What is the Trauma Assessment Mnemonic?
-
A = 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 = Gi...
what is assessed in airway while simultaneously protecting the cervical spine
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TNCC Physical Assessments 2022/23
What is the Trauma Assessment Mnemonic?
- ✔✔
A = 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?
- Assess:
- 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 cricothyrotomy
What is assessed in Breathing? - ✔✔Assess:
, - 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? - ✔✔Assess:
- 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 for typing
- Blood administration
- Pericardiocentesis
- Emergency thoracotomy
- Surgery
- Cardiopulmonary resuscitation and advanced life support measures
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