FinaluyExam-TraumauyCare
1. EmergencyuySeverityuyIndexuy(ESI):uyauymethoduyofuyclassifyinguypatientsuyint
ouyfiveuycategoriesuybaseduyonuytheuyseverityuyofuytheiruyconditionsuyanduyresource
uyneeds.
1—Resuscitation—
immediateu y u y treatmentu y u y isu y u y necessaryu y 2—
Emergent—
mayu y u y deteriorateu y u y rapidly,u y u y timeu y u y sensitiveu y 3—urgent-
--non-life-threatening,uyneedsuymoreuythanuy2uyresourcesuy4—
non-urgent—non-life-
threatening,uyoneuyresourceuyrequireduy5—minor—non-life-
threatening,uynouyresourcesuyrequired
2. EmergencyuySeverityuyIndexuy(ESI)
-1:uyResuscitation—immediateuytreatmentuyisuynecessary
3. EmergencyuySeverityuyIndexuy(ESI)
-2:uyEmergent—mayuydeteriorateuyrapidly,uytimeuysensitive
4. EmergencyuySeverityuyIndexuy(ESI)
-3:uyurgent---non-life-threatening,uyneedsuymoreuythanuy2uyresources
5. EmergencyuySeverityuyIndexuy(ESI)
-4:uynon-urgent—non-life-threatening,uyoneuyresourceuyrequired
6. EmergencyuySeverityuyIndexuy(ESI)
-5:uyminor—non-life-threatening,uynouyresourcesuyrequired
7. Initialuymanagement:uyAirwa
yuyVentilation
Controluybleedin
guyPreventuyshoc
k
Maintainuyspinaluyimmobilizationuy
Transportuytouyclosestuyfacility
8. Triage:uyImmediateuy(Red):uystabilizationuyanduyevaluation/uyairwayuymanagem
ent,uybreathing,uyanduycirculation
9. Triage:uyNext:uyhistoryuyofuydruguyoruytoxins,uytimeuyanduydurationuyofuyexposure,uyfi
rstuyaiduytreatmentuyreceiveduyprioruytouyhospitalization
10. Triage:uytheuymedicaluyscreeninguyofuypatientsuytouydetermineuytheiruy veuypriorityuy
relatiuyneeduyanduytheuyproperuyplaceuyofuytreatment of
Obtainuyallergies,uyunderlyinguydisease,uyprocessesuyoruyrelateduyinjury
11. Safetyuyforuyinjuries
-Contusion:uymajoruybruisinguydueuytouybluntuytrauma
1uy/
uy7
, FinaluyExam-TraumauyCare
12. Safetyuyforuyinjuries
- ecomes
Flailuychest:uysegmentuyofuytheuyribuycageuybreaksuyoffuydueuytouytraumauy
anduybuydetacheduyfromuytheuychestuywall
13. Safetyuyforuyinjuries pareuyforuyches
- tuyordered,
Hemothorax:uycollapseduylunguywhereuypleuraluycavityuyfillsuywithuyblood
,preSafety
14. uytubeuyinsertionuyonuyaffecteduyside,uyadministeruyblooduyoruyblooduypr
uyforuyinjuries
- ck,uyobserveu
SpinaluyCorduyInjury:uyavoiduyhyperextensionuyoruyrotationuyofuypatient' ypinaluyimmob
suyneuyventilatoryuyeffortuyanduyuseuyofuyaccessoryuymuscles,uymaintainuyi-
complexuysuylization,uymonitoruyforuysignsuyofuydisruptiveuy(neurogenic)uy
shock
15. Safetyuyforuyinjuries
- repareuyfo
Pneumothorax:uycollapseduylunguywhereuypleuraluycavityuyisuyfilleduywithuyair,r uy
puychestuytubeuyonuyaffecteduyside
16. Safetyuyforuyinjuries
- encesuyin-
Compartmentuysyndrome:uyfasciauyencloseduymuscleuycompartmentuyexp uyesthesi
eriuycreaseduypressure,uyneurovascularuyassessment,uy5uyp'suy(pain,uypulse,uypala,
lor,uyparuyparalysis),uyprepuyforuyfasciotomy
17. Safetyuyforuyinjuries
- ollowinguytrau
Fatuyembolism:uyfatuyglobulesuyinuylunguytissueuyanduyperipheraluycirculation
-
uyfuyma,uycausesuyhypoxemia,uyneurologicuyabnormalities,uyanduypetechialuy
rash
18. Safetyuyforuyinjuries
-
Overdose:uycommonlyuyabuseduysubstances:uynicotine,uyalcohol,uyheroin,uymarijua
a,uynarcoticuyanalgesic,uyamphetamine,uybenzodiazepine,uycocaine,uyhouseholduysubst
nces
19. Safetyuyforuyinjuries
-Overdose:uyTriage:uyImmediate—
2uy/
uy7
1. EmergencyuySeverityuyIndexuy(ESI):uyauymethoduyofuyclassifyinguypatientsuyint
ouyfiveuycategoriesuybaseduyonuytheuyseverityuyofuytheiruyconditionsuyanduyresource
uyneeds.
