Primary and Secondary Survey Flashcards
What airway is used for a trapped patient?
Combitube
What does JTTS stand for
Joint theater trauma systems
Who wrote JTTS and what year?
National Defense Authorization Act of 2017
Primary for TCCC?
M-A-R-C-H M- hemorrhage A- airway R - respirations C- circulations H - head/hypothermia
ATLS uses?
A-B-C
What echelon of care uses ATLS algorithm?
Echelon 3
What does echelon 2 consist of?
CRTS (casualty receiving and treatment ships)
- LHD
- LHA
- CVN
Med Batallion
Shock trauma platoon
FRSS (Forward resuscitative surgical suite)
What amount of blood can be loss and tolerated well in healthy patients?
Class 1 Hemorrhage
15% or 750mL
How does Class 2 Hemorrhage present and how much blood is lost?
15-30% or 750 - 1500mL
- Tachy
- Narrow pulse
- Mental status
How is class 2 hemorrhage treated?
With fluids
Blood loss for Class 3 hemorrhage?
> 30% or 1500mL
peripheral hypoperfusion
Declining vitals, still tachy
Blood loss for Class 4 hemorrhage?
> 40% or 2L
What are the 2 categories for circulation assessment?
Hemodynamic and Hemorrhage
How is hemodynamic status assessed?
- Skin color
- Mental status
- Peripheral pulses
- Cap refill
Do you perform a standard BP check during primary survey?
No
What is Systolic pressure minimum at radial pulse?
> 80
Systolic pressure at carotid?
> 60
Systolic at femur?
> 70
How to remember systolic pressures?
60-70-80
Carotid - 60
Femur - 70
Radial - 80
How is mental status and neuro assessed?
LOC
Pupillary response
Motor function
GCS
GCS for intubation?
<8
Lowest score on GCS
3 (No response)
Know GCS scores
Ok
What is AMPLE?
Allergies Medications Past med hx Last meal Events leading up
