Primary and Secondary Assessment (A-I)answer - A= airway
B=breathing
C=circulation
D=disability- brief neurological assessment
E= exposure and environmental control
F= full set of vital signs, focused adjuncts, and family presence
G= give comfort measures
H= head-to-toe assessment
I= inspect posterior surfaces
Airway: Assessment (at least 3)answer - -vocalization
-tongue obstruction
-loose teeth or foreign objects
-vomitus, blood or secretions
-edema
-preferred posture
-drooling
-dysphagia
-abnormal airway sounds
Airway: Interventions (at least 1)answer - -open the airway with jaw thrust or chin lift
-repositions head to neutral position
-suction
-remove foreign objects
-OP/NP airway
-prepare for endotracheal intubation/rapid sequence intubation
-prepare for needle or surgical cricothyroidotomy
Breathing: Assessment (at least 3)answer - -level of consciousness
-spontaneous respirations
-rate and depth of respirations
-symmetric chest rise and fall
-presence and quality of breath sounds
-skin color
-work of breathing: nasal flaring, retractions, head bobbing, expiratory grunting,
accessory muscle
Breathing; Interventions (at least 1)answer - -maintain position of comfort
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