Primary Survey (done) Flashcards
if their is only a crotic pulse what does it show
systolic blood pressure is above 60
if their is a radial pulse what does it show
that systolic blood pressure is above 90
the saying ‘blood on the floor and four more’ what are the four places you would look
head
torso- abdomen
lower limbs
long bones- think pelvis
what would you hear for hyperresonance of the chest
hollow like a drum, signs of a lot of air
what is pallor
pale not getting enough oxygenated blood to the skin
what is cyanosis
blue lips or finger tips due to inaffective breathing
what side is the recovery postion
left lateral side
what are the signs of dyhydration
dry mucosa and dry tounge
how to tell if the bleeding is a venous bleed
constant trickle
what does an arterial bleed look like
constantly pumping, bright. red and rate of a heart beat
when assessing a colour (circulation) what are you looking for
pale flushed cyanosied clammy normal colour perfused or unperfused
What is the Primary survey acronym?
Danger Response Catastrophic haemorrhage Airway Breathing Circulation Disablity Exposure
what is the patient assessment triangle ?
Appearance
Effort of breathing
Colour
Whats the acrynym for levels of response ?
Alert
responsive to voice
responsive to pain
unresponsive
How to you check airways?
Look
Listen
Feel
How to check for breathing ?
Inspect
Palpate
percuss
Ausculate
Whats the normal respiratory rate ?
12-16
How to check circulation?
Asses pulse rate, volume rhythm
capillary refill time
What does ‘scene’ stand for ?
S- Safety C- Cause of illness or injury E- Environment N-Number of patients E- Extra resources need
What to do with a time critical airway
Positioning (siting them up) Suction (Try postural drainage when getting the suction ready) Opa Npa Supraglottic Airway
What to consider when doing a jaw thrust
Consider the spinal cord
What to look for when inspecting the breathing
Resp rate <10 or >30 Adequacy and depth of chest movement Symmetry of chest movement Effectiveness of ventilation Cyanosis (blue lips or finger tips) Position of trachea
What does cyanosis mean
Where your skin or lips turn blue
What to look for when palpate
Any instability of chest wall
Areas of tenderness
Depth and equality of chest movement
What to look for when percussing
Look for dullness ( build up of fluid
Look for hype-resonance ( sounds like a drum, full of air)
What to look for when ausculate
Use 6 spots in primary survey Altered breathing patterns Airway comprised Additional sounds Absence of sounds Asses for air entry
What’s the acronym for breathing
F- feel L- look A- Auscultate P- percuss S- search
What to do on circulations
Reassess catastrophic haemorrhage Skin colour and temperature Palpate pulse- radial > carotid > femoral Assess pulse rate, volume and rhythm Capillary refill time
What to look in disability
Reassess AVPU
Pupil size, equality and response to light
Check. For purposeful movement in all for limbs
Check sensory function
Blood glucose Levels
Complete fast test
What is the fast test
Facial weakness
Arm weakness
Speech
Time of onset
Motor
Sensation
Circulation
What to do when expose
Asses for other life threatening injuries
All over assessment
Consider temperature
