Air methods Critical Care Test and
Scenarios Master Deck
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
three. Reevaluation (attention of switch)
4. Secondary Survey (HI) with reevaluation adjuncts
five. Reevaluation and publish resuscitation care
6. Definitive care of switch to the correct trauma nurse
Initial Assessment (TNCC)
(number one)
X- Assess for and manage big hemorrhage
A- Across the room survey, AVPU w/ cervical spine immobilization, airway
B- Breathing and ventilation
C- Circulation
D- Disability
E- Exposure
(interventions/ resus adjuncts)
F- Full set of vitals and own family presence
G- Get adjuncts (LMNO)
L- labs
M- monitor cardiac rhythm
N- Naso/ orogastric tube (if intubated/ indicated by damage)
O- oxygenation air flow analysis: SpO2, ETCO2
(secondary, whole after solving problems of primary)
H- History and head to toe
I- Inspect posterior service while preserving cervical immobilization
J- Just preserve comparing (VIPP)
V- VS
I- Identified injuries
P- Primary assessment
P- Pain
XABCDEFGHI
Primary survey
X- Assess for and manipulate large hemorrhage (see additionally "A)
A- AAA
Across the room survey checking for big hemorrhage (re-prioritize to C-ABC; pressure,
increase, tourniquet)
Alertness (AVPU) with simultaneous cervical spinal stabilization
,Airway (test patency and intrude w/ suction or insert airway adjunct)
B- Breathing and Ventilation
Spontaneous respiratory, symmetrical upward thrust and fall of chest, intensity, pattern, fee
of breathing, signs of breathing trouble, pores and skin colour (cyanotic or pale), wounds,
contusions, abrasions, or deformities
Auscultate for breath sounds and heart sounds
Palpate bony systems of chest looking for any deformities, subcutaneous emphysema, or
soft tissue injury (bruises or seat belt marks)
If adequate respiratory/ air flow gift: 15L NRB and determine ETCO2
If good enough breathing/ ventilation not present:
Open the airway, jaw thrust with second man or woman, Inser
ABCDEFGHI (in- intensity)
reorganize care to C-ABC
If out of control hemorrhage ..
Used at the start of the preliminary assessment
1. A Alert. If the pt is alert she or he will be able to keep his or her airway as soon as it's far
clean.
2. V responds to verbal stimuli responds to pain. If the patient wishes verbal stimulation to
respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.
Three. P responds to pain. If the pt. Responds only to ache, he or she won't be capable of
preserve his or her airway adjunct might also want to be positioned even as similarly
evaluation is made to determine the need for intubation.
4. U Unresponsive. If the pt. Is unresponsive, announce it loudly to the crew and direct
someone to chk within the pt is pulseless even as assessing if the reason of the hassle is the
airway.
Airway and AVPU:
ask pt to open his or her mouth
While assessing airway the patient is alert and responds to verbal stimuli you must..
Jaw thrust maneuver to open airway and determine for obstruction. If pt has a suspected
CSI, the jaw thrust system have to be achieved by using companies. One issuer can keep
c-backbone and the alternative can carry out the jaw thrust maneuver.
While assessing airway pt is unable to open mouth, responds best to pain, or is
unresponsive you need to..
1. The tongue obstructing the airway
2. Unfastened or lacking tooth
3. Foreign objects
, four. Blood, vomit, or secretions'
five. Edema
6. Burns or evidence of inhalation harm
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
three. Subcutaneous emphysema
Inspect the mouth for:
1. Check the presence of ok rise and fall of the chest with assisted air flow
2. Absence of gurgling on auscultation over the epigastrium
three. Bilateral breath sounds present on auscultation
four. Presence of carbon dioxide (CO2) confirmed through a CO2 device or display
If the pt has a definitive airway in what must you do?
