Surgical Tutorial #1 Flashcards
what to listen for in airways?
stridor
gurgling
blood
burns, look for what in airways?
nostril hair, eyebrows singed hairs
may develop oedema
may prophylactically intubate
assessing breathing in trauma looks at what?
RR
Sats
Lungs - Air Entry reduced?
Assymmetry in chest breathing
how to assess Circulation
Temp
HR
BP
Cap refill
what need to know what in circulation?
Is BP supported?
peripheries cold?
Disability assess what?
GCS
Pupils (PEARLS)
Neuro screen
Exposure is what?
Temp
BSL
Alcohol
Check skin for abnormalities
what happens after ABCDE?
feel abdo
feel pelvis
What imaging after trauma in secondary survey?
CXR
PXR
C-sp (but now get CT scan)
where is morrison’s pouch?
under liver
FAST scan looks at what?
MOrrison's Pouch Spleen Pouch of Douglas Infraxephoid between ribs
log roll to do what?
check for spine tenderness
PR
anal tone
perineal injury
ABG gives info about?
haemoglobin
LDH
AA-gradient
adjunct trauma investigations
ABG
Urine
Catheter
IV access in trauma?
2 arms, 16G
What is secondary survey?
More detailed assessment, draw the
Head Nose, Ear, mouth C-spine Chest Abdo/Pelvis Upper Limb Lower Limb Log Roll
what to watch out for in head injuries
hidden scalp lacerations
what to check in C-sp 2ndary survey?
midline tenderness on spinous processes?
Alignment?
2ndary chest survey?
Flail chest tenderness? clavicles sternum equal air entry?
2ndary abdo exam?
tenderness?
hard?
SNT stands for?
soft non-tender
2ndary pelvis survey?
spring pelvis to assess tenderness and mobility
when is tertiary survey?
done at 24 hours
What is tertiary survey?
document the investigations
patient should be awake and can give you info
