How should a patient be positioned with a head injury?

30 degrees elevated on the cot.

Where should O2 be placed with a patient who has an injured leg? What if both legs are injured?

On the opposite side of the injured leg. Let fire carry O2

What should you do before lifting a patient unto the cot?

Lower the cot, ensure straps are on the patient. Lower D-bar on the side you're moving the clamshell onto.

What is anatomical position?

Someone standing erect with their arms down, legs straight, palms facing forward.

Lying face down on your stomach.

What should you do after every major move?

Reassess ABCS, check interventions.

How do you package a skull fracture?

Lightly apply telfa and abdominal pads to wound. Being careful not to press on the fracture.

How do you package an eye injury?

Cover both eyes eyes with telfa and dressings. Wrap around the head.

How do you package an impaled object?

Stabilize with abdo pads folded over and then tap the sides. Finish by doing tape chevrons over the object.

How do you package flail chest?

For conscious patients, have them support themselves in a seated position. For unconscious, secure a bulky dressing(abdomen pad) to the size of the injury and tape it down.

How do you package an open chest wound?

Apply one chest seal to an open wound per side of the chest. All other wounds should be bandaged with occlusive dressings and sealed on all 4 sides.

How you package an evisceration?

Apply moist sterile dressings to the open skin and exposed bowls, cover with an occlusive dressing(Eg. plastic cover from burn kit), secure dressings with tape. Position the patient supine with knees bent.

How do you package a hemorrhage?

Trauma sandwich. Telfa, abdo pad and zap strap. Ensure no zap strap is left showing.

How do you package an amputation?

Apply trauma sandwich to the amputation. Locate amputated part is possible, rinse with saline, wrap in gauze, place inside plastic bag, place bag on ice and label the bag with the name, date and time. Transport with patient.

How do you package burns?

Apply sterile dressings if bleeding, place person into a burn burrito.

How do you package a pelvic fracture?

Strap the feet/ankles together. Do not place a towel in-between. Use a pelvic binder, ensure the binder fabric is even and in the middle of the greater trochanter. Place the T-Pod on evenly and pull tight.

How do you package fractures?

Zap strap above and below the injury. Ensure you roll a blanket in-between the legs if it is a femur, or tibia/fibula fracture.

What should you do for someone who has symptoms of shock?

Remember to give them a blanket.

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Positioning/PCKing

Patient Positioning

Question	Answer
How should you position a conscious patient with any respiratory distress?	High-fowlers. (90 degrees)
How should a patient be positioned with a head injury?	30 degrees elevated on the cot.
Where should O2 be placed with a patient who has an injured leg? What if both legs are injured?	On the opposite side of the injured leg. Let fire carry O2
What should you do before lifting a patient unto the cot?	Lower the cot, ensure straps are on the patient. Lower D-bar on the side you're moving the clamshell onto.
What is supine?	Lying flat on your back.
What is anatomical position?	Someone standing erect with their arms down, legs straight, palms facing forward.
What is prone?	Lying face down on your stomach.
What is 3/4 prone?	Recovery position
What should you do after every major move?	Reassess ABCS, check interventions.
How do you package a skull fracture?	Lightly apply telfa and abdominal pads to wound. Being careful not to press on the fracture.
How do you package an eye injury?	Cover both eyes eyes with telfa and dressings. Wrap around the head.
How do you package an impaled object?	Stabilize with abdo pads folded over and then tap the sides. Finish by doing tape chevrons over the object.
How do you package flail chest?	For conscious patients, have them support themselves in a seated position. For unconscious, secure a bulky dressing(abdomen pad) to the size of the injury and tape it down.
How do you package an open chest wound?	Apply one chest seal to an open wound per side of the chest. All other wounds should be bandaged with occlusive dressings and sealed on all 4 sides.
How you package an evisceration?	Apply moist sterile dressings to the open skin and exposed bowls, cover with an occlusive dressing(Eg. plastic cover from burn kit), secure dressings with tape. Position the patient supine with knees bent.
How do you package a hemorrhage?	Trauma sandwich. Telfa, abdo pad and zap strap. Ensure no zap strap is left showing.
How do you package an amputation?	Apply trauma sandwich to the amputation. Locate amputated part is possible, rinse with saline, wrap in gauze, place inside plastic bag, place bag on ice and label the bag with the name, date and time. Transport with patient.
How do you package burns?	Apply sterile dressings if bleeding, place person into a burn burrito.
How do you package a pelvic fracture?	Strap the feet/ankles together. Do not place a towel in-between. Use a pelvic binder, ensure the binder fabric is even and in the middle of the greater trochanter. Place the T-Pod on evenly and pull tight.
How do you package fractures?	Zap strap above and below the injury. Ensure you roll a blanket in-between the legs if it is a femur, or tibia/fibula fracture.
What should you do for someone who has symptoms of shock?	Remember to give them a blanket.

Created by: Levelstorm3950

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