Wednesday, October 30, 2013
Revised Trauma Score
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Vital Signs
Quick Study Guide
for Vital Signs
Vital Signs
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Pulse
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Respiration
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Skin color, temperature, condition
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Pupils
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Blood pressure
SAMPLE History
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S—Signs and symptoms
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A—Allergies
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M—Medications
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P—Pertinent past history
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L—Last oral intake
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E—Events leading to the injury or illness
Trauma Assessment
Quick Study Guide
for Trauma Assessment
Focused History and Physical Exam—Trauma with No
Significant Mechanism of Injury (MOI)
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Reconsider the MOI.
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Determine the chief complaint.
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Perform a focused physical exam.
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Obtain baseline vital signs.
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Take a SAMPLE history.
DCAP-BTLS
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D—Deformities
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C—Contusions
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A—Abrasions
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A—Punctures/Penetrations
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B—Burns
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T—Tenderness
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L—Lacerations
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S—Swelling
Focused History and Physical Exam—Trauma with a
Significant Mechanism of Injury (MOI)
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Reconsider the MOI.
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Continue manual stabilization of the head and neck.
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Consider requesting advanced life support.
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Reconsider transport decision.
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Reassess mental status.
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Perform a rapid trauma assessment.
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Obtain baseline vital signs.
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Take a SAMPLE history.
Rapid Trauma Assessment
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Head
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Neck (apply cervical collar)
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Chest
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Abdomen
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Pelvis
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Extremities
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Posterior body (immobilize to a backboard)
Detailed Physical Exam
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Repeat initial assessment.
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Complete all critical interventions.
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Head
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Neck
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Chest
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Abdomen
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Pelvis
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Extremities
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Posterior body
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Reassess vital signs.
Medical Assessment
Quick Study Guide
for Medical Assessment
Focused History and Physical Exam—Responsive Medical
Patient
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History of the present illness
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SAMPLE history
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Focused physical exam
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Baseline vital signs
OPQRST
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O—Onset
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P—Provokes
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Q—Quality
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R—Radiation
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S—Severity
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T—Time
Focused History and Physical Exam—Unresponsive Medical
Patient
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Perform a rapid physical exam.
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Obtain baseline vital signs.
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Consider request for advanced life support.
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