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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

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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

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3
Q

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

A

Determines the scene/situation is safe

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4
Q

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

A

Determines the number of patients

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5
Q

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

A

Requests additional assistance if necessary

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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
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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

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8
Q

What does AVPU stand for

A

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

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9
Q

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

A

Dons appropriate BSI prior to contact with patient(s)

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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)

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11
Q

What does MARCH stand for?

A

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

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12
Q

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

A

Assesses for massive hemorrhage (blood sweep)

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13
Q

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

A

Applies direct pressure within 10 seconds of noticing hemorrhage

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14
Q

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

A

Uses proper intervention within 45 seconds

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15
Q

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

A

Check pelvis for stabilization TIC / stabilize the pelvis if needed

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16
Q

What does TIC stand for?

A

Tenderness
Instability
Crepitus

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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

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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
What are the steps in circulation?
-Checks pulse -Assesses skin (color, temperature, condition)
26
What is the first step in Hyperthermia/ Hypothermia/ Head injuries? (16)
Apply blankets to prevent hypothermia/ remove clothing of hyperthermic patients
27
What is the second step in Hyperthermia/ Hypothermia/ Head injuries? (17)
Identify if patient is suffering from obvious head injury.
28
What are the steps in Hyperthermia / Hypothermia / Head injuries?
- Apply blankets to prevent hypothermia/ remove clothing of hyperthermic patients - Identify if patient is suffering from obvious head injury
29
What is the step in Transport Decision? (18)
Make transport decision
30
What are the secondary assessment - Head steps? (19)
-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
What are the secondary assessment - Neck steps? (20)
-Checks position of trachea (Tracheal Deviation) -Checks jugular veins (Jugular Vein Distension) -Palpates cervical spine (step off)
32
What are the secondary assessment - Clavicle/Chest steps? (21)
-Exposes and inspects -Palpates clavicle TIC (Tenderness, Instability, Crepitus) -Palpates chest (Paradoxical Motion, Flail Segment)
33
What are the secondary assessment - abdomen/pelvis steps? (22)
-Exposes and inspects -Palpates abdomen TRDP ( Tenderness, Rigidity, Distension Pulsating Masses) -Verbalizes assessment of genitalia/perineum as needed
34
What are the secondary assessment - Lower extremities steps? (23)
-Exposes and inspects -Palpates and assesses motor, sensory and distal circulatory functions
35
What are the secondary assessment - Upper extremities steps? (24)
-Exposes and inspects -Palpates and assesses motor, sensory and distal circulatory functions
36
What are the secondary assessment - Posterior thorax, lumbar, and buttocks steps? (25)
-Exposes and inspects -Palpates posterior thorax -Palpates lumbar -Palpates buttocks (blood, urine, defecation)
37
What is the first step of Patient Movement? (26)
Properly triages patient(s)
38
What is the second step of Patient Movement? (27)
Shock management (positions patient properly, conserve body heat)
39
What is the third step of Patient Movement? (28)
Chooses proper method of patient transport (litter, carry, walk)
40
What is the fourth step of Patient Movement? (29*)
No gross manipulation of head, neck or spine with suspected c-spine injury
41
What is the fifth step of Patient Movement? (30*)
Properly reassesses Interventions, Level of Consciousness (LOC), Airway, Breathing, Circulation (I LOC ABC)
42
What should be checked before rolling the patient?
Pelvis and clavicle
43
What are all of the steps in Patient Movement?
-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
What is the step in Patient Turnover? (31*)
Properly describes injuries and condition of patients

Navy (1 decks)

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