1. Suction the airway
2, Use care to keep away from stimulating the gag reflex
three. If the airway is obstructed by blood or vomitus secretions, use a rigid suction tool
If overseas frame is noted, do away with it cautiously with forceps or another appropriate
technique
If Airway is not patent
1. Apnea
2. GCS 8 or much less
3. Maxillary fractures
four. Evidence of inhalation injury (facial burns)
five. Laryngeal or tracheal injury or neck hematoma
6. High danger of aspiration and patients incapability to guard the airway
7. Compromised or useless ventilation
Following situations would possibly require a definitive airway
Breathing: To determine respiratory expose the chest:
1. Inspect for
a. Spontaneous respiratory
b. Symmetrical upward push and fall
c. Depth, sample, and price of respiratory
d. Signs of issue breathing such as accessory muscle use
e. Pores and skin color (ordinary, pale, flushed, cyanotic)
f. Contusions, abrasions, deformities (flail chest)
g. Open pneumothoraces (sucking chest wounds)
h. JVD
i. Signs of inhalation injury (singed nasal hairs, carbonaceous sputum)
B
Scenarios Master Deck
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
three. Reevaluation (attention of switch)
4. Secondary Survey (HI) with reevaluation adjuncts
five. Reevaluation and publish resuscitation care
6. Definitive care of switch to the correct trauma nurse
Initial Assessment (TNCC)
(number one)
X- Assess for and manage big hemorrhage
A- Across the room survey, AVPU w/ cervical spine immobilization, airway
B- Breathing and ventilation
C- Circulation
D- Disability
E- Exposure
(interventions/ resus adjuncts)
F- Full set of vitals and own family presence
G- Get adjuncts (LMNO)
L- labs
M- monitor cardiac rhythm
N- Naso/ orogastric tube (if intubated/ indicated by damage)
O- oxygenation air flow analysis: SpO2, ETCO2
(secondary, whole after solving problems of primary)
H- History and head to toe
I- Inspect posterior service while preserving cervical immobilization
J- Just preserve comparing (VIPP)
V- VS
I- Identified injuries
P- Primary assessment
P- Pain
XABCDEFGHI
Primary survey
X- Assess for and manipulate large hemorrhage (see additionally "A)
A- AAA
Across the room survey checking for big hemorrhage (re-prioritize to C-ABC; pressure,
increase, tourniquet)
Alertness (AVPU) with simultaneous cervical spinal stabilization
,Airway (test patency and intrude w/ suction or insert airway adjunct)
B- Breathing and Ventilation
Spontaneous respiratory, symmetrical upward thrust and fall of chest, intensity, pattern, fee
of breathing, signs of breathing trouble, pores and skin colour (cyanotic or pale), wounds,
contusions, abrasions, or deformities
Auscultate for breath sounds and heart sounds
Palpate bony systems of chest looking for any deformities, subcutaneous emphysema, or
soft tissue injury (bruises or seat belt marks)
If adequate respiratory/ air flow gift: 15L NRB and determine ETCO2
If good enough breathing/ ventilation not present:
Open the airway, jaw thrust with second man or woman, Inser
ABCDEFGHI (in- intensity)
reorganize care to C-ABC
If out of control hemorrhage ..
Used at the start of the preliminary assessment
1. A Alert. If the pt is alert she or he will be able to keep his or her airway as soon as it's far
clean.
2. V responds to verbal stimuli responds to pain. If the patient wishes verbal stimulation to
respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.
Three. P responds to pain. If the pt. Responds only to ache, he or she won't be capable of
preserve his or her airway adjunct might also want to be positioned even as similarly
evaluation is made to determine the need for intubation.
4. U Unresponsive. If the pt. Is unresponsive, announce it loudly to the crew and direct
someone to chk within the pt is pulseless even as assessing if the reason of the hassle is the
airway.
Airway and AVPU:
ask pt to open his or her mouth
While assessing airway the patient is alert and responds to verbal stimuli you must..
Jaw thrust maneuver to open airway and determine for obstruction. If pt has a suspected
CSI, the jaw thrust system have to be achieved by using companies. One issuer can keep
c-backbone and the alternative can carry out the jaw thrust maneuver.
While assessing airway pt is unable to open mouth, responds best to pain, or is
unresponsive you need to..
1. The tongue obstructing the airway
2. Unfastened or lacking tooth
3. Foreign objects
, four. Blood, vomit, or secretions'
five. Edema
6. Burns or evidence of inhalation harm
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
three. Subcutaneous emphysema
Inspect the mouth for:
1. Check the presence of ok rise and fall of the chest with assisted air flow
2. Absence of gurgling on auscultation over the epigastrium
three. Bilateral breath sounds present on auscultation
four. Presence of carbon dioxide (CO2) confirmed through a CO2 device or display
If the pt has a definitive airway in what must you do?
1. Suction the airway
2, Use care to keep away from stimulating the gag reflex
three. If the airway is obstructed by blood or vomitus secretions, use a rigid suction tool
If overseas frame is noted, do away with it cautiously with forceps or another appropriate
technique
If Airway is not patent
1. Apnea
2. GCS 8 or much less
3. Maxillary fractures
four. Evidence of inhalation injury (facial burns)
five. Laryngeal or tracheal injury or neck hematoma
6. High danger of aspiration and patients incapability to guard the airway
7. Compromised or useless ventilation
Following situations would possibly require a definitive airway
Breathing: To determine respiratory expose the chest:
1. Inspect for
a. Spontaneous respiratory
b. Symmetrical upward push and fall
c. Depth, sample, and price of respiratory
d. Signs of issue breathing such as accessory muscle use
e. Pores and skin color (ordinary, pale, flushed, cyanotic)
f. Contusions, abrasions, deformities (flail chest)
g. Open pneumothoraces (sucking chest wounds)
h. JVD
i. Signs of inhalation injury (singed nasal hairs, carbonaceous sputum)
B
