Triage And Tramua Flashcards

1
Q

What is the definition of triage?

A

Means to sort, Rapidly determine the priority of need and placement of therapy

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2
Q

What are the 4 classifications of triage?

A

Class I-catastrophic: immediate therapy required
Class II-critical: therapy within minutes to less than 1 hour
Class III-serious: therapy initiated within a few hours
Class IV-pressing: therapy initiated within 24 hours

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3
Q

What is included in the primary survey?

A

Level of safety, level of consciousness, and A B C.

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4
Q

What are the levels of consciousness?

A
A = alert, oriented
V = depressed; responds to voice/vision
P = responds to pain only
U = unresponsive
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5
Q

What does A B C stand for?

A

Airway patency (is it open?)
Breathing
Circulation (bleeding)/cardiovascular

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6
Q

What is included in the second survey?

A

A CRASH PLAN

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7
Q

What does A CRASH PLAN stand for?

A
A=Airway
C=Cardiovascular
R=Respiratory
A= Abdomen
S=Spine
H= Head
P= Pelvis
L=Limbs
A=Arteries
N=Nerves
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8
Q

What is included in trauma preparation?

A
Training
Team approach
“Trauma drills”
Protocols
Equipment and supplies
Constant readiness
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9
Q

After initial stabilization what is included in the second survey?

A

Meticulous PE, radiology, laboratory tests, monitoring, modify therapy

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10
Q

When should you start respiratory efforts and how long should they be for?

A

After 2 minutes loss of consciousness and respiratory efforts should be around 6 minutes

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11
Q

Airway obstruction is classified as what class of triage?

A

Class 1: catastrophic

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12
Q

What should you do if there is an airway obstruction?

A

Secure the airway by clearing the mouth/pharynx

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13
Q

What are some examples that you can secure the airway?

A

Mechanical retrieval, Heimlich, Tracheostomy.

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14
Q

What is pneumothorax?

A

Air/gas within pleura space (between the parietal and visceral pleura) of the thorax

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15
Q

What is the percent of chest trauma caused by pneumothorax?

A

47%

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16
Q

What are the clinical signs of of pneumothorax?

A

Rapid/shallow respiration, anxious expression, orthopneic, muffled heart/ lung sounds

17
Q

What is the treatment of pneumothorax?

A

Thoracocentesis, chest tube

18
Q

What can be used for chest tubes?

A

Commercial or red rubber feeding tubes

19
Q

Where is the incision of the chest tube placement?

A

10th or 11th intercostal space, 3-4 spaces cranioventral

20
Q

Where is the placement of the chest tube?

A

Tunneled through the 7th or 8th intercostal and popped through pleura

21
Q

What are the connections and equipment are need for the chest tube?

A

Christmas tree, 3-way stopcock, wire suture and glue

22
Q

Cardiac arrest is ___________ induced.

A

Trauma

23
Q

What is cardiac arrest?

A

Severe respiratory dysfunction, hemorrhage and arrhythmia

24
Q

What class of triage is cardiac arrest?

A

Class 1 catastrophic

25
Q

What does EMD stand for?

A

Electrical mechanical association

26
Q

What does PEA stand for?

A

Pulseless electrical activity

27
Q

What is asystole?

A

Flatline

28
Q

What do you need to do for cardiac arrest?

A

Resuscitation

29
Q

What are the 2 types of resuscitation?

A

Closed-chest and open-chest.

30
Q

What are the 2 types of closed-chest resuscitations and what are the differences?

A

Cardiac pump which squeezes the heart muscles and thoracic pump which increases internal pressure when you push on the chest cavity

31
Q

How do you check for effectiveness while giving resuscitations during cardiac arrest?

A

MM color, pulse, direct blood pressure, ETCO2

32
Q

During closed chest resuscitation how many ventilations should be given each minute?

A

12-20 times per minute

33
Q

What position should an animal be in for closed chest resuscitation?

A

Lateral recumbency

34
Q

In closed chest resuscitations how many over the heart compressions should be given each minute?

A

100-120 times per minute