Trauma Assessment Flashcards
What does SCENE stand for
S - safety
C - cause
E - Environment
N - number of patients
E - extra resources may be needed
What do you within the safety assessment
Dynamic risk assessment
Equipment Needed
if PPE is required
Do not rush in if not safe
What to do within the cause assessments
Mechanism of injury and what has caused the injury
What to do within the environment assessment
Complications or risk from the environment
Difficulties
Risk to the patient
What to within the number of patients assessment
How many patients
Any have wandered or hidden from view
What to within the extra resources needed
Additional ambulances
Specialist or advanced medical such as HART or advanced practitioner
Police
Fire and Rescue service
request back up early
what is the primary survey mnemonic for trauma
Catastrophic hemorrhage
Airway and consider c –spine
Breathing
Circulation
Disability
Exposure and examine
and always check danger and response
what is catastrophic hemorrhage
life threatening external haemorrhage.This can cause death priority
What is airway
Airway with C-Spine consideration. if significant blunt trauma MILLS should be applied
secreted airway priority
6 over c-spine
What are the airway care steps
- airway inspection
- airway clearance
- Airway opening
- Airway adjuncts
- Advanced airway management
What do you do within breathing
Administer high flow oxygen look at spo2,rate and depth examine neck and chest if breathing issues
How would you mange DIB
positioning
apply appropriate dressing
What do you look in circulation
Pulse rate.,rhythm pallor,cap refill,external or internal bleeding.in trauma check distal ito injury
take maunel blood pressure
where is the most common sites for blood loss
Floor,chest,pelvis
what are the most common cause of shock
Hypovolaemia,Cardiogenic,obstructive,neurogenic
what are the signs of shock
Tachycardia
Tachypnoea
clammy skin
pallor skin
What do you do within disability
AVPU
pupillary size and respince
GCS
Blood glucose
What do you do within the exposure primary assessment
full exposure - patient dignity
what to look at in secondary assessment for the head
Look - wounds,PEARL,Cyanosis,blood in mouth,Battle signs
Feel - facial injuries,depression very gently
and listen to airways and breathing issues
what to look at in secondary assessment for the head and spine
kintetics of injury - hyper extension of neck,direction of force on head,neck and spine
what to look at in secondary assessment for the chest
Inspect,Palpate,Percuss,
Ausculate look for any wounds,bruising
what to look at in secondary assessment for the back
Don’t forget to look at the back which consists of the base of the skull to the bottom if spinal cord injury monitor vital signs, especially BP
what to look at in secondary assessment for the abdomen
Inspect, Auscultate,palpate, and percuss looking for bruising,scars and palpating to see if guarding and rigidity
what to look at in secondary assessment for the pelvis
mechanism of injury will indicate if there is a pelvis injury look and gently feel if there is any tenderness,PR/PV bleed or shorting/roatation of the legs
