TNCC Questions And Answers 2020

TNP: Preparation and Triage - Answer - - Activate trauma team - Prepare the room and any special equipment - Don PPE and consider need for decontamination TNP: Across-the-room Observation - Answer - Uncontrolled bleeding? Reprioritize to C ABC TNP: Primary Survey [ABCDEFG] - Answer - Alertness (1) and Airway (2) Breathing and Ventilation Circulation and control of hemorrhage Disability (neuro status) Exposure (1) and Environmental Control (2) Full set of VS (1) and Family Presence (2) Get Monitoring Devices (1), give comfort (2) [LMNOP] - Labs: blood typing, blood gases, lactate - Monitor (Cardiac) - Naso- or orogastric tube - O: wean o2 based on oximetry and assess capnography (required if sedated or intubated) - Pain assessment and mgmt Primary Survey [A] - Answer - Alertness (1) and Airway (2) - Maintain cervical spinal stabilization - AVPU (Alert, Verbal, Pain, Unresponsive) - Assess airway patency (at least FOUR) AVPU - Answer - Alert, Verbal, Pain, Unresponsive (Primary Survey, Alertness) Primary Survey [B] - Answer - Breathing and Ventilation - Assess breathing effectiveness (at least FOUR) - Must be done after assessing Alertness and Airway Primary Survey [C] - Answer - Circulation and Control Hemorrhage - Assess for uncontrolled hemorrhage, central pulse, skin color/temp/moisture (ALL THREE) - Must be done after A, B (unless s/sx external hemorrhage) Primary Survey [D] - Answer - Disability (neurologic status) - Glasgow Coma Scale - Pupils - Consider head CT for any abnormalities Primary Survey [E] - Answer - Exposure (E1) and Environmental Control (E2) - Remove clothing, pr