Truma

Question 1

what are your critical consideration when arriving at a trauma call

Answer 1

 Primary assessment completed within 
90 seconds
 Use Patient assessment Triangle to 
quickly identify problems
 Mobilise help early – HEMS, BASICs or 
Enhanced Care

Question 2

what is the patient assessment triangle

Answer 2

appearance
work of breathing
effect of circulation

Question 3

when approaching a trauma pt what should you consider in airway

Answer 3

Assess the airway for 
patency!
Occluded by:
Blood, vomit or foreign 
bodies
Adventitious noises? 
Stridor (narrowed airway)

Question 4

during a trauma assessment should oxygen be administered as soon as possible

Answer 4

yes- high flow oxygen should be administered as a truma is a major cause of hypoxia

Do not rely on sats probe

Question 5

what should you consider when completing flaps on a trauma patient

Answer 5

feel- Feel for tenderness, surgical emphysema, equal
chest movement and a central trachea

look- Look for wounds, injuries, abnormalities, such as
paradoxical chest movements

Auscultate- (if the environment allows) listen for equal air entry,

percuss- listening out for 3 main sounds

search- Back/Armpits for wounds/blood
Remember: Small wounds are often the most lethal

Question 6

when auscultating what can reduce air entry show

Answer 6

a sign of a serious chest injury

Question 7

what are the 3 main sounds your listening for when percussing a trauma pt

Answer 7

Hyper resonance- pneumothorax
Resonance- normal
Hypo resonance- haemothorax / fluid

Question 8

once you get to ‘c’ on your primary survey what should you reassess

Answer 8

•Tourniquets - Check
• Compression - check pressure dressings
•Pelvis –Apply SAM as appropriate (Early
before moving)