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ER & Mass

ER & Mass Casualty Nursing

Most Important Step In The Primary Survey Airway
Cervical Spine If the possibility of spinal injury exists, stabilize the client's cervical spine before attempting other activities
Breathing Assessment Includes Auscultation of lung sounds, observation of chest expansion and respiratory effort, notation of rate and depth of rate and depth of respiration, and identification of chest trauma
Identification of Chest Trauma Bruising, Flail Chest, Punctures
Breathing Look for life threatning chest injuries; chest injuries may cause internal bleeding and injury to the heart and lungs
Cirulation: Hemorrhage Control (direct pressure)
Shock: ^ Heart Rate decreased Blood Pressure decreased LOC Cold Clammy
O P Q R S T O: Onset P: Provokes Q: Quality R: Radiates S: Severity T: Time
Triage Under Usual Conditions * Triage guidelines ensure that clients with the highest acuity needs receive the quickest treatment *Clients are categorized based upon their acuity example: Emergent, Urgent, Nonurgent model
Emergent: life threatning or limb threatning
Urgent: should be treated soon, but risk is not life threatning
Nonurgent: can wait for severeal hours: wait awhile
Triage Under Mass Causalty Conditions *Military (field) of triage is emplemented with a focus of achieving the greatest good for the greates number of people Emergent or Class I Urgent or Class II Nonurgent or Class III Expectant or Class IV
Emergent or Class I Red Tag, threat to life
Urgent or Class II Yellow Tag, major injuries, immediate treatment
Nonurgent or Class III Green Tag, minor injuries, no immediate treatment
Expectant or Class IV Black Tag, expected and allowed to die
Mass Casualty Principles: 1 In a disaster, those that require minimal care are treated first so that they can help others
Mass Casualty Principles: 2 Each hospital has its own policy that specifies who has the authority to activate and how to activate the disaster or emergency preparedness plan
Heat Exhaustion In clinical setting monitor VS; rehydrate with 0.9% NaCl, check Electrolytes and Fluid Status
Heat Stroke True medical emergency in which body temperature may exceed 104 *F (40 *C)
Heat Stroke Signs and Symptoms profoundly elevated body temperature, seizures
Heat Stroke: First Aid Treatment: Strip away clothing; place ice packs on neck, axillae, chest, and groin; immerse in cold water;
Heat Stroke: Hospital Care: Valium IV for Seizures
Created by: yyolanda