ATLS
Patient care during the prehospital phase should include what interventions and considerations?
- ANS Airway maintenance, control of external bleeding and shock, immobilization of patient,
immediate transport to facility, minimize scene time
Critical aspects of hospital preparation: - ANS resuscitation area prepared, functioning airway
equipment, warmed IV fluids, appropriate monitoring devices, summoning additional medical
assistance, transfer agreements established
Information important to gather from prehospital personnel: - ANS Time of injury, events related
to the injury, patient history and vital signs, mechanisms of injury
What is the goal of the primary survey? - ANS To identify and treat life threatening injuries in a
prioritized sequence based on the effects of injuries on the patients physiology
What is the proper sequence of the primary survey - ANS Airway control with C-spine
protection, breathing/ventilation, circulation with hemorrhage control, disability:Neuro status,
exposure/environment
10 second assessment - ANS Introduce yourself, ask the patient his/her name, ask the patient
what happened
GCS Scale: Eyes - ANS 4) open spontaneously
3) open to voice
2) open to pain
1) no response
GCS Scale - Verbal Response - ANS 5)Oriented and alert
4) confused
3) inappropriate words
2)incomprehensible sounds
1) no response
GCS Scale - Motor Response - ANS (6) Follows commands
(5) Localizes pain
(4) Withdraws from pain
(3) Decorticate posturing (abnormal flexion)
(2) Decerberate posturing (abnormal extension)
(1) No response
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