Inital TNCC Assessment
Primary Assessment Correct Answer: A-Airway with Cspine protection,B-Breathing, C-Circulation, D-Disability, E-Expose(remove clothing/Enviroment (keep warm)
Secondary Assessment Correct Answ
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Inital TNCC Assessment
Primary Assessment Correct Answer: A-Airway with Cspine protection,B-Breathing, C-Circulation, D-Disability, E-Expose(remove clothing/Enviroment (keep warm)
Secondary Assessment Correct Answer: F-Full, Focused, Family, G-Give comfort, H-History, Head to toe, I-Inspect posterior
Complete Spinal Immobilization inlcudes Correct Answer: Application of a rigid cervical collar, placing the pt on a backboard and appropriate strapping to board. (2nd assessment)..
Where do you auscultate breath sounds? Correct Answer: At the 2nd intercostal space midclavicular line and the at the 5th intercostal space at the anterior axillary line.
Late signs of breathing compromise are Correct Answer: Tracheal Deviation and Jugular Vein distention.
What does AVPU stand for in the neurological Disability assessment? Correct Answer: A: Alert- is pt alert and responsive.
V: Verbal- do they respond to verbal stimuli
P: Pain-Responds to painful stimulus.
U: Unresponsive.
(also check GCS score and pupils )
Things to assess for airway obstruction. Correct Answer: -Vocalization (crying moaning)
-Tongue obstructing the airway.
-Loose teeth or foreign objects.
-Blood, vomitus, secretions
-Edema.
What are the assessments for Breathing? Correct Answer: Spontaneous breathing, rise and fall of chest, rate and pattern of breathing, Skin color, Intergrity of chest wall (soft tissue and bony structures), Bilateral breath sounds.
After ET tube placement you must. Correct Answer: Observe for the rise and fall of the chest with bag-valve ventilations.
Auscultate over the epigastric area AND then asucultate bilateral breath sounds
Use exhaled CO2 deterctor.
When you assess for circulation you Correct Answer: Assess central pulses, note obvious signs of bleeding and LOC, look for vein distention.
Inspect and Palpate skin:
Assess for color (pale, pink), Temperature (warm, cold)
Moisture (Dry, Moist), Capillary refill.
What is the MIVT way to obtain history from prehospital personel? Correct Answer: M- Mechanism of injury
I- Injuries sustained
V-Vital signs
T-Treatment given.
What are the Circulation interventions. Correct Answer: Place TWO large bore IVs, give warmed solutions, (at this time you can take labs), stop bleeding and place pressure to sites. Give blood if needed after type and cross has been established.
What is done during the Expose/Environment assessment. Correct Answer: Remove clothing, keep patient warm prevent hypothermia change room temperature, follow contact precautions, environmental hazard exposure, decontaminate.
What does the F stand for in the secondary assessment. Correct Answer: Full set of V/Ts, Focus assessments, Family demographics (Language, culture, spiritual needs, needs of family) Five interventions ( Cardiac monitor, Pulse Ox monitor, Urine cath, GT placement, Labs)
What do you do when you Give comfort? Correct Answer: Touch, talk, reassure, pain management to both conscious and unconscious patient
What do you obtain during family history? Correct Answer: Past medical history, Medications, Past hosptial admissions, surgeries, allergies.
What do you do during Head to toe assessment? Correct Answer: Check every thing again, also check for bleeding, ROM, bony deformities, bowel sounds, inspect and palpate abdomen.
What do you do during Inspection? Correct Answer: Inspect posterior surface by careful log rolling preferably away from the inspector. Note back, flank, spine, back of legs arms, Palpate and inspect spine, inspect anus for bleeding.
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