Emergencies Megan McClintock, MS, RN Fall 2011. Primary Survey Airway with cervical spine stabilization and/or immobilization Airway with cervical spine.

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Presentation transcript:

Emergencies Megan McClintock, MS, RN Fall 2011

Primary Survey Airway with cervical spine stabilization and/or immobilization Airway with cervical spine stabilization and/or immobilization Intubation, c-collar Intubation, c-collar Breathing – different than having an airway Breathing – different than having an airway 100% oxygen via non-rebreather mask 100% oxygen via non-rebreather mask Circulation – hemorrhage, pulses, cap refill, Circulation – hemorrhage, pulses, cap refill, Insert IV lines, apply pressure to bleeding, blood typing Insert IV lines, apply pressure to bleeding, blood typing Disability – brief neuro exam, LOC, GCS, pupil response Disability – brief neuro exam, LOC, GCS, pupil response Exposure/Environmental Control – remove all clothing to better observe Exposure/Environmental Control – remove all clothing to better observe Provide privacy, limit heat loss Provide privacy, limit heat loss

Secondary Survey Full set of vital signs/Focused adjuncts/Facilitate family presence Full set of vital signs/Focused adjuncts/Facilitate family presence Vital signs Vital signs Focused adjuncts – ECG, O2 sat monitor, CXR, urinary catheter, NG tube, labs, diagnostic studies, tetanus Focused adjuncts – ECG, O2 sat monitor, CXR, urinary catheter, NG tube, labs, diagnostic studies, tetanus Facilitate family presence Facilitate family presence Give comfort measures – treat pain, listen Give comfort measures – treat pain, listen History and Head-to-Toe assessment History and Head-to-Toe assessment Inspect posterior surfaces Inspect posterior surfaces

Heat- Related Emergencies

Cold-Related Emergencies

Submersion Injuries

Stings & Bites

Poisonings

Violence

Terrorism

Mass Casualty Triage