Rapid Trauma Assessment

Question 1

What does scene size-up involve?

Answer 1

• processing available information
• establishing control
• need for any additional
• # of patients
• isolate body substances
• begin the process of evacuation
• scene for safety and hazards
• mechanism of injury

Question 2

What is the main focus of scene size-up?

Answer 2

ensure the safety and well-being of the team

Question 3

What do you do if you are faced with an unstable scene or a scene that begins to deteriorate?

Answer 3

• strongly consider relocating to a safer location

- if able to do safely, attempt to remove the patient

Question 4

What do you need to do in order to keep your team safe?

Answer 4

• a well-organized plan

- situational awareness

Question 5

What questions are involved in assessing your general impression of the scene?

Answer 5

• safe scene?
• sick or not sick?
• injured or not injured?
• what does your “gut” say?

Question 6

What does AVPU stand for (primary assessment)

Answer 6

Alert and awake (GCS: 14-15)
Verbal (response to it) (GCS: 9-13)
Pain stimulus-response (GCS: 4-8)
Unresponsive (GCS: 3)

Question 7

What are the two life threats to take care of and reverse?

Answer 7

• obstructed airway

- profuse bleeding

Question 8

If you hear “snoring” what do you think?

Answer 8

position problem

Question 9

If you hear wheezing or whistling what do you think?

Answer 9

foreign body

Question 10

If you hear “gurgling” or “bubbling” sounds what do you think?

Answer 10

suction

Question 11

How do you control life-threatening bleeding?

Answer 11

• direct pressure to the bleeding site
• pulse point compression
• elevation of extremities is feasible
• tourniquet

NEVER FORGET: YOU DON’T ALWAYS SEE THE BLEEDING

Question 12

What does AMPLE stand for (secondary assessment)?

Answer 12

Allergies 
Medication currently taking
Past illnesses
Last Meal (I and O's) 
Events - environment related to injury

Question 13

Primary assessment deals with what?

Answer 13

Immediate life threats

Question 14

Secondary assessment deals with what?

Answer 14

Completing the overall picture: detailed, complete and thorough history and physical

Question 15

Regardless of the circumstances, what is your first consideration in approaching or treating a patient?

Answer 15

• Scene safety
• Preserve life
• Minimize pain or further injury
• Help prepare pt for evacuation
• Do No Harm

Question 16

What are the basis principles of patient assessment and care?

Answer 16

• Scene safety
• Airway and C-spine control
• Breathing
• Circulation
• Disability
• Expose and Environment

Question 17

During the second assessment you are continuing ABCs along with F, G, H, I. What do these stand for?

Answer 17

• Full set of vitals signs and interventions
• Give comfort
• Head to toe examination
• Inspect the entire body

Question 18

To rule out a significant spin injury the must must meet all what criteria?

Answer 18

• Cooperative
• Reliable
• Alert
• No numbness
• Free of other distracting injuries
• Free of spine pain and tenderness
• Finger abduction or wrist extension: against resistance
• Foot plantar flexion/dorsiextension or great toe dorsiflexion: against resistance
• Sober
• Sharp and dull sensation intact