TNCC LATEST QUESTION AND ANSWER
A - ✔✔Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth,
clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed.
B - ✔✔Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin
color. Do supplemental o2, BVM, needle thoracentesis/chest tube, nonporous dressing taped 3 sides.
C - ✔✔Circulation--rate and quality (core pulse), skin color/temp/diaphoresis, external bleeding.
Control bleeding, 2 large bore IVs w/warm NS/LR rapid--labs, CPR, Pericardiocentesis.
D - ✔✔Disability (neuro)--AVPU, PERRL. Hyperventilate if indicated.
E - ✔✔Expose/Environment control. Remove clothes, check, cover.
F - ✔✔Full VS, cardiac monitor, foley, NG, pulse ox, labs. Family presence. (VS-5-Family)
G - ✔✔Give comfort, verbal reassurance, touch, pain meds.
H - ✔✔Head to toe. Maintain c-spine.
I - ✔✔Inspect posterior surfaces--maintain c-spine, log roll, look, palpate, sphincter tone.
AVPU - ✔✔Alert, reponds to verbal, responds to painful, unresponsive
MIVT - ✔✔Mechanism of injury
Injuries sustained
VS
Treatment pre-hospital
late signs breathing compromise - ✔✔JVD, tracheal deviation
A - ✔✔Airway--edema, vomit/blood, loose teeth, tongue obstruction, vocalization. Look in mouth,
clear all/suction, maintain c-spine, cricothyrotomy or intubate as needed.
B - ✔✔Breathing--chest rise (symmetrical), rate and depth, accessory muscles, breath sounds, skin
color. Do supplemental o2, BVM, needle thoracentesis/chest tube, nonporous dressing taped 3 sides.
C - ✔✔Circulation--rate and quality (core pulse), skin color/temp/diaphoresis, external bleeding.
Control bleeding, 2 large bore IVs w/warm NS/LR rapid--labs, CPR, Pericardiocentesis.
D - ✔✔Disability (neuro)--AVPU, PERRL. Hyperventilate if indicated.
E - ✔✔Expose/Environment control. Remove clothes, check, cover.
F - ✔✔Full VS, cardiac monitor, foley, NG, pulse ox, labs. Family presence. (VS-5-Family)
G - ✔✔Give comfort, verbal reassurance, touch, pain meds.
H - ✔✔Head to toe. Maintain c-spine.
I - ✔✔Inspect posterior surfaces--maintain c-spine, log roll, look, palpate, sphincter tone.
AVPU - ✔✔Alert, reponds to verbal, responds to painful, unresponsive
MIVT - ✔✔Mechanism of injury
Injuries sustained
VS
Treatment pre-hospital
late signs breathing compromise - ✔✔JVD, tracheal deviation
