization TIC / stabilize the pelvis if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does TIC stand for?

A

Tenderness
Instability
Crepitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the steps of Massive Hemorrhage?

A

-Assesses for massive hemorrhage (blood sweep)
-Applies direct pressure within 10 seconds of noticing hemorrhage
-Uses proper intervention within 45 seconds
-Check pelvis for stabilization TIC / stabilize the pelvis if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the first step in Airway? (10*)

A

Assesses airway/ open if necessary

19
Q

What is the first step in Respiration? (11*)

A

Assesses breathing

20
Q

What is the second step in Respiration? (12*)

A

Assesses adequate ventilation

21
Q

What is the third step in Respiration? (13*)

A

Manages any injury which may compromise breathing/ventilation

22
Q

What are the steps in Respiration

A

-Assesses breathing
-Assesses adequate ventilation
-Manages any injury which may compromise breathing/ventilation

23
Q

What is the first step in Circulation? (14*)

A

Checks pulse

24
Q

What is the second step in Circulation? (15*)

A

Assesses skin (color, temperature, condition)

25
Q

What are the steps in circulation?

A

-Checks pulse
-Assesses skin (color, temperature, condition)

26
Q

What is the first step in Hyperthermia/ Hypothermia/ Head injuries? (16)

A

Apply blankets to prevent hypothermia/ remove clothing of hyperthermic patients

27
Q

What is the second step in Hyperthermia/ Hypothermia/ Head injuries? (17)

A

Identify if patient is suffering from obvious head injury.

28
Q

What are the steps in Hyperthermia / Hypothermia / Head injuries?

A
  • Apply blankets to prevent hypothermia/ remove clothing of hyperthermic patients
  • Identify if patient is suffering from obvious head injury
29
Q

What is the step in Transport Decision? (18)

A

Make transport decision

30
Q

What are the secondary assessment - Head steps? (19)

A

-Inspects and palpates scalp and ears
-Assesses eyes; PeRRL (Pupils Equal Round Reactive to Light)
-Assesses facial area
-Inspects mouth: LOBOS (Lacerations, Odor, Broken teeth, Obstructions Secretion)
-Inspects nose
-Inspects ears

31
Q

What are the secondary assessment - Neck steps? (20)

A

-Checks position of trachea (Tracheal Deviation)
-Checks jugular veins (Jugular Vein Distension)
-Palpates cervical spine (step off)

32
Q

What are the secondary assessment - Clavicle/Chest steps? (21)

A

-Exposes and inspects
-Palpates clavicle TIC (Tenderness, Instability, Crepitus)
-Palpates chest (Paradoxical Motion, Flail Segment)

33
Q

What are the secondary assessment - abdomen/pelvis steps? (22)

A

-Exposes and inspects
-Palpates abdomen TRDP ( Tenderness, Rigidity, Distension Pulsating Masses)
-Verbalizes assessment of genitalia/perineum as needed

34
Q

What are the secondary assessment - Lower extremities steps? (23)

A

-Exposes and inspects
-Palpates and assesses motor, sensory and distal circulatory functions

35
Q

What are the secondary assessment - Upper extremities steps? (24)

A

-Exposes and inspects
-Palpates and assesses motor, sensory and distal circulatory functions

36
Q

What are the secondary assessment - Posterior thorax, lumbar, and buttocks steps? (25)

A

-Exposes and inspects
-Palpates posterior thorax
-Palpates lumbar
-Palpates buttocks (blood, urine, defecation)

37
Q

What is the first step of Patient Movement? (26)

A

Properly triages patient(s)

38
Q

What is the second step of Patient Movement? (27)

A

Shock management (positions patient properly, conserve body heat)

39
Q

What is the third step of Patient Movement? (28)

A

Chooses proper method of patient transport (litter, carry, walk)

40
Q

What is the fourth step of Patient Movement? (29*)

A

No gross manipulation of head, neck or spine with suspected c-spine injury

41
Q

What is the fifth step of Patient Movement? (30*)

A

Properly reassesses Interventions, Level of Consciousness (LOC), Airway, Breathing, Circulation
(I LOC ABC)

42
Q

What should be checked before rolling the patient?

A

Pelvis and clavicle

43
Q

What are all of the steps in Patient Movement?

A

-Properly triages patient(s)
-Shock management (positions patient properly, conserve body heat)
-Chooses proper method of patient transport (litter, carry, walk)
-No gross manipulation of head, neck or spine with suspected c-spine injury
-Properly reassesses Interventions, Level of Consciousness (LOC), Airway, Breathing, Circulation

44
Q

What is the step in Patient Turnover? (31*)

A

Properly describes injuries and condition of patients

Navy (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions