Trauma Assessment Flashcards
Whats included in the primary assessment?
T/F, assume a cervical fx in any multi-trauma pt with any blunt injury above the clavicle?
What type of Xray is required for C-spine injuries? How do we know if its a good film?
ABCDE
- airway
- breathing
- circulation
- disability (neuro state)
- exposure (undress them)
True!
Cross-table lateral C-spine film. ALL 7 cervical vertebrae and the C7-T1 interspace must be visible.
What three conditions most often compromise ventilation in a trauma patient?
If you can get a radial pulse you can assume the patient has a SBP of at least ___ mmHg?
If there is a carotid/femoral pulse present you can assume less than ___% blood loss?
Tension pneumo
Open pneumo
Large flail section with pulmonary contusion
If you can get a radial pulse you can assume the patient has a SBP of at least (80?)90mmHg
If carotid/femoral pulse present you can assume less than 50% blood loss, if they are absent there is 50% or more blood loss and death is imminent.
How do we test for disability in a trauma patient?
AVPU:
- alert
- verbal stimuli (respond?)
- painful stimuli (respond?)
- unresponsive
Check pupillary size and reaction
decrease in LOC during serial exams means decreased cerebral perfusion
(Glasgow Coma scale is used for 2ndry survey)
What is a quick, noninvasive approach to detect free fluid in the abdomen?
what is the useful mnemonic for hx in a trauma patient?
FAST
SAMPLE:
signs and sx
allergies
Medication s
PMHx
Last meal
Events leading up to this..
WHat is the general Summary of your trauma assessment and management?
Primary survey: ABCDE
Resuscitation
Secondary survey:
SAMPLE and Physical
