TNS assessment and management
At what point in the assessment should a TNS assume and take precautions to prevent further c-spine injury? - ANSWER-Any patient with multi-system trauma, appropriate mechanism, altered LOC, injury above clavicles from blunt trauma
List the expected outcomes of airway resuscitation/management in the trauma patient. - ANSWER-Ventilations are quiet without stridor or retractions Patient speaks or makes appropriate sounds Chest rises and falls easily with spontaneous/assisted ventilations Foreign material not visible in upper airway.
List at least 4 things a T NS should inspect for when exposing the chest during the primary survey. - ANSWER-Appearance of chest: contour and inteqrity of chest wall Symmetry of expansion and adequacv of excursion Siqns of trauma such as contusions. abrasions. lacerations. and penetratinq wounds Use of accessory muscles. nasal flaring. tracheal tuqqinq or retractions
What are the four maneuvers of performing a physical exam? - ANSWER-Inspect, Auscultate, Palpate, Percuss
What are the 5 priorities of the primary survey? - ANSWER-A.Airway access/maintenance and c-spine control
B.Breathinq and ventilatory status: assess/support
C.Circulation and hemorrhaae control D.Disabilitv/neuroloqical status
- Expose
At what point in the primary survey are life-saving interventions performed? - ANSWER- During the primary survey as soon as life-threats are identified
During which phase of assessment are vital signs counted/measured for the first time? - ANSWER-Secondary Survey
What is the difference between central and peripheral cyanosis? - ANSWER-Central: lips, mucous membranes, conjunctiva; late sign of hypoxia Peripheral: Nailbeds; Occurs when tissues extract more oxygen from blood than normal
How many grams of desaturated hemoglobin are necessary to produce cyanosis in the tissues? - ANSWER-5 gidL of HgB
- / 1