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Trauma Patient Assessment Guide

Feb 28, 2025

EMT Trauma Patient Assessment and Management

Introduction

  • Purpose: Evaluate ability to assess and manage trauma patients.
  • Scenario: 24-year-old female ejected from a motor vehicle.
  • Time: 10 minutes to complete assessment.

Initial Steps

  • Scene Safety: Confirmed safe.
  • Mechanism of Injury: Ejection from a vehicle.
  • Patient Status: Solo patient, request ALS intercept, take full C-spine precautions.

Primary Assessment

  • General Impression: 24-year-old female, ejected from vehicle.
  • Level of Consciousness: Responds to painful stimuli.

Airway and Breathing (ABCs)

  • Airway: Patent, no obstructions.
  • Breathing:
    • Rate: 30 breaths per minute
    • Lung Sounds: Decreased breath sounds on the left side
    • Action: Apply high-flow O2 via non-rebreather

Circulation

  • Pulse: Weak radial pulse at 130 beats per minute
  • Bleeding: Minimal, noted on lower leg
  • Skin Condition: Pale, cool, diaphoretic
  • Action: Treat for shock, prioritize transport

Secondary Assessment

  • History: Unable to obtain due to patient's unconsciousness.

Head to Toe Examination

  • Head/Face: Pupils equal and reactive to light, no ear fluid.
  • Neck: No jugular venous distention (JVD) or tracheal deviation.
  • Chest: Stable on palpation, painful response.
  • Abdomen: Soft, non-tender.
  • Pelvis: Stable.
  • Legs:
    • Upper legs: Painful on palpation
    • Lower leg: Deformity noted
    • Pedal pulses present
  • Arms: Circulation present at wrists.

Management of Secondary Injuries

  • Breath Sounds: Monitored with oxygen.
  • Leg Injury: Managed with a backboard, which acts as a splint.
  • Back: Check for additional injuries during transport.

Vitals

  • Blood Pressure: 92/68
  • Pulse: 108
  • Respiratory Rate: 22

Reassessment

  • Continuously monitor breath sounds, leg condition, and distal pulses.
  • Reassess vital signs every 5 minutes due to critical condition.

Conclusion

  • Ensure continued monitoring and reassessment.

This guide serves as a comprehensive summary of the patient assessment and management process for trauma cases, as demonstrated in the presented scenario.