Trauma (Adult and Peds) Flashcards
Treatment for a rattlesnake bite
Rest, remove any constructive jewelry or clothing, immobilize like a fracture, make a small mark to track swelling progress, loose elastic bandage to slow spread but at least one finger gap allotted and no loss of distal pulses, transport for anti-venom treatment asap
Describe treatment of an open chest wound
First apply manual pressure with a gloved hand. Then apply an occlusive dressing which could be aluminum foil or plastic wrap taped around three sides.
Treatment for an amputated arm
Expose patient
Control bleeding - Tourniquet proximal to control bleeding if needed
Clean major debris from wound surface
Use a sterile dressing bandage dressing in place once bleeding is controlled
Provide care for shock
Have pt lie still
Reassure the pt
Calculate the percentage of a thermal burn, based on the rule of nines, for an adult, child, infant
ADULT Anterior 9 - Head and neck 9 - chest (to breast crease) 9 - abdomen 1 -  groin 9/9 - each leg 4.5/4.5 - each arm
Posterior 9 - upper back 9 - lower back/buttocks 9/9 - each leg 4.5/4.5 - each arm
CHILD Anterior 18 - head and neck 18 - chest and abdomen 1 - groin 7/7 - each leg 4.5/4.5 - Each arm
Posterior
18 - back and buttocks
7/7 - each leg
4.5/4.5 - Each arm
INFANT Anterior 18 - head and neck 18 - chest and abdomen 18 - back and buttocks 1 - groin 14/14 - each leg 9/9 - Each arm
Treatment of an open leg fracture
BSI
Perform primary assessment (apply a tourniquet if necessary)
Perform secondary assessment
After life threats of been addressed, extremity fracture can be splinted. Cover open wounds with sterile dressings, Elevate the extremity, and apply a cold pack
List treatment for a thermal burn
Flame - wet down, smother then remove affected clothing
Semi solid (tar,wax, grease) - cool with water but don’t remove.
Ensure open airway and assess breathing, look for signs of injury
Complete primary assessment
Treat for shock
Evaluate depth (superficial, partial, or full), extent (rule of 9’s or palm), and severity.
Do not clear debris; remove clothing/jewelry
Wrap with dry sterile dressing
Hands or feet - separate fingers or toes with sterile gauze pads after removing rings/clothes
Signs and symptoms of a closed head injury
Altered mental status, LOC, Headache, grogginess, short term memory loss, repetitive questioning, feeling sluggish, difficulty concentrating, slurred speech, nausea, altered vision, sensitivity to light or noise, One sided weakness with increased ICP
Describe the purpose of an AED
To analyze and determine if a pts heart rhythm is shockable or not. And if it is, to assist in delivering that shock.
Treatment for a closed arm fracture
BSI
Perform primary assessment
Perform secondary assessment and consider C-spine
After life-threatening conditions have been addressed splint extremity fracture
Reassess PMS
Cover any Open wounds with sterile dressings, elevate the extremity, and apply cold pack
Treatment for a closed chest injury
BSI Perform primary assessment Maintain open airway Provide oxygen For inadequate breathing assist ventilation Pain control 
Define paradoxical motion
The movement of a flail segment that is opposite to the movement of the remainder of the chest cavity
Define critical burn injury
All burns complicated by injuries of the respiratory tract, other soft tissue injuries, and injuries of the bones
Partial or full thickness burns to face, hands, feet, genitalia, or respiratory track
Full thickness burns of more than 10%
Partial thickness burns of more than 30%
Circumferential Burns
Burns complicated by musculoskeletal injuries
List the treatment for an impaled object in the hand
Do not remove the item Direct pressure around the item Stabilize the item using gauze or bulky dressing  Secure the dressings in place Treat for shock with high flow O2 Transport
Treatment for an abdominal evisceration
Control external bleeding
Apply a sterile dressing moistened with sterile saline over the wound site and an occlusive dressing. For large evisceration’s maintain warmth by placing layers of bulky dressing over the moisten dressing
List treatment for near drowning
Place in recovery position, provide high flow 02, maintain open airway, suction as needed, treat for shock, rapid transport, Provide CPR and ventilation if needed.
