TNCC - Trauma Nursing Core Course

Initial Assessment Correct Answer: 1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (Primary Survey) Correct Answer: Airway and alertness with simultaneous cervical spinal stabilization. Alertness Assessment Correct Answer: A-Alert V-Verbal P-Painful U-Unresponsive Airway Assessment Correct Answer: Inspect: tongue obstruction, loose/missing teeth, foreign objects, blood, vomitus, secretions, edema, burns or evidence of inhalation injury Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor) Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous emphysema Airway Interventions: Correct Answer: Suction Remove foreign body if noted Jaw thrust maneuver (maintain cspine) Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag) Consider definitive airway A (AVPU) Correct Answer: Alert. Will be able to maintain airway once clear. V (AVPU) Correct Answer: Verbal. Needs verbal stimuli to respond. (Airway adjunct may be needed to prevent tongue obstruction) P (AVPU) Correct Answer: Painful. Responds only to painful stimuli. (Airway adjunct may be needed while determining need for intubation) U (AVPU) Correct Answer: Unresponsive. Does not respond to any stimuli. B (Primary Survey) Correct Answer: Breathing and Ventilation Breathing and Ventilation Assessment Correct Answer: Inspect: spontaneous breathing, symmetrical rise and fall, depth/pattern/rate of respirations, accessory muscle use, diaphragmatic breathing, skin color (normal, pale, flushed, cyanotic), contusions/abrasions/deformities (signs of underlying injury), open pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation injury