Trauma Assessment
Summary
TLDRIn this trauma assessment simulation, an EMT named Mark evaluates a young female patient, Lily, who has suffered a gunshot wound to the chest. The assessment includes checking for life threats, administering oxygen, and performing a thorough head-to-toe examination. Mark identifies critical injuries, applies appropriate dressings, and monitors vital signs while preparing for transport to a trauma facility. The interaction emphasizes the importance of quick decision-making, teamwork, and continuous reassessment in emergency medical situations, showcasing the EMT's skills and protocols in a high-pressure scenario.
Takeaways
- 😀 The scenario involves assessing and managing a trauma patient who has sustained a gunshot wound.
- 😀 Scene safety is the first priority before approaching the patient.
- 😀 Initial assessment includes forming a general impression of the patient and obtaining a history.
- 😀 The patient exhibits a sucking chest wound, requiring immediate intervention with an occlusive dressing.
- 😀 Rapid, labored breathing is noted, and oxygen is administered via a non-rebreather mask.
- 😀 A physical blood sweep is conducted to identify any additional bleeding.
- 😀 Vital signs are critical for determining the patient's stability, including pulse and skin condition.
- 😀 A head-to-toe assessment is performed, looking for signs of injury or trauma throughout the body.
- 😀 The Glasgow Coma Scale (GCS) is used to assess the patient's level of consciousness.
- 😀 Continuous monitoring and reassessment are essential as the patient is transported to a trauma facility.
Q & A
What is the initial situation described in the transcript?
-The transcript describes an EMT responding to a report of an adult female patient who was shot in the chest during an altercation.
What precautions are taken before assessing the patient?
-The EMT ensures that the scene is safe and has a partner maintain manual inline stabilization of the patient's head and neck.
How does the EMT assess the patient's level of consciousness?
-The EMT asks the patient her name, location, and what happened to assess her orientation.
What significant injury is discovered during the assessment?
-The EMT finds a sucking chest wound on the right lateral chest of the patient.
What immediate treatment is provided for the sucking chest wound?
-The EMT applies pressure to the wound and prepares a three-sided occlusive dressing to seal it.
What were the patient's vital signs during the assessment?
-The patient had a blood pressure of 70/40, a heart rate of 118, a respiratory rate of 20, and an oxygen saturation of 92%.
How is the patient's breathing assessed?
-The EMT observes rapid, labored, but effective breathing and places the patient on high-flow oxygen via a non-rebreather mask.
What does GCS stand for, and what was the patient's score?
-GCS stands for Glasgow Coma Scale, and the patient scored 15, indicating she was fully conscious and responsive.
What are the steps taken during the head-to-toe assessment?
-The EMT inspects and palpates various body areas, checking for deformities, tenderness, or other injuries.
How does the EMT ensure patient safety during transport?
-The EMT plans to reassess the patient every five minutes for level of consciousness, vital signs, and effectiveness of treatments.
Outlines
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