EmergenciesMegan McClintock, MS, RN

Fall 2011

Primary Survey

Airway with cervical spine stabilization and/or immobilization Intubation, c-collar

Breathing – different than having an airway 100% oxygen via non-rebreather mask

Circulation – hemorrhage, pulses, cap refill, Insert IV lines, apply pressure to bleeding, blood typing

Disability – brief neuro exam, LOC, GCS, pupil response

Exposure/Environmental Control – remove all clothing to better observe Provide privacy, limit heat loss

Secondary Survey

Full set of vital signs/Focused adjuncts/Facilitate family presence Vital signs Focused adjuncts – ECG, O2 sat monitor, CXR,

urinary catheter, NG tube, labs, diagnostic studies, tetanus

Facilitate family presence

Give comfort measures – treat pain, listen

History and Head-to-Toe assessment

Inspect posterior surfaces

Heat- Related Emergencies

Cold-Related Emergencies

Submersion Injuries

Stings & Bites

Poisonings

Violence

Terrorism

Mass Casualty Triage