Sinclairrisk

what is the key to high performance trauma team? - effective communication skilled communication, cooperation and coordination are the cornerstones of high-performance teams and high-quality trauma care when obtaining a history for an injured patient, understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the trauma provider in what? - evaluating and anticipating the types of injury that may be present MOI and energy transfer ...

Preparation and Triage - 1. Activate the trauma team. 2. Prepare the Trauma Room. - Rapid infuser - Chest trauma equipment 3. States the need to don PPE Across-the-room Observation - Assess for obvious uncontrolled external hemorrhage. Primary Survey: Airway + Cervical Spinal Stabilization (A) - 1. Assess AVPU** 2. Ask a 2nd person to provide manual cervical spinal stabilization *AND* manually open the airway using the jaw-thrust maneuver.** 3. Determine airway patency:** (4) - tong...

Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - Which of the following considerations is the most important when caring for a geriatric trauma ...

A - Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth, clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed. B - Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin color. Do supplemental o2, BVM, needle thoracentesis/chest tube, nonporous dressing taped 3 sides. C - Circulation--rate and quality (core pulse), skin color/temp/diaphoresis, external bleeding. Control bleeding, 2 large bore IVs...

Prehospital MIST report - M- mechanism of injury I- injuries S- S/S T- treatment in field Preparation - 1- activate trauma team 2- prepare trauma room 3- PPE Primary Survey - A-B-C-D-E A - Alertness- AVPU (Alert with Airway, Verbal, Pain, Unresponsive) ~Potential need for C-Spine stabilization and jaw thrust to visualize airway ~Determine airway patency- OPA or NPA if needed What can impede airway patency? - Tongue Loose/Missing teeth- teeth obstructing Foreign objects Bloo...

What roles are vital to a trauma team? - The patient; the nurses highest priority. The team leader ---> 1. designated by title and role ---> 2. situational Core team; works interdependently to manage a trauma patient from assessment to disposition. Contingency and support services; provide support to core team. They come together to solve a specific problem. What are the characteristics of an effective team? - Effective teams are group-driven. They hold shared mental models, opt...

Effective communication •Skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care - What is the key to a high-performance trauma team? Reprioritize circulation before airway or breathing. •The across-the-room observation is done at the beginning of the primary survey to rapidly assess the need to reprioritize circulation before airway or breathing. This is done if uncontrolled external hemorrhage is identified -...

What is the purpose of a debrief? - Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height - Three times How many breaths/minute do you deliver through the bag-mask device? - 10-12/ min or 1 every 5-6 sec An O2 sat of __% or higher is associated with effective ventilation - 94% Explain the difference between deceleration forces and acceleration forces? - Deceleration forces include injuries that are caused by a sudden s...

Energy forces: Tension - forces stretch by pulling at opposite ends. Example: Tensile strength describes the tissues ability to resist pulling apart when stretched. Tendons, ligaments, and muscles can tear when they are overstretched (Achilles tendon) Energy Forces: Compression - Compression forces crush by squeezing together. Example: Injuries to organs occur when the organs are crushed from surrounding internal organs or structures such as a seat belt worn up across the abdomen, cau...

.N.C.C. - ... What is kinetic energy (KE)? - KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? - A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental controls (remove clothing and keep the patient warm) What is the Mnemonic for the Secondary Assessment? - F = Full set of VS/Focused adjuncts (includes cardiac monitor, urinary cathet...