Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
7 Cards in this Set
- Front
- Back
|
How many doctors and nurses should make up a trauma team? Who should be leader?
|
3 doctors (leader, airway, circulation) and 4 nurses (as per doctors plus scribe) minimum
Leader - most experienced and best trained in initial mx trauma regardless specialty |
|
|
Describe the role of the team leader
|
Team leader PARKS (misspelt parcs) at the end of the bed (e.g hands off - should DELEGATE tasks and not perform complex procedures)
P prioritises A advice - seeks and receives from others R resources of team established (eg who can do what), Recognisable (highly visible), Responsible for entire phase of care including documentation, liaison with other services/patient family etc C communicates well, monitors overall Care S spectators - reduces numbers |
|
|
Who else is part of the 'team'?
|
Admin
Social worker Radiographer Patient support staff |
|
|
With regards to the revised trauma score which is incorrect
1 higher scores correlate with more severe injury 2 mortality is poorly predicted 3 a GCS of 6, SBP >90 and RR of 20 would score 10 4 SBP 45, RR 7 and GCS 10 would score 6 5 possible scores range from 0-12 |
1. Incorrect, like GCS LOWER scores correlate with more severe injury
See Dunn 1135 for scoring table |
|
|
Regarding CRAMS (circulation, respiration, abdomen, motor, speech) scoring system which is incorrect
1 the Crams score is used as a trauma triage score 2 the Crams score can be used to decide which patients go to a trauma centre 3 higher scores correlate with more severe injury 4 score 9 indicates minor trauma |
3 INCORRECT LOWER scores correlate with more severe injury (like RTS)
4 correct, <8 = major |
|
|
Regarding the Injury Severity Score (ISS) which is incorrect
1 assesses the injury to six body regions 2 a maximal score in any body region correlates with total score of 75, very severe injury is scored >35 3 is inaccurate for penetrating injury 4 does not account for age or comorbidity 5 score is an addition of the injury score to worst three body regions |
5 INCORRECT - an sum of the SQUARED scores of each of these regions
NEW injury severity score looks at sum of squares of scores in three worst INJURIES (cf regions) and may perform better in mortality prediction |
|
|
Regarding trauma scoring systems
1. 'Anatomical profile' is a modification of injury severity score which groups regions into larger subgroups 2 ASCOT is a physiological and anatomical scoring system determining the probability of severe morbidity 3 TRISS scoring system is a North American population based system which determines probability of survival 4 TRISS system is best suited to auditing outliers and predicting outcome of populations 5 APACHE system is not a trauma system and is designed for population level use |
2 INCORRECT - like the TRISS score, determines probability of SURVIVAL
TRISS system may not be applicable to Australasia, does not account for comorbidities or age, poorly misclassifies certain subgroups APACHE - most widely used critical care scale, not deigned for evaluation individual patient outcome |
