Friday, October 1, 2010

TRAUMA CARE

Trauma Care

    1. Airway with simultaneous cervical spine immobilization
      1. Must use jaw thrust
      2. Do not use head-tilt chin-lift: it could injure neck
    2. Breathing
      1. Look, listen and feel for respirations
      2. Follow CPR procedure
    3. Circulation
      1. Assess pulses
        1. carotid pulse: BP at least 60
        2. femoral pulse: BP at least 70
        3. radial pulse: BP at least 80
      2. Stop any active, visible bleeding
      3. After initial assessment, start large-bore IVs
    4. Disability: brief neurological exam
      1. Level of consciousness
      2. Pupil response to light
      3. Ability to move extremities
      4. Ability to move against resistance
    5. Expose
      1. Undress client
      2. Inspect for injuries or deformities
    6. Fahrenheit
      1. Take temperature
      2. Maintain warmth
        1. warm blankets
        2. warming lights
    7. Get vitals
      1. Pulse
      2. Respiratory rate
      3. Blood pressure
    8. History and head-to-toe full assessment
      1. How did injury occur - mechanism of injury
      2. Client's medical history
      3. Full body system assessment
    9. Inspect the back
      1. Roll the client over - log roll with help
      2. Inspect for injuries or deformities

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