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trauma assessment
Question | Answer |
---|---|
after the abc's what are next 3 steps in the initial assessment | 1. Determine transport priority and determine appropriate facility 2. Expose patient and protect the environment 3. Select appropriate assessment (focused or rapid trauma assessment) |
what is the 1 step in the focused trauma assessment | Perform focused physical exam based on chief complaint and MOI |
what are the 2 "transport" steps | 1. Obtain baseline vital signs including BGL 2. Obtain SAMPLE and OPQRST-I |
how many steps are there in the detailed trauma assessment | 1. Head 2. Scalp 3. Face 4. Eyes 5. Ears 6. Nose 7. Mouth 8. Neck 9. Suprasternal 10. Clavicle 11. Chest 12. Abdomen 13. Pelvis 14. Extremities 15. Posterior 16. Medical Tags |
head - 1 | position |
scalp - 4 | Foreign bodies 1. Occipital 2. Parietal 3. Frontal 4. Temporal |
face - 4 | 1. Zygomatic arch 2. Maxilla 3. Mandible 4. TMJ |
eyes - 4 | 1. PEARL 2. Hyphema 3. Foreign bodies 4. Periorbital ecchymosis |
ears - 4 | 1. Blood 2. CSF 3. Halo test 4. Battle signs |
nose - 4 | 1. Blood 2. CSF 3. Halo test 4. Crepitus |
mouth - 9 | 1. Teeth 2. Dentures 3. Blood 4. CSF 5. Foreign bodies 6. Fluid 7. Soft tissue 8. Odor 9. Discoloration |
neck - 3 | 1. JVD 2. Tracheal deviations 3. C 1-7 |
suprasternal - 1 | 1. Subcutaneous emphysema |
clavicle - 3 | 1. Crepitus 2. Medication patches 3. Pacemakers |
chest - 4 | 1. Crepitus 2. Paradoxical motion 3. Symmetry Auscultate lung sounds |
abdomen - 6 | 1. Rigidity 2. Distention 3. Pulsating masses 4. Tenderness 5. Guarding 6. Firmness |
pelvis - 4 | 1. Integrity of pelvic girdle 2. Crepitus 3. Priapism 4. Incontinence |
extremities - 4 | 1. Inspect and palpate DCAP-BTLS 2. PMS 3. Equal grip strength 4. Babinski’s Reflex |
posterior - 1 | 1. Omit if assessed during rapid trauma assessment |
medical tags - 4 | 1. Wrist 2. Neck 3. Ankles 4. Wallet |
ongoing assessment - 4 | 1. Repeat initial assessment 2. Repeat vital signs 3. Repeat focused assessment 4. Check interventions |