Patient Assessment / Managment - Trauma

Question 1

Step 1

Answer 1

Take or verbalize appropriate body substance isolation precautions (BSI)

Question 2

Sean Size-Up

Answer 2

1. Determines the scene / situation is safe
2. Determines the MOI / NOI
3. Determines the number of patients
4. Considers stabilization of the spine

Question 3

Primary Survey / Resuscitation

Answer 3

1. Verbalizes general impression of the patient
2. Determines responsiveness / LOC
3. Determines chief complain / apparent life threats
4. ABC’s:
   Airway:
   a. Opens and assesses airway
   b. Inserts adjunct as indicated
   Breathing:
   a. Assess breathing
   b. Initiates appropriate oxygen therapy
   c. Assures adequate ventilation
   d.Manages any injury which may compromise breathing / ventilation
   Circulation:
   a. Checks pulse
   b. Assess skin (skin color, temperature or condition)
   c. Assesses for and controls major bleeding if present
   d. Initiates shock management (positions patient properly / conserves body heat)
5. Identifies patient priority and makes treatment / transport decision

Question 4

History Taking

Answer 4

Attempts to obtain SAMPLE history

Question 5

Secondary Assessment

Answer 5

1. Head:
   a. Inspects and palpates scalp and ears
   b. Assesses eyes
   c. Inspects mouth, nose and assesses facial area
2. Neck:
   a. Checks position of trachea
   b. Checks Jugular Veins
   c. Palpates cervical spine
3. Abdomen / Pelvis:
   a. Inspects and palpates abdomen
   b. Assesses pelvis
   c. Verbalizes assessment of genitalia / perineum as needed
4. Lower Extremities:
   a. Inspects, palpates, and assesses distal CSM
5. Upper Extremities:
   a. Inspects, palpates, and assesses distal CSM
6. Posterior Thorax, Lumbar and Buttocks
   a. Inspects and palpates posterior thorax
   b. Inspects and palpates lumbar and buttocks area

Question 6

Vital Signs

Answer 6

1. Obtain baseline vital signs (must include BP, P, R)

2. Manages secondary injuries and wounds appropriately

Question 7

Reassessment

Answer 7

Demonstrates how and when to reassess the patient