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Abnormal adult respiratory rate that needs intervention (airway, bag assist etc..) - Answers 8 and 24 When to do spinal mobilization in initial assessment - Answers Right after airway A,(C-spine)B,C,(Control bleeding) 3 things that stop your assessment right away. - Answers scene hazard, airway obstruction, cardiac arrest During the Primary Survey, when do you Control major bleeding - Answers In the Initial assessment Airway, breathing, circulation, control bleeding When the injury occurs, what clock just started? - Answers The "Golden Period" (used to be the golden hour) Max length of your initial assessment - Answers 2 min. Max length of "load and go" scene time? - Answers Critical trauma scene time is 5 min. or less. ELM stands for? - Answers External Laryngeal Manipulation Selick vs. ELM - Answers Selick is when you close the esophagus to prevent air in the gastric. ELM is a manipulation technique to move the airway into alignment for intubation. SMR stands for? - Answers Spinal Mobilization RESTRICTION Best GCS score is? - Answers Eyes 4 Verbal 5 Motor 6 Total 15 1st action of initial assessment? - Answers Scene safety Who is responsible for assessments of the patient? - Answers Team leader only Focused or Rapid trauma survey for a generalized, significant MOI? - Answers Rapid trauma assessment How much does the tube move with neck flexion or extension? - Answers 2-2.5cm What team member can determine level of consciousness? - Answers team leader only Most important thing to do when a child is unresponsive with obvious respiratory disress, tachypneic and shallow, weak slow pulse? - Answers assist ventilations What angle and position do you tip or roll a pregnant woman? - Answers Left lateral side, rolled up 15-30 degrees Adequate respiratory rate for an adult? - Answers 10-12 per minute every 5-6 seconds What does stridor indicate in a trauma patient? - Answers Airway obstruction Major pediatric sign of shock? - Answers tachycardia ETCO2 level for impending respiratory collapse? - Answers 30 BOOTS acronym - Answers Difficult BVM items B-Beards O-Obesity O-Older T-Toothless S-Snoring In a head injury what do you maintain BP at? - Answers 110-120 mmHg What is a red flag vital sign for shock? - Answers Tachycardia BP 120 What do you suspect in trauma with a BP 100? - Answers Hemorrhage Minimum BP for perfusion? - Answers 50 to 60 mmHg Max length of time to have a tourniquet on? - Answers 2 hours List 3 shock syndromes - Answers Low Space shock High space shock Mechanical shock Absolute hypovolemia - Answers Low Space shock Relative hypovolemia - Answers High Space shock Cardiogenic or Obstructive shock - Answers Mechanical shock Low Volume shock - Answers (Absolute hypovolemia) Hemorrhage, vomiting, "third spacing" from burns, peritonitis


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