TNCC - TNP Flashcards
Preparation and Triage (4)
-Activate Trauma Team
-Assign Roles
-Prepare Room/Equipment
-Done PPE, consider safety threats
General Impression
Assess for uncontrolled hemorrhage reprioritizing to C-ABC
A-G Order (just steps names)
-Alertness (AVPU) & Airway
-Breathing & Ventilation
-Circulation & Control of Hemorrhage
-Disability(Neurologic)
-Exposure/Environmental
-FULL vitals + Family
-Get Adjusts/Give Comfort
AVPU & Airway 2 Rules + 4 Assessments
-Alert, Verbal, Pain, Unresponsive
-Maintain C-Spine
+Foreign Objects
+Fluids
+Sounds
+Bony deformity
Breathing & Ventilation 4 Assessments
+Breath sounds
+Work of breathing
+Chest rise/fall
+Tracheal deviation/JVD
Post-Intubation 4 Rules
-Observe for chest rise/fall with breaths
-Attach CO2 detector and after 5-6 breaths assess for +CO2 (gold)
-Auscultate epigastrum for gurgling (in stomach)
-Document measure to teeth and handoff to RT
Circulation 2 Rules + 1 Tx
-Inspect AND palpate skin for color, temp, moisture
-Palpate pulse
+Warmed isotonic crystalloid w/ blood tubing @ controlled bolus
Disability 1 Rule
(Neuro checks)
Check blood glucose
Exposure 1 Rule + 1 Tx
Remove all clothing and inspect for obvious injuries
+Provide warmth with (any) blankets, room temp, warmed fluids/lights
Full Set of Vital Signs (6) + Family Presence
BP, MAP, HR, RR, T, SPO2
L-P (just step names)
Labs
Monitor
Naso/orogastic tube
Oxygenation
Pain
(after P) Non-Pharmacological Comfort Measures (4) Only need 1
-Distraction
-Repositioning
-Padding bony prominences
-Verbal reassurance
Secondary Survey (H.I.J)
History + HTT (measure urinary output)
Inspect Posterior Surfaces (spinal/pelvic injury)
Just Keep Revaluating
HHT Breakdown
-HEENT - inspect AND palpate
-I, A, P chest (lungs and ❤️)
-I, A, P abd + (P) all 4 quadrants
-I, P flanks
-I, P pelvis (downward/medially)
-Gentle pressure to symphysis pubic
-I, perineum
-Appropriateness of foley? if blood to meatus consult to URO
I, P - all 4 extremities
Inspect Posterior & C-Spine Precautions
6 person lift technique
