What are the step to controll epistaxis
Sitting position, leaning forward and pinch the nostrils together.
Signs and symptoms of a pt you suspect internal bleeding
Pain and distentionSwellingTachycardiaHypotensionHematoma beneath the skinOther signs includeHematemesisMelenaHemoptysisPain,tenderness bruising, guarding, swellingBroken ribs
What are the different characteristics of bleeding
Bleeding from an open artery is brighter red ( high oxygen ) and spurts in time with the pulseBlood from an open vein is darker ( low oxygen ) and flows steadilyBleeding from damaged Capillary vessels is dark red oozes from a wound steadily but slowly
Compensation of shock (pg 684)
Low BpIrreversible shock is a terminal sign of shock
Pneumatic antishock garment Used if the pt has inujuries to the lower extremities or pelvis as a splinting device.To stabilze fractures of the pelvis and proximal femursTo control significant bleeding associated with fractures of the pelvisTo control massive soft tissue bleeding of the lower extremities when direct pressure is not effective
use nothing narrow ( use the opposite )
First signs of hypoperfusion
For a pt with severe trauma where do you take them?
Trauma Center WITH A SURGEON
How do you treat a pt with a penetrating hand wound?
Immobilize and transport
When you put an occlusive dressing how many sides should you tape down?
What are the two layers of skin
Epidermis and the dermis
A heavy item fell on a pt, eyes blood shot
IF a dressing soaks threw?
Apply additional dressing over the soaked dressing and bandage.
Name 3 open wounds
Evisceration, laceration, avulsion, abrasion
If you find a pt that has fell and has fractures, whats the first thing we do?
Whats after C-spine, ABC,...
Control bleeding, add oxygen
Before and after adding something to the body
we splint above and below injury
Wheres the humerus on your arm
pt with a pelvic fracture
All of the above
Someone with a injured shoulder
Use a sling to immobilize and secure with a triangular bandage
What is indirect and direct force?
Example if you fall and you put your hand out to break the fall and fracture your forearm, that is indirect
Complication of bone fracture
Bleeding, swelling and nerve damage
What are the benefits of splinting?
Prevents further damage to the muscles, the spinal cord, peripheral nerves and blood vessels from broken bone endsReduces pain, and makes it easier to transport
Whats the best way to package a motorcycle accident
Scoop and run, splint in route
Whats the function of smoothe muscle
You should consider and know what happens if you put a C-collar that is to large?
Could allow further to occur
Sequence for securing straps to a backboard
Torso, legs and head
Where do the ribs lay in the section of the spine?
On a motor vehicle collision, what are possible injury
Head, spine and abdominal cavity for internal injuries
When someone falls when would you assess the GCS
Whats the lower part and upper part of the jaw
Mandible and maxilla
Head injury, how do your vitals indicate
high blood pressure, pulse bradycardia
Left side of the brain effects what side of the body?
What does a skull fracture involve
Facial bones include skull fracture
What is degloving?
Skin is torn and flesh leaving the bone, also happens in the skull.
You find someone in a car with a dead passenger
A bull stepped on a cowboy, what is your first action?
Amputated leg, whats the first thing you do?
Someone involved in an explosion
All of the above
What is a Trauma score for>?
all of the above
Know about burns and who should get transported first
Children and elderly
Unconscious pt in the grass laying prone
ABC, you can listen for breath sounds before rolling over
Pt laying on the back unconscious with a helmet
C-spine, abc, leave helmet in place to start