Rapid Primary Survey A+B Flashcards
What does ABCDE stands for?
Airway maintenance with C-spine control
• Breathing and ventilation
• Circulation (pulses, hemorrhage control)
• Disability (neurological status)
• Exposure (complete) and Environment (temperature control)
In cardiac arrest use ____, Instead of ABCDE,
CABs
Chest compressions\airway\
breathing
Use CAB also in
massive trauma situations, in the setting of massive blood loss to treat hypovolemic shock
assume a ____ injury in every trauma patient and immobilize with ____
cervical
collar
Contraindications to Intubation
supraglottic/glottic pathology that would preclude successful intubation
A lesioned C-spine shown in a x-ray, the best form of intubation would be _________
Fiberoptic ETT or
nasal ETT or RSI (rapid sequence induction)
What are the three senses you use to evaluate at Breathing
look
listen
feel
Describe “Look” when you evaluate breathing
mental status (anxiety, agitation, decreased LOC), colour, chest movement (bilateral vs. asymmetrical), respiratory rate/effort, nasal flaring
Describe “Llisten” when you evaluate breathing
auscultate for signs of obstruction (e.g. stridor), breath sounds, symmetry of air entry, air escaping
•
Describe “feel” when you evaluate breathing
■ tracheal shift, chest wall for crepitus, flail segments, sucking chest wounds, subcutaneous
emphysema
objective measures of respiratory function are
rate, oximetry, ABG, A-a gradient
put the following… in order of increasing FiO2
nasal prongs
CPAP/BiPAP
non-rebreather mask
simple face mask
nasal prongs → simple face mask → non-rebreather mask → CPAP/BiPAP
what equipes would you use to supplement an inadequate ventilation
Bag-Valve mask and CPAP