ER & Mass Casualty Nursing
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Most Important Step In The Primary Survey | Airway
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| Cervical Spine | If the possibility of spinal injury exists, stabilize the client's cervical spine before attempting other activities
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| 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
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| Identification of Chest Trauma | Bruising, Flail Chest, Punctures
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| Breathing | Look for life threatning chest injuries; chest injuries may cause internal bleeding and injury to the heart and lungs
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| Cirulation: | Hemorrhage Control (direct pressure)
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| Shock: | ^ Heart Rate
decreased Blood Pressure
decreased LOC
Cold
Clammy
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| O P Q R S T | O: Onset
P: Provokes
Q: Quality
R: Radiates
S: Severity
T: Time
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| 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
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| Emergent: | life threatning or limb threatning
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| Urgent: | should be treated soon, but risk is not life threatning
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| Nonurgent: | can wait for severeal hours: wait awhile
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| 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
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| Emergent or Class I | Red Tag, threat to life
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| Urgent or Class II | Yellow Tag, major injuries, immediate treatment
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| Nonurgent or Class III | Green Tag, minor injuries, no immediate treatment
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| Expectant or Class IV | Black Tag, expected and allowed to die
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| Mass Casualty Principles: 1 | In a disaster, those that require minimal care are treated first so that they can help others
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| 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
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| Heat Exhaustion | In clinical setting monitor VS; rehydrate with 0.9% NaCl, check Electrolytes and Fluid Status
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| Heat Stroke | True medical emergency in which body temperature may exceed 104 *F (40 *C)
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| Heat Stroke Signs and Symptoms | profoundly elevated body temperature, seizures
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| Heat Stroke: First Aid Treatment: | Strip away clothing; place ice packs on neck, axillae, chest, and groin; immerse in cold water;
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| Heat Stroke: Hospital Care: | Valium IV for Seizures
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