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TNCC - Trauma Nursing Core Course
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Initial Assessment - 1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (Primary Survey) - Airway and alertness with simultaneous cervical spinal stabilization....

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  • February 6, 2024
  • 13
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • tncc trauma nursing core course

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  • A/AS Level
  • AQA
  • TNCC
  • TNCC
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TNCC - Trauma Nursing Core Course
Initial Assessment - ✔✔1. Preparation and Triage

2. Primary Survey

3. Reevaluation

4. Secondary Survey

5. Reevaluation Adjuncts

6. Reevaluation and Post Resuscitation Care

7. Definitive Care or Transport



A (Primary Survey) - ✔✔Airway and alertness with simultaneous cervical spinal stabilization.



Alertness Assessment - ✔✔A-Alert

V-Verbal

P-Painful

U-Unresponsive



Airway Assessment - ✔✔Inspect: tongue obstruction, loose/missing teeth, foreign objects, blood,
vomitus, secretions, edema, burns or evidence of inhalation injury



Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)



Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous emphysema



Airway Interventions: - ✔✔Suction

Remove foreign body if noted

Jaw thrust maneuver (maintain cspine)

, Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)

Consider definitive airway



A (AVPU) - ✔✔Alert. Will be able to maintain airway once clear.



V (AVPU) - ✔✔Verbal. Needs verbal stimuli to respond.

(Airway adjunct may be needed to prevent tongue obstruction)



P (AVPU) - ✔✔Painful. Responds only to painful stimuli.

(Airway adjunct may be needed while determining need for intubation)



U (AVPU) - ✔✔Unresponsive. Does not respond to any stimuli.



B (Primary Survey) - ✔✔Breathing and Ventilation



Breathing and Ventilation Assessment - ✔✔Inspect: spontaneous breathing, symmetrical rise and fall,
depth/pattern/rate of respirations, accessory muscle use, diaphragmatic breathing, skin color (normal,
pale, flushed, cyanotic), contusions/abrasions/deformities (signs of underlying injury), open
pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation injury



Auscultate: presence, absence and equality of breath sounds at 2nd intercostal space midclavicular line
and bases at the fifth intercostal space anterior axillary line



Palpate: bony structures, possible rib fractures, SQ emphysema, soft tissue injury, JV pulsations at
suprasternal notch or supraclavicular area



Life-threatening pulmonary injuries requiring immediate intervention: open pneumothorax, tension
pneumothorax, flail chest, hemothorax.

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