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17 Cards in this Set

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  • Back
What are the four initial scene survey steps?
1.Personal Protective Equipment
2.Scene Safety
3.Number of Victims
4.Mechanism of Injury
What are the three first and most critical steps to the Primary Survey?
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
What is the next step?
Check the neck area
What do you check there?
-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.
What is the next step?
Examine chest area.
What do you look there for?
-Auscilatate lung sounds mid clavicular @ 2nd intercostal space and @ mid axillary @ 5th intercostal space.
-Treat any sucking chest wounds or flail chest(paradoxical movement.
What is the next step?
Examine the abdomen.
What do you look there for?
DCAP-BLS, Tenderness, and Rigidity
What is examined next?
The pelvis is examined next.
What do you look there for?
What do you examine next?
You examine the legs and arms next.
What is done with the legs and arms?
What is done after that?
Transporting descisions.
How are those descisions made?
"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.)
What else must be done?
Examine the back.
How is that done?
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.
What else is there to do?
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.