Disclaimer: This work has been submitted by a student. Identify life-threatening conditions in order of risk and initiate supportive treatment. All work is written to order. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. First, injury is often associated with hemorrhage and the sequelae of post-hemorrhage resuscitation, although some patients do continue to bleed after ICU admission, while others have recurrent hemorrhage. To qualify for the discount, you must have paid at least 50% of your order cost by 23:59 on Wednesday 3rd of December 2020 (UTC/GMT). This was a brief overview of the initial management of a trauma patient but it provides the framework for the trauma nurse to build upon and allows for successful management of a critically injured patient. You might not die right then; it may be three days or two weeks later — but something has happened in your body that is irreparable.” – Dr. R Adams Cowley (UMMC, 2010, para. Assessment and management of the trauma patient NS247 Cole E (2004) Assessment and management of the trauma patient. The initial survey follows the recognized mnemonic ABCDE: Airway, Breathing, Circulation, Disability, and Exposure. Sirens scream into the darkness, lights flash blinding beams deep into the shadows. Airway assessment (and cervical spine stabilization) However, definitive care must be the goal, as paramedics are not equipped to do more than ensure patient viability to the emergency room. Exposure is next as far as priorities go, however it can and should be accomplished early on to avoid missing potential injuries. Most patients go home after discharge, but some require inpatient rehabilitation first. The primary survey consists of 5 steps (ABCDE approach) that are performed in order. 5). During this period there will most likely be diagnostic tests being done, chest x-rays, CT scans, labs drawn, and cervical spine x-rays. “The six key principles of nursing and trauma-informed care include 1: Safety – make sure your patient and family members feel safe, both physically and psychologically. Multiple Trauma / nursing* Author Elaine Cole RGN, PgDip(Ed), MSc, is lecturer practitioner, Accident and Emergency/trauma, City University, St Bartholomew’s School of Nursing and In Michael's case, the surgeon admits him to the ICU for close monitoring and pain management. Date of acceptance: April 20 2004. Breathing is assessed next and is most simply done by merely observing the patient and determining the rate and depth of the patient’s respirations. 5). After the initial survey and the initial treatment has begun, the secondary or focused survey must be accomplished. This may occur at any time during the nurse’s assessment as interventions are dictated by the patient’s condition. �����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����� It may also be used if the patient’s airway has become swollen and edematous after an anaphylactic reaction and oral intubation cannot pass through but the airway is still accessible via surgical cric. (“Trauma,” 2009, p. 1) In fact, unintentional injuries yearly account for nearly 2 million years of potential life lost. Trauma is a multidisciplinary specialty that requires many providers to work together; nurses are an important part of the trauma team and can prove to be invaluable. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. Care should be taken when looking the patient over to notice any obvious bleeding or pooling of blood. Study for free with our range of nursing lectures! Above all, non nocere (do no harm). (Brunker, 2010). If a patient is unable to control his or her own airway then there needs to be an intervention to control it in lieu of the patient. Traumatic “injuries are the leading cause of death for children and adults ages 1-44” years old. 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. The airway must be assessed for patency, protective reflexes (laryngospasm, glottis closure, cough, etc. The clock has started ticking, there is no stopping it, and every tick brings the patient closer to death. This is also when the nurse goes into detail in certain areas that may have been overlooked in the rapid assessment, it is crucial to make sure that no injury is overlooked. Nursing Standard. This will generally be done by using oro-tracheal intubation and will be performed by the physician or by respiratory therapist at the bedside. Pre-hospital care in Brevard County is primarily the responsibility of Brevard County Fire Rescue as the transporting agency. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! This staggering amount shines a light on just how common injuries occur, and shows why nurses need to be prepared for this patient to come through the ED doors. Proper management encompasses multiple specialties and is a job that requires collaboration with many providers and requires rapid management. 1 0 obj << /Type /Page /Parent 189 0 R /Resources 2 0 R /Contents 3 0 R /MediaBox [ 0 0 3240 3240 ] /CropBox [ 24.67513 27.03897 624.67027 869.8893 ] /Rotate 0 >> endobj 2 0 obj << /ProcSet [ /PDF /Text /ImageC ] /Font << /F1 266 0 R /F5 220 0 R /F7 252 0 R /F9 222 0 R /F11 205 0 R /F13 210 0 R >> /XObject << /Im3 4 0 R /Im4 166 0 R /Im5 5 0 R /Im6 6 0 R /Im7 7 0 R /Im8 167 0 R /Im9 168 0 R /Im10 8 0 R /Im11 9 0 R >> /ExtGState << /GS3 11 0 R /GS4 13 0 R >> /ColorSpace << /Cs5 233 0 R /Cs9 230 0 R /Cs10 259 0 R >> >> endobj 3 0 obj << /Length 6499 /Filter /FlateDecode >> stream No plagiarism, guaranteed! Two cars collide at a stoplight, one running a red light and slamming into the side of another. (Moore, 2008). This is also of great importance in patients with head injuries as neurological deficits can be a sign of increasing intracranial pressure, a serious injury that can lead to coma or death if untreated. The emergency response is now active and those paramedics and firefighters will soon be upon the accident scene. Once life-threatening injuries have been managed, the patient will start to receive more definitive treatment, including surgery, chest tube placement and others. Nursing Essay Those injuries identified in the Primary Survey will be the most life threatening. To start I will show the epidemiology of trauma, which will highlight how often this patient may appear, and will progress into a system-by-system priority assessment. This is the time when you apply supplemental O2 and, if possible, supply it using an adjunct capable of capnography. Registered Data Controller No: Z1821391. Trustworthiness and transparency – trust between patients, staff, and management is vital in building strong relationships.

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