ER PCW
Disaster, Burns, and more
Pre-Class Student Worksheets
Reading Assignment:
Powerpoint: Disaster and Burns Plus
Chapters 9, 10, & 26 in medical/surgical text – focus on the content covered in the powerpoint.
Concepts:
ER Concept
Safety
Teamwork and Interprofessional Collaboration
Tissue Integrity (Burns)
-
ER Application
Monitor for stroke risk
Fall risk
Ensure patent airway
Remove from hot environment
- EMS works with hospital
- Respiratory work with maintaining
and monitoring ABC’s
- Occupational – education
-
Poor temperature regulation
- Pain maintenance
Table 10-1 Comparison of Triage for the Usual and the Mass Casualty Conditions
What are the key differences between the two types of triage?
-
Usual triage
o Emergent, urgent, nonurgent
Triage under mass casualty conditions
o Emergent red tag – immediate threat to life
o Urgent yellow tage – major injuries that require tx
o Nonurgent green tag – minor injuries no immediate tx needed
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o
Expectant black tag – expected and allowed to die
Action Alert (Ch. 10, page 152, mass casualty)
This Action Alert provides a concise and valuable summary of triage under mass casualty conditions.
These concepts are commonly found in the NCLEX test banks for mass casualty. Why do you think this
level of clinical decision-making is reserved for experienced nurses?
This level of decision making takes strict guidelines and a mind-set.
Chart 9-3 Emergency Care for Heat Stroke
List two hospital interventions that surprised you and why you found them surprising:
1. Fan the patient, while it makes sense it was unexpected
2. Don’t give antipyretics suprirsed but makes sense
Table 26-3 Inhalation Injury
Since any of these changes included in Table 26-3 could mean the patient is about to lose his or her
airway, this list would be a great multiple selection question. List three factors that would determine
inhalation injury and three factors that would not:
Would:
Would not:
1.
intra-oral charcoal
1. coughing
2.
use for accessory muscles or stridor
2. Oxygenation 95% <
ER PCW
3.
wheezing bronchospasms
3. Burned hands