Week 6- Advance Wound Care Flashcards
What size pt can we transport in the pedimate?
10-40lbs ( 4.5-18kg)
What size is the neomate designed for?
5-14lbs ( 2.3-6 kg)
Critical Interventions include:
Airway obstruction
Cardiac arrest/respiratory arrest or decreased LOA w/ inadequate respiratory
Sucking chest wounds
Impaled objects
External haemorrhage- SHOCK
Unstable pelvis
What do we do with “Stay + Play Pts”?
Isolate C/C
Stabilize and iniate basic treatment plans
- dressings, splinting, bandaging, immobilization
If pt condition CHANGES…
Repeat PRIMARY survey: Reassess
- Airway, Breathing, Circulation
Find problem
Fix problem
How to treat: Amputations
Attempt to have the amputated parts located
If located prior: cleanse/wrap and put into plastic bag
DO NOT pack on ice!!
TRAUMA CENTRE
How to treat: Eviscerations
Bowels out of body
- moist sterile
- wrap dressing in PLASTIC
Treat for shock
How to treat: Burns
dress each finger individually
remove jewellery if possible
leave ends exposed to re-assess circulation
use WET dressings if oozing
PREVENT STICKING
How/why/when to use: Tourniquet
TO CONTROL HEMMORHAGE
Get on in less than 2 mins
Apply 5cm above injuries
NEVER take it off
Write down the time
Do not cover it
Distal pulse will be gone
Hemostatic dressing
accelerates blood clotting
sterile
wrap injury to keep pressure
DONT PACK: abdomen, chest, open skull #
Symptoms of: Open chest wound
you may hear “sucking” sound during resp.
hemoptysis (coughing blood)
decreased/absent breath sounds
SOB
Anxiety
Bubbling at the site
Unequal chest movement
What is: Flail chest?
3 or more adjacent ribs that are fractured in at least 2 places
causes paradoxical movements in chest
Treatment of junctions, chest and limbs:
PACK the junctions
SEAL the chest
TOURNIQUET the limbs
When using dressings. we must keep them ______ and asseass the ______ for neurovascular comprom
keep sterile
keep limbs elevated if possible
assess distal pulse for neurovascular compromise
