CSI 102 Skills Lab 5 Emergency Assessment Daryl P. Lofaso, M.Ed, RRT.
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Transcript of CSI 102 Skills Lab 5 Emergency Assessment Daryl P. Lofaso, M.Ed, RRT.
![Page 1: CSI 102 Skills Lab 5 Emergency Assessment Daryl P. Lofaso, M.Ed, RRT.](https://reader038.fdocuments.net/reader038/viewer/2022100509/56649f2e5503460f94c4814a/html5/thumbnails/1.jpg)
CSI 102 Skills Lab 5
Emergency Assessment
Daryl P. Lofaso, M.Ed, RRT
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Initial Assessment Guide
Primary Assessment Observational Assessment
Appearance, WOB, and Circulation Intervention to any life-threatening
condition
Secondary Assessment (Serial) Vital Signs GCS
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Primary Assessment
A = Airway / C-spine immobilization
B = Breathing C = Circulation D = Disability or Neurologic
Status
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Secondary Assessment
E = Exposure and environmental control to prevent heat loss
F = Full set of vital signs, wt. G = Give comfort measures H = Head-to-toe assessment
and History (Hx) I = Inspect posterior surfaces
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Triage Assessment
Emergent Urgent Non-urgent
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Emergent Airway and Breathing
Difficulties Cardiac Arrest C-spine compromise Seizure states Life or limb-threatening
condition
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Emergent (continued)
Severe medical problems (Overdose, poisoning, DM complications)
Obvious multiple injuries Excessive high temperature
(> 105oF or 40.5oC)
Cardiac CP Neurological Deficit – Stroke
(CVA)
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Urgent Chest Pain (Non-Cardiac) Burns ↓ LOC Persistent nausea, vomiting, or
diarrhea Severe pain Temperature (102-105oF or 39o-40.5oC) Delay of up to 2 hrs will not
compromise life or limb
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Non-Urgent
Chronic backache Moderate headache Minor Fx or other injuries Obviously dead on arrival (DOA) Stable illness or injury, wait >
than 2 hrs without an increased risk of morbidity or mortality
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Patient’s Condition
Stable – VS within normal limits. Pt conscious & comfortable.
Guarded – VS within normal limits. Pt has some discomfort.
Unstable – VS outside of normal limits. Major complications. Prognosis guarded.
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Universal Precautions
All Patients are potentially infectious. Good Hand Hygiene is the key to
reducing nosocomial infections Wash before and after patient
contact Wear a mask, eye protection, gloves
and gown when needed
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3 Types of Precautions
Airborne Droplet Contact
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Pathogens Requiring Airborne Precautions
Tuberculosis Measles (Rubeola) Varicella (Chickenpox)
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Airborne Precautions Management
Place patient in an isolation room with negative pressure
Keep door closed Wear N-95 mask
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Pathogens Requiring Contact Precautions
Multi-drug resistance bacteria (e.g., VRE – Vancomycin Resistant Enterococci,
MRSA - Methicillin Resistant Staphylococcus Aureus)
RSV - Respiratory Syncytial Virus Clostridium difficile Scabies