Trauma standards Flashcards
What r the 6 Ps and an A
Paresis: muscular weakness
Paraesthesia: pins and needles
Paralysis: inability to move
Pain
Pallor
Pulse
Anaesthesia: loss of sensation
How do we treat first degree burns
Moist sterile dressing and then cover with dry dressing
How do we treat 2nd degree burns <15% BSA
Moist, sterile dressing
How do we treat 2nd degree burns equal to or over 15% BSA
Dry sterile dressing
How do we treat 3rd degree burns
dry sterile dressing
Describe the rule of 9s for BSA burn %
Front of head = 4.5%
Back of head = 4.5%
Chest = 9%
Back = 9%
Abdomen = 9%
Lower back = 9%
Front of one arm = 4.5%
Back of one arm = 4.5%
Genitals = 1%
Front of one leg = 9%
Back of one leg = 9%
Describe the parkland formula
4mL * BSA% * Weight(kg)
Give half over the first 8 hours, give the other half over the next 16 hours.
For abdominal/pelvic injury consider what potential life/limb/function threats
Rupture, perforation, laceration, or hemorrhage of organs or vessels in the abdomen and potentially in the thorax or pelvis
Spinal cord injury
How to do u irrigate bite injuries on a stable patient
up to 5 minutes
What life/limb/function threats do you consider for bite injuries
injuries to underlying organs, vessels and bones
If envenomation (from a bite) is know or suspected you should…?
Position the patient supine
Immobilize the bite area at or slightly below the heart level
Not apply cold packs
For chest injury consider what life/limb/function threats
tension pneumothorax
Hemothorax
Cardiac tamponade
Myocardial contusion
Pulmonary contusion
Spinal cord injury
Flail chest
If the patient has a penetrating chest injury assess for…
Entry and exit wounds
Tracheal deviation
JVD
Airway and/or vascular penetration
For head injury, observe for…
CSF from nose/ears
Mastoid bruising
Abnormal posturing
Agitation or fluctuating behaviour
Incontinence
Emesis
What are some s/s of cerebral herniation
Deteriorating GCS with;
Dilated and unreactive pupils
Asymmetric pupillary response
A motor response that shows either unilateral or bilateral decorticate or decerebrate posturing
How often should u do pulse and respiration check for suspected/known hypothermia
10 seconds
In absence of shivering, and LOC in decreased, what could u assume their body temp is?
below 32
In electrical injury, what life/limb/function threats to consider
Cardiopulmonary arrest
Dysrhythmias
Extremity neurovascular compromise
Multiple/severe trauma
Seizures
Significant internal tissue damage
How do u treat an alkali burn
irrigate for a min. of 20 minutes if pt is stable
How do u treat an acid burn
irrigate for a minimum of 10 minutes if pt is stable
How do u treat unknown chemical exposure
Irrigate for min. 20 minutes if pt is stable
In submersion injury consider what underlying disorders
Drug or alcohol consumption
Hypoglycemia
Cardiac dysrhythmias
Trauma
what are some suctioning complications
Gag reflex
Vagal stimulation / vasovagal response
Bradycardia
Laryngospasm
Soft tissue injury
Induce vomiting
Under the amputation/avulsion standard what potential life/limb/function threats should you consider
Hemorrhagic shock
Loss of limb
Loss of function