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ENPC Question 100% correct answered

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ENPC Question 100% correct answered Preparation and traige 1.State need for activation of trauma team 2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing guidelines 3. State the need to don PPE Across-the-room Observation Assess for uncontrolled hemorrhage (C...

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  • March 28, 2023
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  • 2022/2023
  • Exam (elaborations)
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ENPC Question 100% correct answered
Preparation and traige - correct answers 1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing
guidelines
3. State the need to don PPE

Across-the-room Observation - correct answers Assess for uncontrolled hemorrhage
(C), if non go to ABC
State the three components of pediatric assessment triangle (Appeance/Airway, WOB,
and Circulation
AND categorizes them as sick, sicker or sickest

Airway and Alertness - correct answers **APVU
If trauma is suspected state need for manual c-spine until collar is placed, AND
demonstrate manual jaw-thrust. If isn't you can do it normally
** Determine patency of airway (four): tongue obstruction, loose or missing teeth,
foreign objects, blood or other secretions, edem, snoring, gurgling or stridor and is there
any bony deformity
Interventions: suction, folded towel, OPA or NPA, indicate need for intubation

4. Across the room observation and then - correct answers Assess for uncontrolled
external hemorrhage and the need to re prioritize C over ABC

Breathing and Ventilation. - correct answers ** Assess breathing: sponatenous,
symmetrical chest, skin color, open wounds, breath sounds? Subq empysema, JVD or
trach deviation or increased WOB (which would include, grunting, retractions, head
bobbing, nasal flaring)
Interventions: oxygen, ventilation, intubation, chest tube or needle thoracentesis

Circulation and hemorrhage - correct answers All of these: inspects of uncontrolled
hemorrhage, palpates central and peripheral pulses, inspect and palpates skins for
color, temp and moisture and assess cap refill
Interventions: control of hemorrhage, initiation chest compression, IV get two, cardiac
monitor if it is a dysrhythmia, fluid bolus 20mlkg - 10 mlkg for neonate or cardiogenic
shock

Disability - correct answers GCS : verbal, eye and motor
Four score for unresponsive or intubated: eye, motor, brainstem and respiration status
PERRL
Interventions: glucose and if not need fo rintubation

Exposure and Environment - correct answers Remove all clothing AND inspect for
hemorrhage or other signs of illness or injuries
Interventions: warming lights. warm fluid, warmed oxygen, blankets

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