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47 Cards in this Set

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