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17 Cards in this Set
- Front
- Back
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What are the four initial scene survey steps?
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1.Personal Protective Equipment
2.Scene Safety 3.Number of Victims 4.Mechanism of Injury |
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What are the three first and most critical steps to the Primary Survey?
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Obtain spinal axis control- check
Airway-Modif. Jaw thrust-suction out oral cavity Breathing-Assess rate and effort Circulation-Palpate-Radial-BP 80 w/o pulse. Brachial-BP 70 if no pulse.Carotid-BP 60-rate and quality -Also check capilary refill. -Control any life threatening bleeding. -Start CPR if no pulse |
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What is the next step?
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Check the neck area
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What do you check there?
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-Look for DCAP-BLS,Traecheal Deviation, JVD, Stoma, Med Alert tags(wrist or neck), subcutaneous emphysema(SUB-Q), Step off on cervical vertabrae with exception to C5.
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What is the next step?
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Examine chest area.
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What do you look there for?
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-DCAPP-BLS, TIC
-Auscilatate lung sounds mid clavicular @ 2nd intercostal space and @ mid axillary @ 5th intercostal space. -Treat any sucking chest wounds or flail chest(paradoxical movement. |
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What is the next step?
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Examine the abdomen.
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What do you look there for?
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DCAP-BLS, Tenderness, and Rigidity
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What is examined next?
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The pelvis is examined next.
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What do you look there for?
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DCAP-BLS, TIC
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What do you examine next?
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You examine the legs and arms next.
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What is done with the legs and arms?
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DCAP-BLS, TIC, CPMS
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What is done after that?
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Transporting descisions.
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How are those descisions made?
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"Load and Go" criteria includes the following:
-Altered level of conciousness -Difficulty with airway or ventilations (Flail chest, Tension Pnuemothorax, Sucking Chest Wound, Airway Obstruction, Respitory Arrest) -Difficulty with circulation (Signs/Symptoms of shock, Cardiac Tamponade, Full Arrest.) |
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What else must be done?
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Examine the back.
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How is that done?
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Witha three man team (two to lift the body and one to hold the head C-SPINE), roll the patient to the side, and check DCAP-BTLS and TIC.
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What else is there to do?
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The patient must be transferred to a backboard by rolling the patient back into the supine position onto the backboard, securing proper neck restraints, body restraints, or other approved equipment.
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