TNCC Physical Assessments 100% Correct

What is assessed for History? - ANSWER - MIVT - Patient-generated information - PMH What is assessed under Head-to-toe assessment? - ANSWER HEAD AND FACE - Inspect for wounds, ecchymosis, deformities, drainage from nose and ears, and check pupils - Palpate for tenderness, note bony crepitus, deformity NECK - Remove anterior portion of the rigid cervical collar to inspect and palpate the neck - Another team member must hold the pt's head while the collar is being removed and replaced - Inspect for wounds, ecchymosis, deformities, and distended neck veins - Palpate for tenderness, note bony crepitus, deformity, subcutaneous emphysema, and tracheal postion CHEST - Inspect for breathing rate and depth, wounds, deformities, ecchymosis, use of accessory muscles, paradoxical movement - Auscultate breath sounds and heart sounds - Palpate for tenderness, note bony crepitus, subcutaneous emphysema, and deformity ABDOMEN AND FLANKS - Inspect for wounds, distention, ecchymosis, and scars - Auscultate bowel sounds - Palpate all four quadrants for tenderness, rigidity, guarding, masses, and femoral pulses PELVIS AND PERINEUM - Inspect for wounds, deformities, ecchymosis, priapism, blood at the urinary meatus or in the perineal area - Palpate the pelvis and anal sphincter tone EXTREMITIES - Inspect for ecchymosis, movement, wounds, and deformities - Palpate for pulses, skin temperature, sensation, tenderness, deformities, and note bony crepitus How do you Inspect Posterior Services? - ANSWER - Maintain cervical spine protection and support injured extremities while the pt is log-rolled. - Inspect the posterior surfaces for wounds, deformities, and ecchymosis - Palpate the posterior surfaces for tenderness and deformities - Palpate anal sphincter tone (if not performed previously) Planning and Implementation in General: - ANSWER Studies: - Laboratory Studies - T&S or crossmatch - H&H - ETOH - Serum lactate level - Serum pregnancy test as indicated - Kleihauer-Betke test as indicated - ABG's Interventions: - OR intervention - Admission or Transfer - GCS and Revised Trauma Score - Psychosocial support of pt and family - Pain control - Nonpharmacological pain intervention - Meds as indicated: - Tetanus prophylaxis - Antibiotics - Pain meds - Neuromuscular blockers - Sedation Planning and Implementation for Head and Face: - ANSWER Studies: - Plain X-ray's - CT scan - MRI's - Angiography Interventions: - Position pt - Meds, as prescribed - ICP monitoring - Suctioning Planning and Implementation for the Neck: - ANSWER Studies: - Plain X-ray's - CT scan - MRI's - Angiography Interventions: - Spinal protection with vertebral column immobilization - Steroids, per institutional protocols Planning and Implementation for the Chest: - ANSWER Studies: - Plain X-ray's