Examination of the trauma patient

Heart rate and blood pressure
Temperature and blood glucose levelsAMPLET historyAre the vital signs normal?Airway and C-spine controlC-spine control
Airway patency:



– stridor



– speech



– foreign bodies



– facial/laryngeal fractures

C-spine immobilisation
Oxygen
Chin lift or jaw thrust
Suction or Magill’s forceps
Airway adjunct
Definitive airwayAirway compromise:


– not patent



– not maintained



– not protected

ABGC-spine x-ray (AP & lateral)Is the airway patent?
Is the C-spine immobilised?Breathing and ventilationInspect:


– cyanosis and accessory muscle use



– chest movement



– sucking chest wounds



– misting of O2 mask

Palpate:


– tracheal position



– surgical emphysema



– chest wall tenderness



– chest expansion

Percussion: dullness or hyper-resonance
Auscultate: air entryHigh-flow oxygen (15L)
Bag-valve mask ventilation
Needle decompression and/or chest drain insertion
Cover chest wall defects with an occlusive dressingApnoea

Impaired breathing
Feb 18, 2017 | Posted by in GENERAL SURGERY | Comments Off on Examination of the trauma patient

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