logging in or signing up Primary Trauma Survey reynel89 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 31 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: February 11, 2012 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Primary Trauma Survey: Aries Glenn B. Galao , BSN, RN Primary Trauma SurveyAirway management and cervical spine immobilization: Airway management and cervical spine immobilizationPowerPoint Presentation: Open airway using the jaw-thrust method. Assess airway for compromise and/or obstruction Suction nasal/oral pharynx to clear blood, secretions, or debrisBreathing and ventilation: Breathing and ventilationPowerPoint Presentation: Assess respirations for: Rate, depth, quality, effort Inspect and palpate chest Auscultate lung fields for diminished or absent breath sounds if ventilation is abnormal Manually ventilate with BVM if breathing is absent or inadequateCirculation and hemorrhage control: Circulation and hemorrhage controlPowerPoint Presentation: Assess pulse for: Presence, quality, regularity Begin chest compression if no pulse can be detected Assess: Skin color , temperature, moisture, capillary refill Control hemorrhage with direct pressuredisability: disabilityPowerPoint Presentation: Determine and establish a baseline GCS (Glasgow Coma Scale) Score May use AVPU Assess pupils PERRLA (Pupils Equal and Round, Reactive to Light and Accomodation )Expose/environment: Expose/environmentPowerPoint Presentation: Remove clothing Assess entire patient for injury and hemorrhage Maintain body temperature by keeping the patient coveredPowerPoint Presentation: Log roll to inspect and palpate posterior surfaces Immobilize entire body Use a c-spine collar and long boardSpecial considerations: Special considerationsIV Fluids and Blood: IV Fluids and Blood LR is the fluid of choice in trauma patients CAUTION: LR contains calcium which causes donor blood to clot in the IV tubing If a blood transfusion is likely, then NS is the fluid of choicePregnancy : Pregnancy Cervical spine immobilization Pregnant women (> 24wk ) should be immobilized in the left lateral position if possible to avoid compression of the vena cava, which causes supine hypotensionMechanisms of injury: Mechanisms of injuryMotor Vehicle Accidents (MVA): Motor Vehicle Accidents ( MVA ) Direction of impact Speed at impact Condition of vehicle Use of seatbelts or airbags Ejection from vehicle Was any other passenger from the same vehicle killed Delayed transport due to extrication from vehicle Chest or abdominal bruising from steering wheel or seatbeltPowerPoint Presentation: Falls From what height Onto what type of surface Penetrating Trauma Weapon Site and depth of injury Underlying organs Weapon-patient distance Caliber and velocity of bulletPowerPoint Presentation: Burns Degree of burns % total body surface area ( TBSA ) Associated traumaPowerPoint Presentation: Revised Trauma Score ( RTS ) Component Finding Value Respiratory Rate 10-29/min 4 >29/min 3 6-9/min 2 1-5/min 1 Apnea 0 Systolic Blood Pressure >89 4 76-89 3 50-75 2 1-49 1 Pulseless 0 Glasgow Coma Scale Score 13-15 4 9-12 3 6-8 2 4-5 1 0-3 0Thank You!: Thank You! You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Primary Trauma Survey reynel89 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 31 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: February 11, 2012 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Primary Trauma Survey: Aries Glenn B. Galao , BSN, RN Primary Trauma SurveyAirway management and cervical spine immobilization: Airway management and cervical spine immobilizationPowerPoint Presentation: Open airway using the jaw-thrust method. Assess airway for compromise and/or obstruction Suction nasal/oral pharynx to clear blood, secretions, or debrisBreathing and ventilation: Breathing and ventilationPowerPoint Presentation: Assess respirations for: Rate, depth, quality, effort Inspect and palpate chest Auscultate lung fields for diminished or absent breath sounds if ventilation is abnormal Manually ventilate with BVM if breathing is absent or inadequateCirculation and hemorrhage control: Circulation and hemorrhage controlPowerPoint Presentation: Assess pulse for: Presence, quality, regularity Begin chest compression if no pulse can be detected Assess: Skin color , temperature, moisture, capillary refill Control hemorrhage with direct pressuredisability: disabilityPowerPoint Presentation: Determine and establish a baseline GCS (Glasgow Coma Scale) Score May use AVPU Assess pupils PERRLA (Pupils Equal and Round, Reactive to Light and Accomodation )Expose/environment: Expose/environmentPowerPoint Presentation: Remove clothing Assess entire patient for injury and hemorrhage Maintain body temperature by keeping the patient coveredPowerPoint Presentation: Log roll to inspect and palpate posterior surfaces Immobilize entire body Use a c-spine collar and long boardSpecial considerations: Special considerationsIV Fluids and Blood: IV Fluids and Blood LR is the fluid of choice in trauma patients CAUTION: LR contains calcium which causes donor blood to clot in the IV tubing If a blood transfusion is likely, then NS is the fluid of choicePregnancy : Pregnancy Cervical spine immobilization Pregnant women (> 24wk ) should be immobilized in the left lateral position if possible to avoid compression of the vena cava, which causes supine hypotensionMechanisms of injury: Mechanisms of injuryMotor Vehicle Accidents (MVA): Motor Vehicle Accidents ( MVA ) Direction of impact Speed at impact Condition of vehicle Use of seatbelts or airbags Ejection from vehicle Was any other passenger from the same vehicle killed Delayed transport due to extrication from vehicle Chest or abdominal bruising from steering wheel or seatbeltPowerPoint Presentation: Falls From what height Onto what type of surface Penetrating Trauma Weapon Site and depth of injury Underlying organs Weapon-patient distance Caliber and velocity of bulletPowerPoint Presentation: Burns Degree of burns % total body surface area ( TBSA ) Associated traumaPowerPoint Presentation: Revised Trauma Score ( RTS ) Component Finding Value Respiratory Rate 10-29/min 4 >29/min 3 6-9/min 2 1-5/min 1 Apnea 0 Systolic Blood Pressure >89 4 76-89 3 50-75 2 1-49 1 Pulseless 0 Glasgow Coma Scale Score 13-15 4 9-12 3 6-8 2 4-5 1 0-3 0Thank You!: Thank You!