ENA TNCC In Person Test questions and answers

Prep and Triage Activate Trauma Team Prepare trauma room- Fluid warmer Don PPE Across-the-room Observation Assess for uncontrolled hemorrhage A Airway and Alertness A AVPU Alert, Verbal, Pain, Unresponsive A If Spinal injury suspected Maintain cervical spinal stabilization A Airway Patency -Loose or missing teeth -blood, vomit, secretions -edema -bony deformity A Airway intreventions -artificial airway placement if necessary -prepare airway team for intubation B Breathing and Ventilation B Determine Breathing effectiveness -spontaneous breathing -symmetrical chest rise and fall -increased work of breathing -subcutaneous emphysema B If intubated assess placement -CO2 detector device -observes chest rise and fall -auscultate epigastrium for gurgling AND lungs for bilateral breath sounds B If intubated continue ventilations -assess adequate ventilations based on chest rise and fall C Circulation and control of hemorrhage C Determine adequacy of circulation -check for any uncontrolled external hemorrhage -palpates a central pulse -inspects AND palpates the skin for color, temp, and moisture C Access 2 lg bore IV's and Labs -also consider blood products C If circulation adequate Controlled rate fluids C Reassess Pt response after fluids is reassessed C If circulation inadequate Bolus fluids End of ABC Reassess interventions and pt status before continuing D Disability D Neuro status GCS (eye opening, verbal response, best motor response) -if under 15 need CT D Pupils Pupil assessment E Exposure and Environment Control E Exposure and Environment Remove all clothing AND inspect for uncontrolled hemorrhage E Interventions Warming blankets Warmed fluids F Part I Full set of vitals F Part II Family Presence L Lab analysis M Cardiac monitoring and capnography O oxygen based on pulse ox place capnography if intubated N naso or oro gastric tube P Pain assessment P Pain assessment interventions -pharmacologic (weight based from provider)--> analgesic -non pharm (repo, ice to swollen areas) Dispo Consider transfer to trauma center H Part I Pre hospital report Past med hx (EHR or family) H Part II Head to Toe assessment Head to Toe Head Face Neck Chest (auscultate breath sounds and heart tones) Abdomen (auscultate bowel sounds and palpate) Flank Pelvis (pressure over iliac crest, symphysis pubis, perineum-NEED FOR CATH) Extremities Posterior (if no spinal injury or pelvic injury, remove transport device) I -Identify all simulated injuries -Identify interventions Identify all simulated injuries abrasions spinal injury facial fractu