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28 Cards in this Set
- Front
- Back
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windshield broken in a spiderweb pattern
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head/cervical spine injury
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broken car dashboard
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hip injury
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accident in the shallow end of a swimming pool
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head/cervical spine injury
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bent steering wheel or steering column
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chest injury
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Initial assessment includes
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EMT's general impression of patient & assessing the patient's mental status, airway, breathing, & circulation
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when a life threatening condition is discovered during the initial assessment
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it should be managed immediately
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cervical spine stabilization should take place while
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the patient's mental status is being assessed
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AVPU
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alert. verbal stimuli. painful stimuli. unresponsive to stimuli
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when assessing &reassessing mental status
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it's important to note changes for better or worse
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to open the airway of a unresponsive trauma patient
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use uthe modified jaw thrust
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while assessing circulation
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check for and correct major bleeding
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a rapid trauma assessment should be performed on
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any unresponsive trauma patient as well as any trauma patient who has a significant mechanism of injury
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a rapid trauma assessment should be performed in
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60-90 seconds
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when a multi system trauma patient is encountrered,
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deal with life threatening conditions first
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DCAPBTLS is a major part of the detailed physical exam
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deformities. contusions. abrasions. penetrations/punctures. burns. tenderness. lacerations. swelling
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jugular vein distention
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veins in the neck are abnormally enlarged
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if patient is complaining of severe pain in the pelvic region
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don't flex or compress the pelvic region. don't log roll or move the legs
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circulation
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= pulses
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mental status & airway are checked
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during the initial assessment
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if only 1 EMT is present
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rapid assessment should be performed after an initial assessment is done
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if a patient appears confused or there's a significant mechanism of injury
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a complete head to toe examination is necessary
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OPQRST
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onset. provocation. quality. radiates. severity. time.
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purpose of detailed physical exam is
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to find less serious hidden injuries or medical problems
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a detailed physical exam should only be performed on
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any unresponsive medical and trauma patient with altered mental status or patients with significant mechanism of injury involved
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ongoing assessment
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repeats all the components of the initial assessment
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during the ongoing assessment
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ensure adequacy of oxygen delivery & artificial ventilations, as well ass the adequacy of any interventions, such as checking dressings & splints
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Glasgow coma scale
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14-15 is a normal score on the Glasgow coma scale
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a patients condition would be considered serious if there score were less than 13
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