TNCC TRAUMA NURSING CORE COURSE LATEST STUDY GUIDE BEST FOR REVISION 2025/2026 .

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TNCC TRAUMA

NURSING CORE

COURSE LATEST

STUDY GUIDE BEST

FOR REVISION

2025/2026 .:

, TUTOR2025 2
Studyking254@gmail for more info
A = Airway

- Check for:

 Tongue obstruction

 Teeth

 Vocalization

 Blood/vomit in airway

 Edema

- If obstruction Suction…then reassess

- Maintain C-spine precautions

- Prepare for intubation

 Once intubated assess tube placement by auscultating over

epigastrum first then over lung fields

 Secure endotracheal tube

 B = Breathing

- Is it spontaneous?

- Accessory muscle use?

- Rate and Pattern?

- Skin color

- Check for bilateral breath sounds

 If breath sounds are not bilateral consider: tube placement/tension

pneumothorax

 If there is JVD (jugular vein distention) or tracheal deviation

perform needle thoracentisis…..

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 Insert large bore needle into the 2nd intercostal space at the

midclavicular line…..prepare for chest tube insertion.

 C = Circulation

- Palpate central pulses (carotid/femoral)

- Check color/temperature/moisture of skin

- Check prehospital IV’s for patency

- Start 2nd large bore IV.

 Obtain basic labs.

 Begin infusion of warmed fluid bolus

- Check for obvious signs of external bleeding

 If obvious signs of external bleeding  Control bleeding

 D = Disability

- Check AVPU

 Alert?

 Verbal?

 Responsive to Pain?

 Unresponsive?

- Check pupils. Are they PERRL?

 Equal

 Round

 Reactive to

 Light

 E = Expose the patient