trauma POS 3 patient status

cool clammy skin, and excessive sweating diaphoresis

signs of shock. report if other symptoms of shock are present

slurred speech

sign of head injury, stroke, drug or ethanol influence

report if accompanied by vomiting especially if it stops when patient is put in another position

agitation or confusion

sign of head injury, drug or ethanol influence report if accompanied by vomiting especially if it stops when patient is put in another position

vomiting without abdominal complaints (hyperemesis)

head injury, hyperglycemia, drug or ethanol overdose

report if patient position abruptly stimulates or stops vomiting

increased drowsiness (lethargy)

shock, head injury, hyperglycemia

report if other symptoms of shock present or accompanied by vomiting

loss of consciousness (unresponsive to voice or touch)

head injury shock hyperglycemia

report immediately

pale or bluish skin pallor (cyanosis)

airway compromise hypovolemic shock

report immediately

bluish nail beds

circulatory compromise

report immediately

patient complains of thirst

shock hyperglycemia hypoglycemia report if other signs of shock present

patient complains of tingling or numbness (parasthesia) or inability to move a limb

spinal cord injury or peripheral nerve impairment. accompanied by any symptoms of shock or altered consciousness then report

seizures

head injury report immediately

patient says they can’t feel your touch

spinal cord injury. peripheral nerve impairment report if accompanied by signs of shock or altered consciousness

extreme eversion of foot

fracture of proximal femur or hip joint report if x ray requests frog leg surgical lateral should be done instead. look for adominal size and firmness.

increasing abdominal distension and firmness to palpation

internal bleeding from pelvic fx or organ laceration. report immediately