Rapid Trauma Assessment, Focused History and Physical Exam: Difference between revisions
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* '''SOFT-TISSUE / MUSCULOSKELETAL:''' | * '''SOFT-TISSUE / MUSCULOSKELETAL:''' | ||
Inspect and palpate for signs of injury. Assess vascular, motor and sensory function distal to injuries. Immobilize limbs and / or joints as indicated. | Inspect and palpate for signs of injury. Assess vascular, motor and sensory function distal to injuries. Immobilize limbs and / or joints as indicated. | ||
* '''MEDICATIONS:''' | |||
Document detailed list of patient medications. If patients are currently on blood thinners, strong consideration should be made for transport to nearest trauma center. | |||
* '''REASSESS AND RECORD VITAL SIGNS''' every 5-10 minutes. | * '''REASSESS AND RECORD VITAL SIGNS''' every 5-10 minutes. | ||
[[Category:Primary Care|0203]] | |||
Latest revision as of 21:10, 31 January 2018
Section 2 - PRIMARY CARE
2.03 RAPID TRAUMA ASSESSMENT
FOCUSED HISTORY AND PHYSICAL EXAM
RAPID ASSESSMENT, HISTORY, PHYSICAL EXAM, AND INTERVENTIONS:
- NEURO:
Assess mental status. Check for presence of symmetrical sensory and motor function.
- HEAD:
Inspect and palpate the head and face. Note any drainage from the ears or nose. Check for symmetry.
- EYES:
Re-inspect pupils for size, shape, equality and reactivity. Note extraoccular motion vs. deviations. Note any trauma to eye, lids or orbits.
- NECK:
Total spinal immobilization as indicated. Check for point tenderness. Note presence of carotid pulses, JVD, subcutaneous emphysema and tracheal deviation prior to applying collar.
- CHEST:
Inspect, auscultate, and palpate for signs of injury. For suspected rib fracture, ask the pt. to cough.
- ABDOMEN:
Inspect and palpate for signs of injury. If evisceration, cover with sterile moist saline dressings. Do not remove penetrating objects.
- SOFT-TISSUE / MUSCULOSKELETAL:
Inspect and palpate for signs of injury. Assess vascular, motor and sensory function distal to injuries. Immobilize limbs and / or joints as indicated.
- MEDICATIONS:
Document detailed list of patient medications. If patients are currently on blood thinners, strong consideration should be made for transport to nearest trauma center.
- REASSESS AND RECORD VITAL SIGNS every 5-10 minutes.