Trauma Survey Flashcards
First step in a trauma survey?
Scene assessment
Second step in a trauma survey after scene assessment?
The management of catastrophic haemorrhage control algorithm
After managing any catastrophic haemorrhage, what are the next steps in the trauma survey?
Airway and c-spine control
Assess rate and depth of respiration and grade breathing 1-5
The trauma survey includes a grading of breathing, what do the scores from 1 to 5 Indicate?
1 = not breathing 2 = slow < 12 per minute 3 = normal 12-20 4 = fast 20-30 5 = vert fast > 30
What treatment should be given to a trauma patient scoring 1, 2 or 5 on the breathing assessment?
Assist ventilation with 100% O2 and BVM
What treatment should be given to a trauma patient scoring 3 or 4 on the breathing assessment?
100% supplemental O2
After assessing a trauma patients respiration and breathing, what is your next step?
Assess the chest, FLAPS Feel Look Auscultate Percuss Sides and spine
When performing FLAPS, what should you specifically be checking for?
TWELVE Tracheal deviation Wounds, bruising or swelling Emphysema (surgical) Laryngeal crepitus Venous engorgement Exclude open/tension pneumothorax, flail chest or massive haemothorax
After assessing the chest in a trauma patient, what is your next step?
Reassess any catastrophic bleeding
Assess peripheral and central pulses
CRT and skin colour, texture, temperature
Assessment for catastrophic bleeding?
Assess for blood on the floor and four more
- external
- chest (already done during B)
- abodmen
- Pelvis
- long bones
Final step in the trauma survey?
Obtain full GCS
Assess pupil reaction
Check BM (But do not delay transport)
Steps to take during transfer/conveyance of trauma patient?
Rapid packing and removal of patient Transfer to trauma centre if indicated Consider use of TXA Consider fluids if BP <90mmHg Consider pain relief Hand over using an ATMIST
