Term
| 5 priorities in Primary Survey of a trauma patient |
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Definition
- Airway
- Breathing
- Circulation
- Disability
- Exposure
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Term
| Steps/methods of airway management (6) |
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Definition
- Visualize the airway.
- Start with supplement O2 by nasal cannula or face mask for conscious patients.
- If pt is unconscious do jaw-thrust maneuver and provide respiratory support. (can also do OP or NP airway if needed.)
- Intubate if necessary.
- If unable to intubate, perform surgical airway (cricothyroidectomy).
- Maintain cervical spine stabilization/immobilization in trauma patients until spinal injury has been r/o. However, never allow this concern to delay airway management!
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Term
When does a patient need to be intubated?
When does a patient need a surgical airway? |
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Definition
- Patient needs to be intubated if there is:
- apnea
- signifcantly depressed mental status (GCS<8)
- impending airway compromise (ex. maxillofacial trauma or inhalation injury in fires)
- Patient needs surgical airway (cricothyroidectomy) if he cannot be intubated secondary to upper airway trauma or obstruction.
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Term
| Glasgow coma scale - how many points are possible? what three areas are tested and how many points can be assigned for each one? |
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Definition
- 15 total points possible
- Eyes - 4 points possible
- Verbal - 5 points possible
- Motor - 6 points possible
- Mnemonic: 4 eyes, Jackson 5, V6 engine
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Term
| Glasgow coma scale - how is eye response scored? |
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Definition
- spontaneous eye movement = 4 pts
- eyes respond to command = 3 pts
- eyes respond to pain = 2 pts
- no response = 1 pt
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Term
| Glasgow coma scale - how is verbal response scored? |
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Definition
- Oriented = 5
- Confused speech = 4
- Inappropriate words = 3
- Incomprehensible = 2
- None = 1
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Term
| Glasgow coma scale - how is motor response scored? |
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Definition
- follows commands = 6 pts
- localizes pain = 5 pts
- withdraws to pain = 4 pts
- flexion = 3 pts
- extension = 2 pts
- none = 1 pt
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