Trauma Assessment

ESI Triage
Trauma Assessment

Disturbing pictures are coming up later!

ESI Triage

5 Levels

ESI 1-Life saving requirements

ESI 2-Sick but not requiring Lifesaving measures

ESI 3- 2 or more resources

ESI 4-1 resource

ESI 5-No resource

Open Ended

What is the difference of ESI 1 and a Level 1 Trauma?

​I said it wrong in Panopto!

Drag and Drop

During the 'Circulation' stage of the primary survey in trauma assessment, which of the following actions are typically involved? (Select all that apply)​

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Drag these tiles and drop them in the correct blank above

Checking pulse

IV access

initiating fluid resuscitation

Adminster oxygen

Assess skin color and temperature

Imediate closing of wounds with sutures or staples

Airway
Breathing
Circulation
Disability
Exposure

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Primary Survey

Multiple Choice

Based on those pictures, what action needs to be done at this time?

Vital Signs: HR 118, BP 138/88, RR 22, O2 Sat 98% Room Air, Temp 98.8

GCS 15

• Airway protection and intubate

• Initiate transfusions for hemorrhaging

• Lie the patient flat and put in C-Spine Precautions

• Finishing primary survey and moving on to Secondary Survey

Multiple Choice

If you find that a trauma patient's airway is compromised, what is the most appropriate initial action?

• Administer oxygen.

• Perform a jaw thrust maneuver.

• Prepare for immediate intubation.

• Check for neck injuries.

Multiple Choice

When does the Secondary Survey begin?

• Once the primary survey is completed.

• Once vital signs are stable and resuscitation is complete

• Once the patient is exposed and IV fluids initiated

Secondary Survey

Secondary Survey

Full set of Vitals, Family, & other adjuncts

​Other adjuncts:
Fast, X-rays, CTs, Labs, and any other tests or procedures the doctor wants at this time.

Secondary Survey

Give comfort measures
History and Head-to-Toe Assessment
-SAMPLE
Inspect posterior surface
-Log Roll patient!!!!

• Symptoms

• Allergies

• Medications

• Past med Hx

• Last meal

• Events leading to the injury

Open Ended

What activities in the past have you done in class that you enjoyed and felt like you really learned from?