Tncc_physical_assessments_exam

What is the Trauma Assessment Mnemonic? - answerA = Airway with simultaneous cervical spine stabilization/immobilization B = Breathing C = Circulation D = Disability (neurologic status) E = Expose patient/Environmental Control F = Full set of VS/Focused Adjuncts/Facilitate Family Presence G = Give comfort measures H = History/Head-to-toe assessment I = Inspect posterior surfaces What is assessed in Airway while simultaneously protecting the cervical spine? - answerAssess:Vocalization Tongue obstructing airway Loose teeth, foreign objects Blood, vomitus, other secretions Edema Interventions: Position pt Jaw thrust/Chin lift Remove foreign objects Suction blood, vomitus, secretions Insert oropharyngeal or nasopharyngeal airway Needle or surgical cricothyrotomyWhat is assessed in Breathing? - answerAssess: Spontaneous breathing Rise and fall of chest Rate and pattern of breathing Use of accessory muscles/Diaphragmatic breathing Skin color Integrity of soft tissue and bony structures of chest wall Bilateral breath sounds Interventions: Supplemental oxygen Bag-Mask ventilation Needle thoracentesis/Decompression Chest tube Nonporous dsg taped on 3 sides What is assessed in Circulation? - answerAssess: Palpates central pulse for rate and quality Skin color, temperature and moisture External bleeding Interventions: Direct pressure over uncontrolled bleeding sites Insert 2 large caliber IV's with warmed isotonic crystalloid solution Infuses fluid rapidly with blood tubing Blood sampling