Trauma Assessment
ABCDE - answer--A. Airway: airway maintenance and cervical spine
B. Breathing: labored or adequate (Lung Sounds)
C. Circulation:
... [Show More] impaired or adequate
D. Disability: neurological status
E. Expose: quick scan
Glasgow Coma Scale - answer--The GCS is scored between 3 and 15, 3 being the worst, and 15 the best. It is composed of three parameters : Best Eye Response, Best Verbal Response, Best Motor Response
Best Eye Response 4 - answer--No eye opening.
Eye opening to pain.
Eye opening to verbal command.
Eyes open spontaneously
Best Verbal Response 5 - answer--No verbal response
Incomprehensible sounds.
Inappropriate words.
Confused
Orientated
Best Motor Response 6 - answer--No motor response.
Extension to pain.
Flexion to pain.
Withdrawal from pain.
Localizing pain.
Obeys Commands
A Coma Score of 13 or higher - answer--mild brain injury
a coma score of 9-12 - answer--moderate brain injury
a coma score of 8 or less - answer--severe brain injury
Secondary survey : FGHI - answer--F: Full set of VS, focused adjuncts, family
G: Give comfort measures
H: Head to toe assessment/ History
I: Inspect posterior surfaces
DCAP-BTLS - answer--
AMPLE - answer--A: Allergies
M: Medications currently used
P: Past illness/Pregnancy
L: Last meal
E: Events/Environment related to the injury
Re-evaluate constantly / definitive Care
head assessment - answer--DCAP-BTLS
ears assessment - answer--DCAP-BTLS
+ drainage
eyes assessment - answer--DCAP-BTLS + Discoloration
Unequal pupils
Foreign bodies
Blood
Nose and mouth assessment - answer--DAP-BTLS + Loose teeth
Obstructions
Swelling
Lacerations
Odors
Discoloration
Drainage
Bleeding
neck assessment - answer--DCAP-BTLS + Jugular Vein
Distention and Crepitation
chest assessment - answer--DCAP-BTLS + Crepitation and
Breath Sounds (Presence and Equality)
Listen to both sides of the chest. Is air entry
present? Absent? Equal on both sides?
Compare left side to right side.
abdomen assessment - answer--DCAP-BTLS +
Firmness and Distention
pelvis assessment - answer--DCAP-BTLS
(Compress Gently)
extremeties - answer--DCAP-BTLS + Distal
Pulse, Sensation, Motor Function [Show Less]