Trauma Assessment

San Diego Miramar EMT Program
26 Feb 202008:32

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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Mindmap

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Keywords

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Highlights

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Transcripts

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Ähnliche Tags
Emergency ResponseTrauma ManagementEMT TrainingPatient AssessmentFirst AidGunshot WoundMedical ProtocolsCritical CareFirst ResponderEmergency Medicine
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