week6 Flashcards
What is the trauma systems (in order from time of accident)?
Prehospital care → transportation → trauma reception → primary survey → secondary survey → trauma teams
Who are the different members of a multidisciplinary trauma team?
Team leader A B C Nurse 1 Nurse 2 Scribe Specialities
What are the 2 types of trauma?
Blunt or penetrating
What is the trauma triad?
Hypothermia
Acidosis
Coagulopathy
What are the possible effects of skeletal trauma?
Fat embolism
Rhabdomyolysis
Potential blood loss
What are the elements of a primary survey?
A - airway C – c-spine B – breathing C – circulation/haemorrhage control D – disability E - exposure F – Fahrenheit
What does RIPPA stand for in the breathing section of a primary survey?
Respiration rate Inspection Palpitation Percussion Auscultation
What are some potentially life threatening chest injuries?
Airway obstruction Tension pneumothorax Open pneumothorax Massive haemothorax Flail chest Cardiac tamponade
What compensatory mechanisms kick in for blood loss?
Blood vessels dilate and heart rate increases
What are we looking for during exposure?
Needle marks
Wounds
Abrasions
Anything else -always roll!
What does martin say for secondary survey?
Head to toe – fingers and tubes in every hole
What are the 3 categories in the Glasgow Coma Scale (GCS) used to assess the level of consciousness?
Eye opening – 4 points
Verbal response – 5 points
Motor response – 6 points
What are the different responses and their scores for eye opening in the GCS?
Spontaneous – 4 points
To voice – 3 points
To pain – 2 points
None – 1 point
What are the different responses and their scores for verbal response in the GCS?
Orientated – 5 points
Confused – 4 points
Inappropriate words – 3 points Incomprehensible sounds – 2 points
None – 1 point
What are the different responses and their scores for motor response in the GCS?
Obeys commands – 6 points Localizes pain – 5 points Withdraw (pain) – 4 points Flexion (pain) – 3 points Extension (pain) – 2 points None – 1 point
