Practicals-Patient assessment-trauma Flashcards
To memorize the steps of patient assessment for trauma
What is the first level
scene size up
What are the 4 steps of scene size-up?
Determine safety of scene/situation
Determine MOI/NOI
Request additional assistance
Consider stabilization of spine
What is the next level?
Primary survey/resuscitation
What are the 11 steps in survey/resuscitation?
determine responsiveness/consciousness
Determine chief complaint/apparent life threats.
Airway-opens and assesses airway-inserts adjunct if needed
Breathing-assess breathing
Assures adequate ventilation
Initiates appropriate oxygen therapy
Manages any injury which may compromise breathing/ventilation
What are the four steps in circulation?
Checks pulse
Assesses skin (color, tem or condition)
Assesses for and controls bleeding if present
Initiates shock management (conserve bosy heat, position patient properly
Take History-SAMPLE
S-signs & symptoms A-allergies M-medications P-persistance L-Length of time E-Events
Secondary Assessment
Head, Neck, Chest,abdomen,pelvis,lower extremities, Upper extremities, posterior thorax, lumbar & Buttocks
Head
Inspects mouth, nose, and assesses facial area
Inspects and palpates scalp and ears
Assesses eyes
Neck
Checks position of trachea
Checks jugular veins
Palpates cervical spine
Chest
Inspects chest
palpates chest
Auscultates chest
Abdomen/pelvis
inspects and palpates abdomen
assesses pelvis
verbalizes assessment of genitalia/perineum as needed
Lower extremities
inspects, palpates and asses motor, sensory, and distal circulatory functions
Upper extremities
inspects, palpates and asses motor, sensory, and distal circulatory functions
Posterior thorax, lumbar and buttocks
inspects and palpates lumbar and buttocks areas
Vital signs
obtains baseline vitals-BP,R, P
