ABCDE Correct Answer: A. Airway: airway maintenance and cervical spine
B. Breathing: labored or adequate (Lung Sounds)
C. Circulation: impaired or
... [Show More] adequate
D. Disability: neurological status
E. Expose: quick scan
Glasgow Coma Scale Correct 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 Correct Answer: No eye opening.
Eye opening to pain.
Eye opening to verbal command.
Eyes open spontaneously
Best Verbal Response 5 Correct Answer: No verbal response
Incomprehensible sounds.
Inappropriate words.
Confused
Orientated
Best Motor Response 6 Correct Answer: No motor response.
Extension to pain.
Flexion to pain.
Withdrawal from pain.
Localizing pain.
Obeys Commands
A Coma Score of 13 or higher Correct Answer: mild brain injury
a coma score of 9-12 Correct Answer: moderate brain injury
a coma score of 8 or less Correct Answer: severe brain injury
Secondary survey : FGHI Correct 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 Correct Answer:
AMPLE Correct 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 Correct Answer: DCAP-BTLS
ears assessment Correct Answer: DCAP-BTLS
+ drainage
eyes assessment Correct Answer: DCAP-BTLS + Discoloration
Unequal pupils
Foreign bodies
Blood
Nose and mouth assessment Correct Answer: DAP-BTLS + Loose teeth
Obstructions
Swelling
Lacerations
Odors
Discoloration
Drainage
Bleeding
neck assessment Correct Answer: DCAP-BTLS + Jugular Vein
Distention and Crepitation
chest assessment Correct 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 Correct Answer: DCAP-BTLS +
Firmness and Distention
pelvis assessment Correct Answer: DCAP-BTLS
(Compress Gently)
extremeties Correct Answer: DCAP-BTLS + Distal
Pulse, Sensation, Motor Function
posterior Correct Answer: DCAP-BTLS
sizing cervical collar Correct Answer: 1. measure pt neck
2. measure collar
3. kneel at pt head
4. stabilize head and neck
5. maintain stabilization, assess CMS
6. slide back of collar under pt's neck
7. secure collar
8. maintain manual stabilization
9. prepare and position device
10. move patient onto board, apply padding to voids
11. secure body, then head [Show Less]