The document discusses the initial assessment and management of trauma and burn patients. It covers the primary and secondary surveys, with a focus on airway, breathing, circulation, and exposure. Key steps in trauma resuscitation include rapid sequence intubation, needle decompression for tension pneumothorax, and fluid resuscitation. The document also discusses hemorrhagic shock evaluation and algorithms, as well as burn depth, extent, and resuscitation guidelines such as the Parkland formula.
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Ed...
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1. Initial Assessment of the Trauma and Burn Patient Don Reiff, MD Assistant Professor, Section of Trauma/Burns/Critical Care Surgery Clerkship Director
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23. Approach to the Evaluation of Shock ABC’s Intubate Tachycardic/hypotensive/ hypoxic w/ absent BS Needle decompression w/ concurrent fluid resuscitation No rush of air/vital signs show no improvement “ Non-responder” Go through check list of etiologies
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25. Approach to the Evaluation of Shock Primary survey Needle decompressed/volume resuscitation Non-responder - Sepsis - Cardiogenic - Neurogenic - Obstructive Eliminated CXR has ruled out Tension pneumothorax Use ultrasound to rule out pericardial tamponade All that remains is hypovolemic/hemorrhagic shock
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