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47 Cards in this Set
- Front
- Back
primary assessment
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A - airway
B - breathing C - circulation D - dementia, brain |
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steps of the scene size up
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-standard precautions
-scene safety -mechanism of injury or nature of illness -number of patients -need for additional resources |
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steps of the primary assessment
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-form general impression of the patient
-assess level of consciousness -assess the airway -assess the breathing -assess circulation -establish patient priorities |
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form a general impression of the patient. 3 things
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-first impression
-stable or unstable -chief complaint |
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2 types of trauma
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-penetrating trauma
-blunt force trauma |
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in-line stabilization
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-for suspected spine injury
-neutral in-line position -maintain until you immobilize patient on backboard |
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positioning patient for assessment
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-if the patient is prone, roll him to supine for better assessment
-Establish in-line stabilization first if spine injury is supspected |
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AVPU
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A-Alert
V-responds to Verbal stimulus P-responds to Painful stimulus U-Unresponsive |
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flexion posturing
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also known as decorticate posturing, the patient arches the back and flexes the arms inward toward the chest
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extension posturing
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also known as decerebrate posturing, the patient arches the back and extends the arms straight out parallel to the body
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opening an airway
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-manual maneuvers
-suction -airway adjuncts -manual thrusts -positioning of patient |
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partial airway occlusion sounds
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snoring
gurgling crowing stridor |
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assess breathing, LOOK
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-inadequate tidal volume
-abnormal respiratory rate -signs of respiratory distress |
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pulse ox reading under ___% inadequate breathing
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95%
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assess breathing, LISTEN and FEEL
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-absent or inadequate breathing
-adequate breathing |
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when should you without oxygen?
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-NEVER
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assess circulation
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-pulse
-possible major bleeding -skin color, temperature, and condition -cap refill |
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to feel a pulse what must the systollic pressure be?
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at least 60 mmHg
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perfusion is
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the cells ability to use the oxygen
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how to assess skin
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-color
-temperature -condition -signs of shock |
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opening an airway
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-manual maneuvers
-suction -airway adjuncts -manual thrusts -positioning of patient |
|
partial airway occlusion sounds
|
snoring
gurgling crowing stridor |
|
assess breathing, LOOK
|
-inadequate tidal volume
-abnormal respiratory rate -signs of respiratory distress |
|
pulse ox reading under ___% inadequate breathing
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95%
|
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assess breathing, LISTEN and FEEL
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-absent or inadequate breathing
-adequate breathing |
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when should you without oxygen?
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-NEVER
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assess circulation
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-pulse
-possible major bleeding -skin color, temperature, and condition -cap refill |
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to feel a pulse what must the systollic pressure be?
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at least 60 mmHg
|
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perfusion is
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the cells ability to use the oxygen
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how to assess skin
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-color
-temperature -condition -signs of shock |
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indicator for stable or unstable
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A
B C D if you cant fix them all they are unstable |
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secondary assessment
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-physical assessment
-baseline vital signs -patient history |
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during secondary assessment the techniques used to identify additional signs
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inspection
palpation auscultation |
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cerebrospinal fluid (CSF)
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a clear fluid that surrounds and cushions the brain and the spinal cord
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paradoxical movement
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opposite movement from the the other sides of the chest
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should you rock the pelvis?
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NO
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what is SAMPLE?
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signs/symptoms
allergies medication past medical history last oral intake events prior to the incident |
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OPQRST?
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onset
provication quality radiation severity time |
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a rapid secondary assessment is?
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a rapid head-to-toe exam
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a modified secondary assessment is?
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an exam focused on a specific injury site
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significant mechanism of injury:
fall? intrusion of passenger compartment? intrusion on any part of the vehicle? |
fall: greater than 20 ft
passenger: 12 inches any spot: 20 inches |
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markle test applies to what?
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the abdomen
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what is the blood glucose test good for?
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to rule out a hypoglycemic episode
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golden hour?
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duration from time of trauma to operating table
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tracheal deviation
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lung being pushed over which moves the trachea
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JVD*
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related to heart problem
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when taking a secondary assessment for trauma what should you do first?
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head-to-toe exam
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