Ch 30 Emergency Care 13th Edition

Multiple-trauma patient
more than one serious injury

Multisystem-trauma patient
One or more injuries serious enough to affect more than one body system

Most Critical decisions
determining:
-priority/severity
-if u need to limit scene time or not
-picking the hospital or transport method

Altered mental status
(Glasgow Coma Scale [GCS] < 14)

Hypotension
(systolic < 90 mmHg)

Other severe anatomic critiria
– Penetrating injuries to head, neck,
torso, and extremities proximal to
elbow and knee
– Chest wall instability or deformity
– Two or more proximal long-bone
fractures
– Crushed, degloved, mangled, or
pulseless extremity
– Amputation proximal to wrist or ankle
– Pelvic fractures
– Open or depressed skull fracture
– Paralysis

severe MOIs
Falls
Intrusion
Ejection from automobile
Death in same passenger compartment
Vehicle telemetry data consistent with
high risk of injury

Special Patients and considerations
Older adults do not efficiently
compensate for shock.
Children may benefit by transport to a
pediatric specialty facility.
Patients with certain conditions
§ Taking anticoagulants
§ Pregnant

RTS
Revised Trauma Score

Components of RTS
GCS
Systolic blood pressure
Respiratory rate

GCS
Glasgow Coma Scale

closed-ended questions a question requiring only a “yes” or “no” answer. crepitation the grating sound or feeling of broken bones rubbing together. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my …

Body mechanics The proper use of the body to faciliate lifting and moving to prevent injury Power lift A lift from a squatting position with weight to be lifted close to the body, feet apart and flat on the ground, …

Airway The passageway by which air enters and leaves the body. bronchoconstriction the contraction of smooth muscle that lines the bronchial passages that results in decreased internal diameter of the airway and increased resistance to airflow WE WILL WRITE A …

Contamination The introduction of dangerous chemicals, disease, or infectious material into an area or persons which has not been previously affected by said agent. Critical Incident Stress Management A comprehensive system that includes education and resources to both prevent stress …

auscultation listening. A stethoscope is used to auscultate for characteristic sounds. blood pressure the force of blood against the walls of the blood vessels. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE …

Abdominal Quadrants Four divisions of the abdomen used to pinpoint the location of pain or injury. Anatomic Position The standard reference position for the body in the study of anatomy. In this position, the body is standing erect, facing the …

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