Trauma Assessment

Trauma Assessment ABCDE - answer--A. Airway: airway maintenance and cervical spine B. Breathing: labored or adequate (Lung Sounds) C. Circulation: impaired or adequate D. Disability: neurological status E. Expose: quick scan Glasgow Coma Scale - answer--The GCS is scored between 3 and 15, 3 being the worst, and 15 the best. It is composed of three parameters : Best Eye Response, Best Verbal Response, Best Motor Response Best Eye Response 4 - answer--No eye opening. Eye opening to pain. Eye opening to verbal command. Eyes open spontaneously Best Verbal Response 5 - answer--No verbal response Incomprehensible sounds. Inappropriate words. Confused Orientated Best Motor Response 6 - answer--No motor response. Extension to pain. Flexion to pain. Withdrawal from pain. Localizing pain. Obeys Commands A Coma Score of 13 or higher - answer--mild brain injury a coma score of 9-12 - answer--moderate brain injury a coma score of 8 or less - answer--severe brain injury Secondary survey : FGHI - answer--F: Full set of VS, focused adjuncts, family G: Give comfort measures H: Head to toe assessment/ History I: Inspect posterior surfaces DCAP-BTLS - answer-- AMPLE - answer--A: Allergies M: Medications currently used P: Past illness/Pregnancy L: Last meal E: Events/Environment related to the injury Re-evaluate constantly / definitive Care head assessment - answer--DCAP-BTLS ears assessment - answer--DCAP-BTLS + drainage eyes assessment - answer--DCAP-BTLS + Discoloration Unequal pupils Foreign bodies Blood Nose and mouth assessment - answer--DAP-BTLS + Loose teeth Obstructions Swelling Lacerations Odors Discoloration Drainage Bleeding neck assessment - answer--DCAP-BTLS + Jugular Vein Distention and Crepitation chest assessment - answer--DCAP-BTLS + Crepitation and Breath Sounds (Presence and Equality) Listen to both sides of the chest. Is air entry present? Absent? Equal on both sides? Compare left side to right side. abdomen assessment - answer--DCAP-BTLS + Firmness and Distention pelvis assessment - answer--DCAP-BTLS (Compress Gently) extremeties - answer--DCAP-BTLS + Distal Pulse, Sensation, Motor Function