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EMC - Chapter 28
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Terms in this set (13)
Focus on a complete and thorough patient history
What is your first approach when treating a medical patient?
Focus on the MOI and your physical assessment
What is your first approach when treating a trauma patient?
Mentation - Is the patient awake or unresponsive
Skin Color - What does he look like and how's perfusion
Level of distress - Pain, respiration issues, and perfusion
What should you look for when making a general impression for a trauma patient?
GCS, score of < 14, or
Systolic blood pressure of < 90 mmHg in adults, or
RR <10 or >29 B/min (<20 for infants < one year)
What are abnormal vital signs that identify high priority trauma patients?
A term used in the National Trauma Triage Protocol to identify life-threatening injuries, which require the highest level of transport priority and emergency care.
What is the anatomy of injury?
- All penetrating injuries within the kill zone
- Flail Chest
- Two or more proximal long-bone fractures
- Crushed, degloved (avulsion), or mangled extremity
- Amputation proximal to the wrist or ankle
- Pelvic fractures
- Open or depressed skull fracture
Provide examples of a high priority patient according to the National Trauma Triage Protocol
The MOI is the forces involved in causing an injury, examples; Fall, Gunshot, Vehicle Collision, Blunt Trauma, Amputation
What is the MOI and provide some examples
Adult - more than 20 feet.
Children - more than 10 feet, or two to three times the height of the child
What are considered significant MOI for Falls?
Intrusion - more than 12 inches at occupant site; more than 18 inches at any site
Ejection from vehicle (partial or complete)
Death in same passenger compartment
Vehicle telemetry data consistent with high risk of injury
What are considered significant MOI for high-risk auto crash?
Auto vs. pedestrian/bicyclist thrown, run over, or with significant impact (more than 20 mph)
Motorcycle crash at more than 20 mph
What are some other significant MOI?
When a patient meets major trauma criteria based on vital signs or the anatomy of injury, or who has suffered a significant MOI.
Under what circumstances would you want to do a rapid secondary assessment?
When a trauma patient who has normal vital signs, no significant anatomy injury, and has been subjected to an MOI considered as nonsignificant.
Under what circumstances would you want to do a focused secondary assessment?
No more than 10 minutes
How much time should be spent "on scene" when caring for a patient with significant trauma?
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