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19 Cards in this Set
- Front
- Back
A is for |
Airway, alertness & c-spine
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B is for |
Breathing and ventilation
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C is for |
Circulation and control of haemorrhage *if obvious external haemorrhage CABC* |
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D is for |
Disability (neuro status) |
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E is for |
Exposure and environment Undress and warm |
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F is for |
Family presence and full set of vitals |
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G is for Lmnop? |
Get adjuncts L- lab studies M- monitor cardiac rhythm N- consider naso/oro airway O- oxygenation P- pain |
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H is for |
History and head to toe assessment
(SEC SURVEYEyes nose ears neck cspine chest abdo pelvis extremities) |
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I is for |
Inspect posterior |
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What do you look for with A |
Any obstructions |
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Assess B |
Inspect: rr, depth, pattern, equal & bilateral, trachea position Listen: quality, equality, bilateral Feel: bony injuries, subcutaneous emphysema |
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Assess C |
Inspect: any external haemorrhage, skin colour Listen: muffled heart sounds Feel: pulse, rate rhythm strength. Skin temp and feel |
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Assess D |
GCS PEARL BM ABG |
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Assess E |
Undress patient - inspect injures and haemorrhage Keep warm
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Assess F |
Regular vitals monitoring Use family and consider culture and religion |
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Assess G |
Lab studies- ABG, lactate, cross match Monitor cardiac Naso/oro airway consideration - optimise ventilation, help distension Oxygen- Etco2 cap Pain - manage |
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Assess H |
ATMIST & SAMPLE
S- symptoms associated with injury A - allergies & tetanus M - medications P- PMH L- last meal E - events and environment to Injury
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Head to toe assessment (Eyes, ears, nose, neck/cspine, chest, abdo, pelvis/perineum, extremities.) |
Eyes- pupil size, reaction, muscle function Ears - clear fluid, bruising, lacerations Nose- clear fluid, septum position Neck- position of trachea, signs of surface trauma, feel for subcutaneous emphysema Chest - rr, depth, effort, lung sounds, bilateral air entry, bony crepitus Abdomen - distension, injury, listen for bowel sounds, feel for guarding and tenderness. Pelvis- lacerations, priapism, blood, instability of pelvis Extremities- neuro vascular status, bony injuries, skin colour, look for ports. Feel for pulses, bony injury, ROM
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Assess I |
Logroll. Presence of blood, puncture wounds etc Tenderness PR exam - tone and sensation |