Term
|
Definition
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Term
|
Definition
a. Maintain inline cervical stabalization
1) Follow spinal precautions per vcems policy 614
b. open airway as needed
2) utilize a trauma jaw thrust to maintain inline cervical stabilization if indicated
c.suction as needed |
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Term
|
Definition
a. assess depth rate and quality of respirations
b. if respiratory effort inadequate assist ventilations with bvm
c. insert appropriate airway adjunct
d. lung sounds
e. initiate airway management and oxygen therapy as indicated
1) maintain spO2 > 95% |
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Term
|
Definition
a. assess skin temp color and condition
b. check pulses distally/centrally and capillary refill time
c. control major bleeding
d. initiate shock management as indicated |
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Term
|
Definition
a. determine level of consciousness (glasgow coma scale)
b. assess pupils |
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Term
|
Definition
a. if indicated remove patient clothing for proper assessment/treatment of injury location. maintain patient dignity
b. maintain patient body temperature |
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Term
| B. Detailed physical exam / Head 2 |
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Definition
a. inspect palpate skull
b. inspect eyes ears nose and throat |
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Term
| B. Detailed physical exam / Neck 3 |
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Definition
a. palpate cervical spine
b. check position of trachea
c. assess jugular vein distention |
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Term
| B. Detailed physical exam / Chest 1 |
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Definition
| a. visualize palpate and auscultate chest wall |
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Term
| B. Detailed physical exam / Abdomen/ Pelvis 2 |
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Definition
a. inspect palpate abdomen
b. assess pelvis including genitalia/perineum if pertinent |
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Term
| B. Detailed physical exam / Extremities 2 |
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Definition
a. visualize inspect and palpate
b. assess CSM |
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Term
| B. Detailed physical exam / Back 1 |
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Definition
| visualize inspect and palpate thoracic and lumbar spines |
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Term
| Head Injuries / General treatments 4 |
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Definition
1. evaluate head face - maintain high index of suspicion for injury if significant mechanism of injury is present or physical exam is remarkable in findings
2.if spinal precautions elevate head injured patients unless contraindicated
3. do not attempt to intubate head injured patients unless unable to manage with bls measures
4. do not delay transport if significant airway compromise |
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Term
| Head Injuries / Penetrating injuries 2 |
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Definition
1. do not remove impaled objects(unless airway obstruction is present)
2. stabilize object manually or with bulky dressings |
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Term
| Head Injuries / facial injuries 2 |
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Definition
1. assess airway and suction as needed
2. remove loose teeth or dentures if present |
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Term
| Head Injuries / Eye Injuries 5 |
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Definition
1. remove contact lenses
2. irrigate eye thoroughly if suspected acid/alkali burns
3. avoid direct pressure
4. cover both eyes
5. stabilize any impaled object manually or with bulky dressings |
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Term
| Spinal cord injuries / General treatments 2 |
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Definition
1. evaluate spinal column - maintain high index of suspicion for injury significant mechanism of injury is present or physical exam is remarkable in findings
2. place patient in shock position if hypotension present |
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