Trauma Skills Test

name the generalized steps of doing a trauma assessment

BSI/PPE, scene size up (general impression/PENMAN), primary, H/X taking, secondary, reassessment

how to assess the airway

open airway through head-tilt chin lift/jaw thrust and insert adjunct as indicated

what 4 things are you assessing in breathing

breathing, adequate ventilation, initiating appropriate O2 therapy, manage any injury compromising breathing/ventilation

what 4 things are you assessing for in circulation

pulse, skin, controlling any major bleeding, shock management

what do you have to do after checking ABCs

identify patient priority and make treatment/transport decision

what to do during h/x taking

baseline vital signs (B/P, P & R) and SAMPLE

what to inspect in secondary assessment

head, neck, abd/pelvis, legs, arms, back/butt

what do you inspect for the head

SEI (scalp/ears for any blood/fluid, eyes PERL, inspect facial, oral, nasal area)

what do you inspect for the neck

TJC (tracheal deviation, JVD, cervical spine (step off))

what to inspect for chest

IPA (inspect, palpate, auscultate)

what are you looking for when you inspect the chest

bruising, scarring, flail

what are you looking for when you palpate the chest

barrel hoop, point tenderness, equal expansion

what to inspect for abdomen/pelvis

DRGERM as well as inspecting and palpating and verbalizing assessment of genitalia/perineum as needed

how do you assess the pelvis

barrel hoop/incontinence

how to check legs and arms

IP-CSM (inspect, palpate, CSM)

what to inspect for the back/butt

inspect and palpate posterior thorax, lumbar, and buttocks

after the secondary assessment, what do you do during reasssement

demonstrate how and when to reassess the patient AND obtain second set of v/s and compare baseline