1—Resuscitation—
immediateu y u y treatmentu y u y isu y u y necessaryu y 2—
Emergent—
mayu y u y deteriorateu y u y rapidly,u y u y timeu y u y sensitiveu y 3—urgent-
--non-life-threatening,uyneedsuymoreuythanuy2uyresourcesuy4—
non-urgent—non-life-
threatening,uyoneuyresourceuyrequireduy5—minor—non-life-
threatening,uynouyresourcesuyrequired
2. EmergencyuySeverityuyIndexuy(ESI)
-1:uyResuscitation—immediateuytreatmentuyisuynecessary
3. EmergencyuySeverityuyIndexuy(ESI)
-2:uyEmergent—mayuydeteriorateuyrapidly,uytimeuysensitive
4. EmergencyuySeverityuyIndexuy(ESI)
-3:uyurgent---non-life-threatening,uyneedsuymoreuythanuy2uyresources
5. EmergencyuySeverityuyIndexuy(ESI)
-4:uynon-urgent—non-life-threatening,uyoneuyresourceuyrequired
6. EmergencyuySeverityuyIndexuy(ESI)
-5:uyminor—non-life-threatening,uynouyresourcesuyrequired
7. Initialuymanagement:uyAirwa
yuyVentilation
Controluybleedin
guyPreventuyshoc
k
Maintainuyspinaluyimmobilizationuy
Transportuytouyclosestuyfacility
8. Triage:uyImmediateuy(Red):uystabilizationuyanduyevaluation/uyairwayuymanagem
ent,uybreathing,uyanduycirculation
9. Triage:uyNext:uyhistoryuyofuydruguyoruytoxins,uytimeuyanduydurationuyofuyexposure,uyfi
rstuyaiduytreatmentuyreceiveduyprioruytouyhospitalization
10. Triage:uytheuymedicaluyscreeninguyofuypatientsuytouydetermineuytheiruy veuypriorityuy
relatiuyneeduyanduytheuyproperuyplaceuyofuytreatment of
Obtainuyallergies,uyunderlyinguydisease,uyprocessesuyoruyrelateduyinjury
11. Safetyuyforuyinjuries
-Contusion:uymajoruybruisinguydueuytouybluntuytrauma
1uy/
uy7
, FinaluyExam-TraumauyCare
12. Safetyuyforuyinjuries
- ecomes
Flailuychest:uysegmentuyofuytheuyribuycageuybreaksuyoffuydueuytouytraumauy
anduybuydetacheduyfromuytheuychestuywall
13. Safetyuyforuyinjuries pareuyforuyches
- tuyordered,
Hemothorax:uycollapseduylunguywhereuypleuraluycavityuyfillsuywithuyblood
,preSafety
14. uytubeuyinsertionuyonuyaffecteduyside,uyadministeruyblooduyoruyblooduypr
uyforuyinjuries
- ck,uyobserveu
SpinaluyCorduyInjury:uyavoiduyhyperextensionuyoruyrotationuyofuypatient' ypinaluyimmob
suyneuyventilatoryuyeffortuyanduyuseuyofuyaccessoryuymuscles,uymaintainuyi-
complexuysuylization,uymonitoruyforuysignsuyofuydisruptiveuy(neurogenic)uy
shock
15. Safetyuyforuyinjuries
- repareuyfo
Pneumothorax:uycollapseduylunguywhereuypleuraluycavityuyisuyfilleduywithuyair,r uy
puychestuytubeuyonuyaffecteduyside
16. Safetyuyforuyinjuries
- encesuyin-
Compartmentuysyndrome:uyfasciauyencloseduymuscleuycompartmentuyexp uyesthesi
eriuycreaseduypressure,uyneurovascularuyassessment,uy5uyp'suy(pain,uypulse,uypala,
lor,uyparuyparalysis),uyprepuyforuyfasciotomy
17. Safetyuyforuyinjuries
- ollowinguytrau
Fatuyembolism:uyfatuyglobulesuyinuylunguytissueuyanduyperipheraluycirculation
-
uyfuyma,uycausesuyhypoxemia,uyneurologicuyabnormalities,uyanduypetechialuy
rash
18. Safetyuyforuyinjuries
-
Overdose:uycommonlyuyabuseduysubstances:uynicotine,uyalcohol,uyheroin,uymarijua
a,uynarcoticuyanalgesic,uyamphetamine,uybenzodiazepine,uycocaine,uyhouseholduysubst
nces
19. Safetyuyforuyinjuries
-Overdose:uyTriage:uyImmediate—
2uy/
uy7
