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21 Cards in this Set
- Front
- Back
- 3rd side (hint)
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MOI
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Mechanism of injury is the way in which traumatic injuries occur-- the forces that act on the body to cause damage.
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14.9
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NOI
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Nature of illness is the general type of illness a pt is experiencing.
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14.9
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Initial assessment
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The part of the assessment process that helps you identify immediately or potentially life-threatening conditions so that you can initiate lifesaving care. Identify and treat ABCs. Form a general impression.
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14.33
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AVPU
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Alert to person, place, and time.
Responsive to Verbal stimuli Responsive to painful stimuli Unresponsive |
14.11
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snoring respirations think
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"positioning problem"
Most likely from the tongue partially obstructing the airway. |
14.12
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gurgling or bubbling sounds with respirations
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Think suction
Most likely fluids such as blood, mucus, or vomit in the mouth or posterior pharynx. |
14.12
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Assess infants pulse
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At the brachial artery for both responsive and unresponsive infants.
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14.13
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"bounding pulse"
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More forceful than usual.
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14.13
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"thready pulse"
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weak
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14.13
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Identifying Priority pt
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-Poor general impression-pt does not look good.
-Unresponsive pts. -Responsive but cannot follow command. -SOA-working to breathe pts are in serious trouble. -Hypoperfusion or shock. Know the s/s weak or absent peripheral pulse, sustained tachycardia, and pale, cool, wet skin. -Complicated childbirth-Other than the head is not good. -Chest pain with a systolic BP under 100 especially with tachycardia high risk to bottom out as they obvious can not compensate. -Severe pain anywhere. -Multiple injuries, adding together can be a big problem. |
14.14
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Red conjunctiva may suggest..
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drug or alcohol use.
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14.17
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Dilated or constricted pupils suggest...
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recreational drug use.
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14.17
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Possible finding with lung sounds
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-Lung fields with absent breath sounds: pneumothorax
-Silent breath sounds:status asthmaticus -Lung fields with areas of consolidation: pneumonia -Wheezing (localized or diffuse): asthma or bronchoconstriction -Rales (wet lung sounds): pulmonary edema, heart failure, toxic inhalation, submersion |
14.17
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tilt test
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Orthostatic vital are significant when the systolic pressure decreases by up to 20 mm Hg, and increase in diastolic pressure by 10 mm with an increase of pulse by 20 beats. Should be taken at 1 minute intervals.
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14.18
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How should you position a stable unresponsive medical pt without trauma?
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Left lateral recumbent/recovery position.
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14.18
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How to exam depressions in the skull?
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Visually, do not palpate as you could push bone fragments inward.
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14.27
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List the five elements of the nervous system
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Mental status, motor response, cranial nerve function, reflexes, and sensory response.
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COASTMAP
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Mnemonic to guide you through metal status exam.
Consciousness, Orientation, Activity, Speech, Thought, Memory, Affect, Perception, Cranial nerves, Motor systems, Reflexes, Sensory system. |
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Ongoing Assessment
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Reassess everything from transport decision, pt LOC, ABC, vitals, physical assessment, tx, continuously.
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Bech's triad
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The combination of a narrowed pulse pressure, muffled heart tones, and JVD associated with cardiac tamponade; usually resulting from penetrating chest trauma.
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14.33
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chushing's reflex
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The combination of a slowing pulse, rising BP, and erratic respiratory pattern; a grave sign for pts with head trauma.
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14.33
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