Term
|
Definition
Deformities
Contusions
Abrasions
Punctures
Burns
Tenderness
Lacerations
Swelling |
|
|
Term
| What is the definination of where the focused history and physical exam falls during assessment? |
|
Definition
| The step of patient assessment that follows the initial assessment. p249 |
|
|
Term
| What is focused history is also called? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are the steps if no significant MOI is suspected? |
|
Definition
Reconsider MOI
Preform focused physical exam based on chief complaint and MOI
Assess baseline vital signs
Sample history |
|
|
Term
| What are the assessment steps if significant MOI is suspected? |
|
Definition
Reconsider MOI
Continue C-spine
consider requesting ALS
Reconsider transport decision
reassess mental status
RTA
Baseline vitals
SAMPLE |
|
|
Term
| First step in any trauma pt |
|
Definition
|
|
Term
| What falls are considered Signifaciant MOI |
|
Definition
| Greater that 15 feet or 3x pt height |
|
|
Term
| Additional significant MOI for child |
|
Definition
Falls from more than 10'
Bicycle collision
vehicle in medium speed accident |
|
|
Term
| Why after initial assesment should you reconsider the MOI |
|
Definition
| In the event of missing something in the initial assesment it allows the emt to reassess the pt's priority for transport |
|
|
Term
|
Definition
|
|
Term
| During the physical exam what should you be looking for on top of the standard DCAP-BTLS for each section of the body? |
|
Definition
Head - Crepitation
Neck - JVD and Crepitation
Chest - Lung sounds, Crepitation, Paradoxial motion.
Stomach - Softness, firmness, Distention
Pelvis - Motion, pain tenderness
Extremities - distal pulse, motor function, sensation
Posterior - None |
|
|
Term
| What precautions should you take if a trauma pt has cuts or bruises on their head |
|
Definition
|
|
Term
| What precautions should you take when MOI is unknown? |
|
Definition
|
|
Term
| Can Soft Collars to be used for C-Spine Immobilization? |
|
Definition
|
|
Term
| If no available C-Collar fits the patient can you use the C-Collar that is just 1 size larger then required? |
|
Definition
|
|
Term
| What should be done prior to placement of the C-Collar |
|
Definition
| You should assess or palpate the back of the neck. |
|
|
Term
| Where should the front of the C- Collar fit? |
|
Definition
| Between the chin and the suprasternal (jugular) notch |
|
|
Term
| What should you remove before applying the c collar? |
|
Definition
|
|
Term
| Do c-collars alone provide inline immobilization? |
|
Definition
|
|
Term
| What should you concentrate on when assessing a vehicle to determine MOI |
|
Definition
| Steering wheel, dashboard, pedals, rear view mirror, windshield. |
|
|
Term
|
Definition
| An injury that has no outward signs or symptoms but are serious and will develop the signs/symptoms later |
|
|
Term
| What organs can be affected by the seat belt? |
|
Definition
|
|
Term
| What areas of the body can be injured by an airbag deployment? |
|
Definition
|
|
Term
| How long must manual stabilization take place? |
|
Definition
| From initial prior or during the initial assessment until the pt is fully immobilized on the backboard. |
|
|
Term
|
Definition
| The Grating sound or feeling of broken bones rubbing together. |
|
|
Term
| when should you apply a dressing if there is an open wound discovered on the head during the RTA but blood isnt seen on the ground |
|
Definition
| later during the complete physical exam |
|
|
Term
| What is JVD and what causes it? |
|
Definition
Jugular Vein Distention
blood backing up in the veins, cardiac tamponade or tension pneumothorax |
|
|
Term
| What is a tension pneumothorax? |
|
Definition
| The collection of air in the space around the lungs. This buildup of air puts pressure on the lung, so it cannot expand as much as it normally does when you take a breath. |
|
|
Term
| What is a cardiac tamponade and someways it can be causes. |
|
Definition
| blood swelling the pericardium. caused by pericarditis, blunt trauma to the chest, etc. |
|
|
Term
| What sign does flat veins in a supine or prone pt suggest? |
|
Definition
|
|
Term
|
Definition
| A permanent surgical opening in the neck. |
|
|
Term
|
Definition
| A surgical incision held open by a metal or plastic tube. |
|
|
Term
| What should immediately follow the RTA of the head and neck? |
|
Definition
| Cervical collar if applicable |
|
|
Term
| What is paradoxical motion? |
|
Definition
| Movement in part of the chest in the opposite direction of the rest of the chest. (Flail Chest) |
|
|
Term
| what is a crackling or crunching sounds in the chest during RTA of the chest signs of? |
|
Definition
|
|
Term
| What are 2 things to look for in breath sounds during RTA? |
|
Definition
|
|
Term
|
Definition
| a surgical opening in the wall of the abdomen with a bag to catch excretions from the digestive system. |
|
|
Term
| What are some general principals to follow when examining a pt? |
|
Definition
Tell the pt what you are going to do.
Expose any injured area before you examine it.
Try and maintain eye contact.
Assume Spinal Injury.
Apply a cervical collar if spinal injury is suspected.
Alter assessment to provide care that is necessary. |
|
|
Term
| What is a detailed physical exam? |
|
Definition
| The same exam as the RTA but with the added examination of the pt's face, eye's, ears, nose, and throat. typically done en route to the hospital. |
|
|
Term
|
Definition
| A bruise behind the pt ears. usually indicates a skull injury. |
|
|
Term
|
Definition
|
|
Term
| What does CSF draining from the ears or nose indicate? |
|
Definition
| There has been a injury to the head to the extent that the cerebrospinal fluid is leaking out of the brain and spinal column. |
|
|
Term
| What is a longterm consideration when there is a leak (either blood or CSF) out of the ears or nose? |
|
Definition
| Bacteria entering the brain causing an infection. |
|
|
Term
| What does blood in the anterior chamber of the eye indicate? |
|
Definition
| The eye has sustained considerable force. |
|
|
Term
| What are somethings to look for when assessing the mouth? |
|
Definition
| loose or broken teeth, swelling or lacerations, unusual breath odor, and discoloration. |
|
|
