Trauma Assessment

head to toe assessment

List DCAP

Deformities

Contusions

Abrasions

Penetrations

List BTLS

Burns

Tenderness

Lacerations

Swelling

List TIC

Tenderness

Instability

Crepitus

HEAD:

Blood sweeps

Palpate facial bones

Ears: battle signs, blood? halo test

Eyes: PERRL? raccoon eyes, redness, contact lenses

Nose: blood? If so check for CSF

HEAD: What can be done?

Halo test, remove contacts, blood sweep

Neck Assessment

Step offs

JVD

Tracheal Deviation

Subcutaneous Emphysema

Soma

Medical tag

How should a tracheal deviation be treated?

Bulky dressing

What should be noted for the neck

Step off, stoma, Medical Tag, JVD, Subcutaneous Emphysema (air under skin)

Chest Assessment

Shoulder Stability: push down then in

Sucking chest wounds

Subcutaneous Emphysema

Auscultate

Flail Chest

Paradoxical motion

Barrel Hoop and Sternal Rock( Don’t do if flail chest/ paradoxical motion is present)

How do you treat Flail Chest?

Bulky dressing

How to check and treat shoulder stability

Push down then in and sling

Abdomen Assessment

Palpate clockwise avoiding lacerations/ eviscerations

DR. GERM

Distention

Rigidity

Guarding

Evisceration

Rebound Tenderness

Pulsating Masses

What can be treated from DR. GERM

Evisceration

Pelvic Assessment

P: Priapism

I: Incontinence

G: Genital Bleeding

This is done during Pelvic Assessment

Palpate for open book injury

Palpate for Pelvic Stability: push down then in

Not Stable* pelvic binder

Upper/ Lower Extremities

Bilateral PMSC's

“if patient is unconscious only cap refill and pulse”

Back Assesment

IG: incontinence (loss of bladder control)

Step-offs

Blood Sweep

Auscultate

Exit Wounds