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12 Cards in this Set
- Front
- Back
What are the 3 Time critical definitions?
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"Actual
Emergent Potential" |
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Definition of Actual time critical
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At the time of the VSS the pt is in actual physiological distress.
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Definition of Emergent Time Critical
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At the time of the VSS the pt is not in physiological distress, but does have a Pattern of Injury or Significant Medical Condition which is known to have a high probability of deteriorating to actual physiological distress.
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Definition of Potential Time Critical
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At the time of the VSS the pt is not physiologcial distressed and there is no significant Pattern of Actual Injury / Illness, but does have a mechanism of Injury / Illness known to have the potential to deteriorate to actual physiological distress.
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Pts meet the criteria for major trauma if they have a combination of MOI and what co-morbidities?
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Systemic illness limiting normal activity / Systemic ill constant threat to life eg,
- Poorly controlled hypertension - Morbid Obesity - Controlled or uncontrolled CCF - Symptomatic COPD - Ischaemic Heart Disease - Chronic renal failure or liver disease. |
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Adult Trauma Time Critical Guidelines - Actual
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Any of:
- Respiratory rate < 12 or > 24 - BP < 90 mmHg systolic - Pulse > 124 - GCS < 13 - SPO2 < 90% |
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Adult Trauma Time critical Guidelines - Emergent Pattern of Injury
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Any of :
- Penetrating Injuries Head / Neck / Chest / Abdomen / Pelvis / Axila / Groin - Blunt Injuries Significant injury to a single region: Head / Chest / Abdomen / Axilla / Groin Injuries involving two or more of the above body regions - Specific Injuries: Limb amputation / limb threatening injuries Suspectected spinal cord injury Burns > 20% or involving resp tract Major compound fracture or open dislocation Fracture of 2 or more of the following: Femur / Tibia / Humerus Fractured Pelvis |
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Adult Trauma Time Critical Guidelines - Emergent - List the specific injuries?
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- Limb amputation / limb threatening injuries
- Suspectected spinal cord injury - Burns > 20% or involving resp tract - Major compound fracture or open dislocation - Fracture of 2 or more of the following: Femur / Tibia / Humerus - Fractured Pelvis" |
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Adult Trauma TCG - Potentially Time Critical
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Mechanism of injury
- Ejection from vehicle - Motor cyclist / cyclist impact > 30kph - Fall from height > 3m - Struck on head by falling object > 3m - Explosion - High speed MCA > 60 kph - Pedestrian impact - Prolonged extracation > 30 min Additional for Paediatrics - Vehicle rollover - Fatality in same vehicle Assess co-morbidities: - Age > 55 - Pregnancy - Significant underlying medical condition |
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Medical Time Critical Guidelines - Actual
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Any of:
- Moderate or Severe Resp Distress - SPOz < 90 % room air / 93% on supplimental O2 - < Adequate Perfusion - GCS < 13 (unless normal for pt) |
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Medical Time Critical Guidelines - Emergent
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Any of:
Medical Symptoms / Syndromes - Acute coronary Syndrome - Acute Stroke - Severe Sepsis, including suspected meningoccal disease - Possible Aortic Aneurysm - Undiagnosed severe pain - Need for possible hyperbaric treatment eg acute decompression illness or cyanide poisoning - Hypothermia or Hyperthermia |
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List the 9 point of the Mental Satus Assessment
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ABSMrPttc
- Appearance - Behaviour - Speech - Mood - Response - Perception - Thought Flow - Thought Content - Concentration |