The ___ Mnemonic helps the trauma nurse rapidly assess for and intervene in the life-threatening injuries and identify all injuries in a systematic manner.
A-I Mnemonic
What is the A in the primary assessment?
Airway and Alertness with simultaneous cervical spinal stabilization
What is ...
the mnemonic helps the trauma nurse rapidly assess for and intervene in the life threatening injuries and identify all injuries in a systematic mann
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TNCC - 7th Ed. - Chapter 5 - Initial Assessment
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TNCC - 7th Ed. - Chapter 5 - Initial
Assessment
The ___ Mnemonic helps the trauma nurse rapidly assess for and intervene in the life-
threatening injuries and identify all injuries in a systematic manner. - answer A-I
Mnemonic
What is the A in the primary assessment? - answer Airway and Alertness with
simultaneous cervical spinal stabilization
What is the B in the primary assessment? - answer Breathing and Ventilation
What is the C in the primary assessment? - answer Circulation and Control of
hemorrhage
What is the D in the primary assessment? - answer Disability (Neurologic status)
What is the E in the primary assessment? - answer Exposure and Environmental control
What is the F in the primary assessment? - answer Full set of vital signs and Family
presence
What is the G in the primary assessment? - answer Get resuscitation adjuncts: LMNOP
What is the H in the primary assessment? - answer History and Head-to-Toe
assessment
What is the I in the primary assessment? - answer Inspect posterior surfaces
What is the L in the LMNOP mnemonic for Get resuscitation adjuncts? - answer Labs,
ABG and Type and Cross
What is the M in the LMNOP mnemonic for Get resuscitation adjuncts? - answer
Monitor for continuous cardiac rhythm and rate assessment
What is the N in the LMNOP mnemonic for Get resuscitation adjuncts? - answer Naso
or Orogastric tube consideration
What is the O in the LMNOP mnemonic for Get resuscitation adjuncts? - answer
Oxygenation and ventilation analysis: pulse ox, ETCO2 monitoring or capnography
What is the P in the LMNOP mnemonic for Get resuscitation adjuncts? - answer Pain
assessment and management
When does the approach to trauma care begin? - answer With notification that a trauma
patient is arriving in the ED
,TNCC - 7th Ed. - Chapter 5 - Initial
Assessment
___ means taking into consideration the protection of the team. - answer Safe Practice
What is included in safe practice when preparing to receive a trauma patient? - answer
Observing universal precautions
Donning PPE prior to arrival
Consideration of any potential exposure to hazardous material that may put the trauma
team, other patients and ED or hospital at risk
___ means assuring the patient is getting to the right hospital in the right amount of time
for the right care. - answer Safe Care
___ refers to the "golden hour" - answer Right Time
Optimal outcomes result when time in the field is minimized and care is focused on ___.
- answer airway maintenance, control of hemorrhage and immobilization
___ involves the sorting of patients based on their need for treatment and the resources
available to provide that treatment. - answer Triage
The primary survey begins immediately upon the patient's arrival to the trauma room
with an ___. - answer Across-the-room Observation
___ can allow for rapid determination of the patient's overall physiologic stability and the
identification of any uncontrolled external hemorrhage. - answer Across-the-room
observation
During the primary survey, ___ are identified and immediately corrected. - answer Life-
threatening conditions
What is the major cause of preventable death after injury? - answer Uncontrolled
hemorrhage
The Department of Defense teaches the mnemonic MARCH for primary assessment
which stands for what? - answer Massive Hemorrhage
Airway
Respiration
Circulation
Head injury / Hypothermia
What is the best way to assess airway and alertness? - answer Talk to the patient
A C-spine injury is suspected in any patient with multisystem trauma until the patient
has ___. - answer A GCS of 15 and has been fully evaluated for C-Spine injury by an
experienced physician or has been cleared of spinal injury by CT or radiography.
, TNCC - 7th Ed. - Chapter 5 - Initial
Assessment
What are the two ways to accomplish cervical spine alignment and protection? - answer
Manual stabilization
Immobilization
How is manual stabilization of the cervical spine accomplished? - answer Two hands
holding the patient's head and neck in alignment
How is cervical spine immobilization accomplished? - answer A correctly sized, semi-
rigid cervical collar securely fastened
The spine board is primarily a ___. - answer Transportation device
Remove the spine board as soon as ___. - answer A spinal cord injury has been ruled
out
Removal of a helmet requires ___. - answer Two people
What are the components of AVPU, which is used to quickly assess a patient's level of
alertness? - answer A - Alert - If the patient is alert, he will be able to maintain the
airway once it's clear.
V - Verbal - If the patient needs verbal stimuli to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway
P - Pain - If the patient responds only to pain, he may not be able to maintain his airway
and an airway adjunct may need to be placed while further assessing to determine a
need for intubation
U - Unresponsive - If the patient is unresponsive, direct someone to check for a pulse
while assessing if the cause of the problem is the airway
If the AVPU is any level except A, the airway may be ___. - answer Compromised
What do you do if a patient is unresponsive upon arrival? - answer Announce it loudly to
the team and direct someone to see if the patient is pulse-less.
During A of the primary survey, after AVPU has been determined that the patient is
ALERT, and while C-spine precautions are maintained, ask the patient to ___. - answer
Open his or her mouth
During airway assessment, if the patient is unable to open their mouth or is anything but
A on AVPU, what do you do to open the airway? - answer Jaw-thrust maneuver
If the patient has a suspected cervical-spine injury, jaw thrust is performed by ___. -
answer Two Providers
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