Preparation and traige
1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing guidelines
3. State the need to don PPE
Across-the-room Observation
Assess for uncontrolled hemorrhage (C), if non go to ABC
State the three...
Preparation and traigecorrect answer1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing guidelines
3. State the need to don PPE
Across-the-room Observationcorrect answerAssess for uncontrolled hemorrhage (C), if non go to ABC
State the three components of pediatric assessment triangle (Appeance/Airway, WOB, and Circulation
AND categorizes them as sick, sicker or sickest
Airway and Alertnesscorrect answer**APVU
If trauma is suspected state need for manual c-spine until collar is placed, AND demonstrate manual jaw-
thrust. If isn't you can do it normally
** Determine patency of airway (four): tongue obstruction, loose or missing teeth, foreign objects, blood
or other secretions, edem, snoring, gurgling or stridor and is there any bony deformity
Interventions: suction, folded towel, OPA or NPA, indicate need for intubation
4. Across the room observation and thencorrect answerAssess for uncontrolled external hemorrhage
and the need to re prioritize C over ABC
Breathing and Ventilation.correct answer** Assess breathing: sponatenous, symmetrical chest, skin
color, open wounds, breath sounds? Subq empysema, JVD or trach deviation or increased WOB (which
would include, grunting, retractions, head bobbing, nasal flaring)
Interventions: oxygen, ventilation, intubation, chest tube or needle thoracentesis
Circulation and hemorrhagecorrect answerAll of these: inspects of uncontrolled hemorrhage, palpates
central and peripheral pulses, inspect and palpates skins for color, temp and moisture and assess cap
refill
Interventions: control of hemorrhage, initiation chest compression, IV get two, cardiac monitor if it is a
dysrhythmia, fluid bolus 20mlkg - 10 mlkg for neonate or cardiogenic shock
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