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Long Spine Board and Detailed Physical

  1. What are the three preparation steps for spinal mobilization using a long board?
    • BSI
    • Scene safety
    • Evaluate additional BSI needs
  2. What are the steps to affixing a patient to a long board?
    • C-spine immobilization
    • 60 second rapid trauma assessment and CSM
    • Apply collar
    • Position the board
    • Prepare to turn the patient
    • Roll the patient
    • Assess the back
    • Slide the board under the patient at a 45 degree angle
    • Roll patient onto board
    • Center the patient on the board and remember to foot the board
    • Use padding if needed
    • Strap the patient to the board
    • Cheese blocks
    • Check airway and chest expansion
    • Ensure arms are secured
    • CSM
  3. When is a collar contraindicated?
    stoma
  4. During the physical exam we assess for DCAP/BTLS.  What is DCAP/BTLS?
    • Deformity
    • Contusions
    • Abrasions
    • Penetrations/Punctures
    • Burns/Bruises
    • Tenderness
    • Lacerations
    • Swelling/Scars
  5. During the physical exam we palpate for TIC.  What is TIC?
    • Tenderness
    • Instability
    • Crepitus
  6. What six assessment elements are we looking for when assessing the head?
    • Asymmetry of head and face
    • Drainage
    • Raccoon's eyes
    • Battle's sign
    • Soot and singed nasal or facial hairs
    • Coffee ground emesis
  7. What medical device are we looking for when assessing the head?
    Nasogastric Tube (NG)
  8. Do we examine head-to-toe or toe-to-head with adults?
    head-to-toe
  9. Do we examine head-to-toe or toe-to-head with children?
    toe-to-head
  10. Bruising over the mastoid process that indicates a basilar skill fracture or fracture of the temporal lobe.
    Battle's sign
  11. Bruising of one or both orbits and indicates fracture of the sphenoid sinus.
    Raccoon's eyes
  12. What may leakage from the nose or ears indicate?
    leakage of spinal fluid
  13. What does coffee ground emesis indicate?
    partially digested blood from an upper GI bleed
  14. -grating of bone fragments
    -crackling of joints
    -air or gas in soft tissue (subcutaneous emphysema)
    crepitus
  15. What is the assessment order for a detailed physical (eight things)?
    • head
    • neck/cervical spine
    • chest
    • abdomen
    • pelvis
    • lower extremities
    • upper extremities
    • back
  16. What eight assessment elements are we looking for when assessing the neck/cervical spine?
    • Track marks and tattoos
    • Medical alert tags
    • Jugular vein distention (JVD)
    • Tracheal deviation
    • Accessory muscle use
    • Carotid pulses
    • Subcutaneous emphysema (crepitus)
    • Stoma
  17. What two medical devices are we looking for when assessing the neck/cervical spine?
    • Tracheostomy
    • Central venous catheters
  18. When assessing carotid pulses, what must you NOT do?
    push on both simultaneously
  19. What five assessment elements are we looking for when assessing the abdomen?
    • Distention
    • Rigidity/Guarding
    • Pulsating mass
    • Signs of pregnancy and/or complications
    • Subcutaneous emphysema (crepitus)
  20. What three medical devices are we looking for when assessing the abdomen?
    • Gastronomy tube
    • Colostomy
    • Medication pumps
  21. What four assessment elements are we looking for when assessing the chest?
    • Paradoxical movement
    • Accessory muscle use
    • Sucking chest wound
    • Subcutaneous emphysema (crepitus)
  22. What four medical devices are we looking for when assessing the chest?
    • Pacemaker
    • Internal cardiac defibrillator (ICD)
    • Central catheters
    • Chest tubes
  23. During the detailed physical exam, be sure to ____ breath sounds in all fields.
    auscultate
  24. How many breaths should be auscultated when assessing the chest?
    two breaths in all three fields
  25. What do you not do if a pulsating mass is detected in the abdomen?
    palpate it
  26. Reflexive tightening of abdominal muscles.
    guarding
  27. What five assessment elements are we looking for when assessing the pelvis?
    • Femoral pulses
    • Incontinence
    • Priapism
    • Signs of pregnancy and/or complications
    • Vaginal bleeding
  28. What medical device are we looking for when assessing the pelvis?
    urinary catheter
  29. A prolonged painful penile erection not associated with sexual stimulation.
    priapism
  30. What is one cause for priapism in a trauma situation?
    spinal cord injury
  31. What is CMS?
    • Circulation
    • Motor/Movement
    • Sensation
  32. What two areas of the body do we evaluation for CMS?
    upper and lower extremities
  33. What five assessment elements are we looking for when assessing the lower extremities?
    • Track marks and tattoos
    • Medical alert tags
    • Circulation
    • Motor/Movement
    • Sensation
  34. What medical device are we looking for when assessing the lower extremities?
    IV catheters
  35. What five assessment elements are we looking for when assessing the upper extremities?
    • Track marks and tattoos
    • Medical alert tags
    • Circulation
    • Motor/Movement
    • Sensation
  36. What two medical devices are we looking for when assessing the upper extremities?
    • Arteriovenous (AV) shunt or fistula
    • IV catheters
  37. Connects an artery to a vein and is used for dialysis.
    arteriovenous (AV) shunt or fistula
  38. What three assessment elements are we looking for when assessing the back?
    • Tattoos
    • Subcutaneous emphysema (crepitus)
    • Sacral edema
  39. What medical devices are we looking for when assessing the back?
    none
Author
hiker0001
ID
275107
Card Set
Long Spine Board and Detailed Physical
Description
Long Spine Board and Detailed Physical
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