Final Exam-Trauma Care
Emergency Severity Index (ESI) - ANSa approach of classifying patients into five classes
based on the severity in their conditions and resource desires.
1—Resuscitation—instantaneous treatment is important
2—Emergent—may also deteriorate hastily, time sensitive
three—urgent---non-existence-threatening, desires extra than 2 sources
four—non-pressing—non-existence-threatening, one resource required
5—minor—non-lifestyles-threatening, no assets required
Emergency Severity Index (ESI)
-1 - ANSResuscitation—immediately treatment is essential
Emergency Severity Index (ESI)
-2 - ANSEmergent—may additionally go to pot unexpectedly, time touchy
Emergency Severity Index (ESI)
-3 - ANSurgent---non-lifestyles-threatening, needs extra than 2 assets
Emergency Severity Index (ESI)
-4 - ANSnon-urgent—non-life-threatening, one useful resource required
Emergency Severity Index (ESI)
-5 - ANSminor—non-existence-threatening, no assets required
Initial management - ANSAirway
Ventilation
Control bleeding
Prevent surprise
Maintain spinal immobilization
Transport to closest facility
Triage: Immediate (Red) - ANSstabilization and evaluation/ airway control, breathing, and
circulate
Triage: Next - ANShistory of drug or pollution, time and duration of exposure, first resource
treatment acquired previous to hospitalization
Triage - ANSthe clinical screening of sufferers to determine their relative priority of want and
the proper region of remedy
Obtain allergies, underlying ailment, procedures or related damage
Safety for injuries
, -Contusion - ANSmajor bruising because of blunt trauma
Safety for injuries
-Flail chest - ANSsegment of the rib cage breaks off because of trauma and turns into
indifferent from the chest wall
Safety for injuries
-Hemothorax - ANScollapsed lung wherein pleural cavity fills with blood,put together for
chest tube insertion on affected side, administer blood or blood products as ordered, expect
and prepare for emergency open thoracotomy
Safety for accidents
-Spinal Cord Injury - ANSavoid hyperextension or rotation of affected person's neck, study
ventilatory attempt and use of accessory muscle groups, maintain complicated spinal
immobilization, display for signs and symptoms of disruptive (neurogenic) shock
Safety for injuries
-Pneumothorax - ANScollapsed lung where pleural hollow space is full of air, put together for
chest tube on affected facet
Safety for injuries
-Compartment syndrome - ANSfascia enclosed muscle compartment stories accelerated
stress, neurovascular evaluation, 5 p's (ache, pulse, pallor, paresthesia, paralysis), prep for
fasciotomy
Safety for accidents
-Fat embolism - ANSfat globules in lung tissue and peripheral circulation following trauma,
reasons hypoxemia, neurologic abnormalities, and petechial rash
Safety for injuries
-Overdose: commonly abused materials - ANSnicotine, alcohol, heroin, marijuana, narcotic
analgesic, amphetamine, benzodiazepine, cocaine, family substances
Safety for accidents
-Overdose: Triage - ANSImmediate—stabilization and assessment/ airway control,
respiration, and circulation
Next—records of drug or pollution, time and length of exposure, first resource remedy
received prior to hospitalization
Obtain allergies, underlying disease, tactics or related injury
Is overdose intentional or suspected suicide?
Safety for accidents
-Overdose: Toxidrome - ANSsigns and signs associated with specific capsules
A syndrome due to a dangerous awareness of pollutants within the frame.