Trauma Practical Flashcards
What do you do first?
BSI is my scene safe?
Scene size up steps
- Determines scene is safe
- Determines MOI
- Determines number of patients
- Requests additional EMS (if necessary)
- Considers stabilization of spine
Primary survey/resuscitation
- Verbalizes general impression of patient
- Determines LOC
- Determines chief complaint/apparent life threats
- Airway
- Breathing
- Circulation
- Identifies pt priority based on GCS
Airway
- Opens and assesses airway
2. Inserts adjunct as needed
Breathing
- Assesses breathing
- Assures adequate ventilation
- Initiates appropriate oxygen therapy
- Manages any injury that may compromise breathing
Circulation
- Checks pulse
- Assesses skin color, temp or condition
- Assesses for and controls any major bleeding
- Initiates shock management
SAMPLE history
Signs and symptoms Allergies Medications Pertinent past history Last oral intake Events leading to injury or illness
Secondary assessment
Head Neck Chest Abdomen/pelvis Lower extremities Upper extremities Posterior thorax, lumbar and buttocks
Head
Inspects mouth, nose, and assesses facial area
Inspects and palpate scalp and ears
Assesses eyes
Neck
Checks position of trachea
Checks jugular veins
Palpates cervical spine
Chest
Inspects chest
Palpates chest
Auscultates chest
Abdomen/pelvis
Inspects and palpates abdomen
Assesses pelvis
Verbalizes assessment of genitals
Lower extremities
Inspects, palpates and assesses motor, sensory and distal circulatory functions
Upper extremities
Inspects, palpates and assesses motor, sensory and distal circulatory functions
Posterior thorax, lumbar and buttocks
Inspects and palpates posterior thorax
Inspects and palpates lumbar and buttocks areas
