Surgical airway access may be necessary if there are the oral route fails or there is a facial injury that prevents oral intubation (such as fractures, penetrating objects etc.). The primary survey consists of 5 steps (ABCDE approach) that are performed in order. The Primary Survey is a tool developed to allow those caring for trauma patients to prioritize injuries. “There is a golden hour between life and death. Injuries can take the form of lacerations, broken teeth, and penetrating items; as well as some not so visible injuries such as burns around the mouth, which can lead one to believe there may be an airway burn injury, or blistering in the mouth, which may be from caustic agents being inhaled/swallowed. Emergency nursing management of the multiple trauma patient Orthop Nurs. Rapid effective intervention of the trauma patient by definitive care is necessary if the patient stands any chance of surviving. Multiple Trauma / nursing* Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. If the presence of a pneumo or hemothorax is detected then intervention must be done, generally in the form of needle thoracostomy, before the assessment continues. During this period the patient should have some sort of vascular access started to allow for the infusion of fluids and medications. Those injuries identified in the Primary Survey will be the most life threatening. �����G�}��Ψ��m�͚6���_�(&Q*���.��Q��!��Z��n.��a�Zگp����L#�&�6����E�=���d%����^Oy�w�G��$�T�ko���Y��:�c�AZ��؇kj����:{��5 �%H�:�t��&p�>u�Y}�U:�:[��:��Nj0��F )2���/�x9:S"�f�.�J��@hm �Y��%���k��(\�̔meWY酕�>��KTYSxƝ��m�z��tA��+� o����5Z��b��5@���mk�:V�穐v��@(���$�[�?�5$T���'�0V��Q� g��k�����}ʢt�}|��\�S�Ʊ�:�;S6�G�BH٧��+�Z�E�=W*ŭ�>�JH�;����ڛ�W��)��2�^;���T�;&�h-#����'��L�'�v���d�a�ED^Cr��9�zE���_`Zۉ�)��+-�'�p⬔H��(л(����7���wp���N��{R#�V����=�˜��~Wz� ��9�eB&{H�Z�\+O���b�N&�K����� Exposure is next as far as priorities go, however it can and should be accomplished early on to avoid missing potential injuries. Airway is always assessed first when you make contact with a patient. The assessment phase begins with an initial survey of the patient followed by a rapid trauma assessment that hits on the most obvious and most life threatening injuries first. Depending on condition, the nurse will conduct tertiary surveys, focusing on specific areas of interest that the nurse did not address during the initial survey. Once life-threatening injuries have been managed, the patient will start to receive more definitive treatment, including surgery, chest tube placement and others. Tones blare, men and women clamber out of their beds, adrenalin surging to critical levels; they rush to their vehicles and tear off into the night. This may be done to some degree while still on a backboard but can only be fully completed once cervical spine stabilization is in place and a proper log roll can be accomplished. These abnormalities are some of the most common abnormalities on a trauma patient and care should be taken to make sure the patient’s body is checked thoroughly, including the back of the patient. 5). The E in ABCDE can also be used for environment, which is something that cannot be overlooked even in the initial stages of treatment. I will end with the quote I started with, “There is a golden hour between life and death. H��Wݏ��ljK�-��GQ'�)"\K���7[�q��A�����C����άȻ��ę��������Y��ng���۬�Mm�G�����w�g��v-̘f��qy��@��6�]8�;�mYTy������n���޾���3�U�[�~�b������o��?>͚���N��z�eM�=V@���C�v[嶵�ml볲�۾�}����s38��_`��Ǚ�����4ۦ(��)�������/��W�5~E~��ڢ�߮5��߳wB��m������n�t���>kiKD �ڮ@{V%�����['z���\׻}w��i�?��������O[dy��C�d�*J;���%1����Ⱥ��pl2��E�5{�\���S’#�i����������]n���������гfV��������+���7�������%�O�(0x This assessment will also involve documenting a patient’s history, history of the present illness, mechanism of injury. 11th Feb 2020 This is not an example of the work produced by our Nursing Essay Writing Service. For the majority of trauma patients, IV access will consist of two large bore IV catheters to facilitate the rapid infusion of volume expanding crystalloids such as 0.9% NaCL or Ringer’s Lactate or if the amount of volume loss necessitates it, to infuse uncrossed O-pos blood. 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