WITH SOLUTIONS GRADED A+
◉Trauma Assessment. Answer: 1) Scene size up
a) PENMAN
2) General Impression
a) LOC AVPU
b) cheif complaint
3) Primary assessment
ABC's + D
b) head to toe
head:
- feel for skull fracture, look for CSF
- eyes
neck:
,- cervical spine step off
- JVD and tracheal deviation
shoulders:
-push together and down
chest:
-expose, palpate
- ausculate lung sounds
- look for unequal rise and fall
abdomen:
-expose and palpate all four quadrants clockwise
pelvis:
-push together and down
back:
- check for final step off
Arms:
-CMS
,- assess for break
genitalia
legs:
- CMS
- assess for break
◉BVM of an Apneic Patient. Answer: 1. BSI
2. Check Responsivness
3. Request ALS and AED
4. Check carotid pulse and breathing for at least 5 but no more than 10
seconds
5. open airway
6. Give rescue breath
7. suction for 10 seconds
8. size OPA
9. scissor hands
10. insert OPA facing up and then rotate
11. connect O2
12. ventillate at 1 breath per every 5-6 seconds
13. recheck pulse for 5 no more than 10 seconds
, ◉Shock POWR. Answer: POWR
P - position = supine
O - oxygen
W - warmth
R - rapid transport
◉TBI
Cushings Triad. Answer: 1. Hypertension
2. Bradycardia
3. Abnormal breathing
◉Appendicitis. Answer: - right lower quadrant, around navel, rebound
tenderness
- lack of appetite
- fever
- chills
◉Diverticulitis. Answer: - left lower quadrant pain.
- lower GI bleed