Radiology Unit 2

Emergency

An emergency is a serious unexpected event that demands immediate attention

Level 1 - Trauma Unit

Helicopter rescue, radiology, fluoroscopy, CT, MRI, nuclear medicine, angiography, sonography, neurologic care, highly trained support - surgeons, physicians

Level 2 - Trauma Unit

ED physicians 24 hr duty, trained nurses, radiology, surgicial, fluoroscopic, angiography, CT, MRI, patients can be transferred to level 1

Level 3 - Trauma Unit

Smaller community hospitals, ED physicians and radiology on call at night, can be transferred to level 2 or 1

Golden Hour

Stabilizing the trauma patient within the first hour after the accident

What three assessments are there for golden hour?

Cardiac, Respiratory, Vertebral Fracture

What imagining is primarily for trauma patients?

Primarily CT

Chest, pelvis, lateral cervical spine - radiology

STAT

30 mins

ASAP

2 hours

Routine

12 hours

Triage

process of identifying victims, initial examination and assigning priorities for futher care

Emergency Code - RED

FIRE

Emergency Code - BLUE

Cardiac arrest, cessation of respiration

Emergency Code- ORANGE

Hazardous material spill

Emergency Code- GREY

Combative person

Emergency Code- Silver

Weapon or hostage

Emergency Code - AMBER

Infant/Child abduction

Emergency Code- YELLOW

Internal/External Disaster

Emergency Code- RAPID RESPONSE

Team response for deteriorating medical condition

Emergency Code- TRAUMA TEAM

Team response for trauma patients

Emergency Code- CLEAR

Resolved

Name some things on emergency carts (crash carts) ?

Board, Stethoscope, defibrillator, blood pressure, syringes or needles, chest compression

Nasal Cannula

Simple and most frequently used for long term oxygen administration

Simple face mask

Short term, uncomfortable, provide oxygen and humidity

Non-rebreathing mask

Attached reservior bag, 100% oxygen

Partial rebreathing mask

Allows some exhaled air to enter the bag, oxygen = 40%-70%

High flow mask

Venturi mask, oxygen = 24%-60% for patients with COPD

Tent

Higher rate of humidity and oxygen, pediatric department for children

Tracheostomy

opening in trachea and tube inserted which allows air to bypass nose and mouth

Intubation

ET tube (ETT), tube passed through oral cavity into trachea

Ventilator

Respiratory device, controls respiratory rate, volume of inspiration rate, and oxygen content

Moving 02 from tank to wall

Maintain flow rate

Check flow meter

Both valves must be turned on

Under no circumstances should oxygen be completed removed